Umbilical Cord Tissue Drug Testing

Like meconium, the umbilical cord tissue belongs to the baby, so there are no issues testing it, and no need for mom's permission. It’s available immediately for 100% of births and needs only 1 collection by 1 collector. This saves time and money, but it also gets the specimen to the lab quicker, so turnaround time is much shorter. The look back is 20 weeks with up to a 15-drug panel option, and alcohol and heroine detection that is superior to any other newborn specimen on the market.

Targeted Collection
Collection of the umbilical cord ONLY if the mother meets the hospital’s conditions for determining a potentially exposed newborn. Click here to view the targeted collection instructions. Click here to view the targeted collection instruction slides.

Universal Collection
Collection and short-term storage of the umbilical cord on ALL newborns. Umbilical cord is sent to the laboratory if the mother meets the hospital’s conditions for determining a potentially exposed newborn, or if the newborn shows signs or symptoms of withdrawal. If neither criteria is met, the umbilical cord is discarded. Click here to view the universal collection procedure instructions. Click here to view the universal collection procedure slides. Click here to download a copy of the Universal Umbilical Cord Collection Log.

Umbilical cord specimens can be submitted only through hospital or health system accounts.

Drug Panels

• 15 Panel
• 14 Panel
• 13 Panel
• 12 Panel
• 9 Panel
• 7 Panel
• 5 Panel

Amphetamines

amphetamine, MDA, MDEA, MDMA, methamphetamine

Cannabinoids

carboxy-THC

Cocaine

benzoylecgonine

Opiates

6-MAM, meconin, codeine, hydrocodone, hydromorphone, morphine

Phencyclidine

phencyclindine (PCP)

Methadone

EDDP, methadone

Barbiturates

amobarbital, butalbital, pentobarbital, phenobarbital, secobarbital

Benzodiazepines

alprazolam, diazepam, midazolam, nordiazepam, oxazepam, temazepam

Propoxyphene

propoxyphene, norpropoxyphene

Oxycodone

oxycodone, oxymorphone

Meperidine

meperidine, normeperidine

Tramadol

tramadol

Buprenorphine

buprenorphine, norbuprenorphine

Fentanyl

fentanyl

Cathinones

methylone, mephedrone, ethylone, 4-fluoromethcathinone, methedrone, methcathinone

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*Click the green and white plus sign beside each drug class to view the substances within each class.

Add-Ons Available

EtG (Direct Ethanol Biomarker)

ethyl glucuronide

Cotinine

cotinine

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Collection

Collection Instructions

View PDF

Collection Steps

Cut 6-inch segment

Cut a 6 inch segment of the umbilical cord. This will be the collected specimen.

Drain excess blood

Pinch the specimen between the finger and thumb, then run your fingers down the specimen 3-4 times to drain excess blood. Discard any excess blood.

Rinse exterior of specimen with normal saline or equivalent rinsing solution

Rinse the exterior/outside of the specimen with normal saline or an equivalent rinsing solution. Important: Prevent the umbilical cord and specimen from coming in contact with ethanol-based liquids or vapors previous to and during the collection process. This includes ethanol-based hand sanitizer and alcohol prep pads.

Pat the specimen dry and place it in the specimen container

Pat the specimen dry and place it in the specimen container.

Place the newborn’s ID number on the specimen container

Place the newborn’s ID number on the specimen container (the newborn’s name is optional). The ID number may be the medical record number, hospital laboratory accession number, or any other unique identifying number of the collection facility’s choosing. The hospital patient ID label/sticker may be utilized to satisfy this step.

Fill out the Custody and Control Form

Fill out the Custody and Control Form. Please verify that the pre-printed company information is correct in the Client section of the form: (See Figure 1)
6a. Place the newborn’s ID number on the Custody and Control Form in the Patient/Donor section (the newborn’s name is optional). A hospital patient ID label/sticker may be utilized to satisfy this step. Enter date of birth and time of birth.
6b. Mark the specimen type box for Umbilical Cord.
6c. Mark the test(s) requested to be performed in the Test(s) Requested section.
Check ALL that apply.

Close and latch the lid. Place bar-coded, tamper-evident seal over top of lid

When collection is completed, close and latch the lid. Place the bar-coded, tamper-evident seal (from the bottom of the Custody and Control form) over the top of the lid, opposite the latch and hinge. The collection container should be sealed so that opening the lid would break the seal, indicating tampering. Do NOT place the seal over the container latch or hinge. Failure to properly place a tamper-evident seal over the lid will result in a rejected specimen.

Initial and date the tamper-evident specimen seal(s)

Initial and date the tamper-evident specimen seal(s).

Print, sign, and date Custody and Control Form

Print, sign, and date in the Collector/Processor Certification section of the Custody and Control Form.

Place Custody and Control Form in specimen bag

Place the original, white copy (Copy 1 LAB Copy) of the Custody and Control Form in the large pouch of the plastic specimen bag provided.

Place specimen container in specimen bag

Place the sealed specimen container in the small pouch of the specimen bag and seal the specimen bag.

