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Monitor maternal blood for environmental lead exposure. The Centers for Disease Control and Prevention recommends the following testing schedule for frequency of maternal blood lead follow-up during pregnancy.1 See table.
Result of Screening Test
Perform Diagnostic Test on Venous Blood
No follow-up is indicated.
Within one month. Obtain a maternal BLL or cord BLL at delivery.
Within one month and then every two to three months. Obtain a maternal BLL or cord BLL at delivery.
Within one to four weeks and then every month. Obtain a maternal BLL or cord BLL at delivery. Within 24 hours and then at frequent intervals depending on clinical interventions and trends in BLL. Consultation with a clinician experienced in the management of pregnant women with BLLs in this range is strongly advised. Obtain a maternal BLL or cord BLL at delivery.
This test was developed and its performance characteristics determined by LabCorp. It has not been cleared or approved by the Food and Drug Administration.
Atomic absorption spectrometry (AAS) or inductively coupled plasma/mass spectrometry (ICP/MS)
Royal blue-top (EDTA) tube or tan-top lead-free tube; submit original unopened tube
Mix blood thoroughly to avoid clotting.
Maintain specimen at room temperature.
Causes for Rejection
|Order Code||Order Code Name||Order Loinc||Result Code||Result Code Name||UofM||Result LOINC|
|700433||Lead, Maternal Blood||77307-7||700440||Lead, Blood (Maternal)||ug/dL||77307-7|