Hello, and I hope I can answer your question.

In the US, the law requires a referral to CPS if a NEWBORN tests positive for drugs at birth. Mandatory drug testing for babies at birth are usually performed if the infant has signs and symptoms of withdrawal or is considered at high risk based on the assessment of the mother (teen pregnancy is one of the risk factors) in the hospital. The tests on the baby can be done without the mother's permission. In contrast, most states cannot test an adult without permission except in emergency cases (like a suspected OD).

PCP can remain positive on a urine test for up to 2 weeks. Therefore, even if you were exposed to PCP it will be out of your system in 2 weeks so by the time of the birth. Your OB provider has a responsibility of confidentiality and cannot report you. Many addicts in recovery programs get custody of their babies if they are actively under the care of a program to get them off drugs. If anything, if you are a young mother-to-be, referral to a social worker may actually help you. There are counseling and support programs that may benefit you. If you have a negative drug test before the birth documented in your file, it is regarded as a positive sign that you are working towards a healthy situation for your baby, and it is unlikely the test will be positive after 2 weeks from exposure.

I suggest you not be afraid of discussing your situation with your OB provider at the clinic. Many clinics also have social workers on staff that can work with mothers in difficult situations. Everyone's goal is to help you have a healthy baby and the best situation at home. I wish you the best of luck with your continuing pregnancy and your life situation.

Take care, Dr. Brown