Place sealed specimen bag in transport box

Place the sealed specimen bag in the transport box provided.

Place specimen box in transport overwrap

Place the specimen box in an appropriate courier transport overwrap.

Contact Courier

Contact your courier for pick-up. Umbilical cord specimens should be refrigerated in a secure area until they are ready to be shipped.

Client Services

By Phone: 1.800.235.2367

Business Hours (CST)

Monday 6am - 8pm
Tuesday 6am - 8pm
Wednesday 6am - 8pm
Thursday 6am - 8pm
Friday 6am - 8pm
Saturday 8am - 5pm

Contact Client Services

Testing Details

Panel Name: Umbilical Cord Testing

Panel Description: Umbilical Cord Testing Drug Panel

Type: Profile

Matrix: Umbilical Cord

Collection Container: Leakproof Polypropylene

Sample Amount: 6-8 inches

Storage Conditions: Refrigerated

Transport Conditions: Ambient

Method: Initial screen and confirmation

Turnaround Time: Generally, the standard turnaround time for reporting negative screening test results is the next business day, with an additional 1-2 business days for specimens that require confirmatory testing. Turnaround time begins from receipt of the valid specimen –accompanied by a properly documented valid order– into the laboratory. Some tests require additional time to process and will fall outside the standard turnaround time window.

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Can a hair test be manipulated by the donor?

Yes. Bleaching, perming, dyeing and straightening can affect the outcome of a hair test. Cosmetically treated hair should not be collected.

Can you test for alcohol exposure in umbilical cord?

Yes, alcohol exposure can be tested individually or by adding the Umbilical Cord Testing EtG add-on to any of the Umbilical Cord Testing drug panels. The EtG add-on screens for Ethyl Glucuronide, a direct alcohol biomarker, indicating exposure to ethanol (drinking alcohol).

Does Umbilical Cord Testing use umbilical cord blood or umbilical cord tissue?

Umbilical Cord Testing uses 6 inches of umbilical cord tissue that has been drained and patted dry.

Have results been used in court cases?

Yes, the analysis of a number of tissue types for the presence of drugs of abuse has been used in every state for decades. Specifically, our umbilical cord testing has been used to provide evidence of drug use by the mother in numerous states. Additionally, the detection of drug in umbilical cord was used as evidence of maternal drug consumption in a murder case in South Carolina and that interpretation was upheld on appeal to the SC Supreme Court.

How long does the laboratory keep remaining umbilical cord tissue?

Negatives are kept for 1 week, and positives are kept for 1 year.

How should umbilical cord tissue be stored?

The sample is stable at room temperature for 7 days, can be refrigerated (2-8° C) for up to 3 weeks and frozen (< -10° C) up to 1 year.

Is umbilical cord genetically fetal tissue or tissue of the mother?

The fetus generates umbilical cord during the first five weeks, therefore, it is fetal tissue.

May the reported quantitation of drug or metabolite in hair, nail, meconium, umbilical cord, or urine be used to determine the timing of the drug use, how often the donor uses the drug, or the extent of the donor’s drug use?

No. When testing a reservoir specimen type, a specimen type where analytes tend to accumulate, you may not backtrack to determine time, dosage, or frequency. The result is positive or negative for the appropriate detection window associated with the specimen type.

The umbilical cord was fixed in formalin. May it still be used for the Umbilical Cord Testing?

No, Umbilical Cord Testing has not been validated for tissues that have been fixed in formalin.

What is the window of drug exposure for umbilical cord tissue?

Dose/response studies have not been performed and will most likely never be performed for ethical reasons. However, when compared to meconium, which has a detection window of up to 20 weeks, Umbilical Cord Testing has demonstrated an agreement greater than 90 percent.

When will I receive umbilical cord results?

Test	Negative Result	Positive Result
Umbilical Cord Drug Panel	1 working day	2 working days
Umbilical Cord EtOH	2 working days	3 working days

Why is Umbilical Cord Testing becoming the gold standard in newborn testing over meconium?

USDTL’s umbilical cord tissue testing is groundbreaking in newborn toxicology because it solves several problems:

• Every newborn has an umbilical cord; meconium is not available for every birth.
• Umbilical cord collection is a one-step procedure; meconium collection requires cumulative collections.
• Umbilical Cord Testing offers improved positivity rates for Methamphetamine, Benzodiazepines and Opiates.
• Umbilical Cord Testing improves the integrity of the chain-of-custody: only one donor and one collector are present during the collection. Meconium has multiple collections and multiple collectors.
• Umbilical Cord Testing improves turnaround time because umbilical cord is ready for transport a few minutes after the birth, while meconium passages can be delayed for days before being sent to the lab.

Why was the mother's urine positive and the umbilical cord tissue / meconium negative?

There are several explanations for this. Different specimen types have varying thresholds for positivity. For example, a single dose of methamphetamine 12 hours prior to collection is highly likely to produce a positive urine result. However, it would be less likely to generate a positive result for a specimen type with a longer detection window such as umbilical cord, meconium or hair.