Racial Equity in Urine Drug Screening Policies in Labor and Delivery.

ABSTRACT:

Importance

Black pregnant patients are significantly more likely than their White counterparts to undergo peripartum urine drug screening (UDS) and subsequent reporting to child protective services (CPS).

Objective

To evaluate the association of removing isolated cannabis use and limited prenatal care as order indications, combined with clinician-facing clinical decision support, with racial parity in peripartum UDS and CPS reporting.

Design, setting, and participants

This quality improvement study assessed 9396 pregnant patients at a single tertiary care center in a Midwestern US urban metropolitan region who delivered before (June 1, 2021, to September 31, 2022) and after (October 1, 2022, to January 31, 2024) the intervention.

Exposure

Updated UDS indication

SUBMITTER: Azimi V 

PROVIDER: S-EPMC11915058 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature