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Do They Test Babies' Urine at Birth?

Published in Newborn Health 2 mins read

Yes, babies' urine is sometimes tested at birth, but it's not a routine procedure for all newborns. Urine tests are typically performed when there's a specific medical reason or concern.

When is a Urine Test Performed on a Newborn?

Urine tests on newborns are generally conducted to investigate potential health issues. Some common reasons for ordering a urine test include:

  • Suspected Infections: If a baby exhibits signs of a possible urinary tract infection (UTI) or sepsis, a urine sample can help identify the presence of bacteria.
  • Kidney Problems: If there are concerns about the baby's kidney function or structure, a urine test can provide valuable information.
  • Drug Screening: In certain situations, such as when the mother has a history of substance abuse, the baby's urine may be tested for drugs.
  • Metabolic Disorders: In some cases, urine tests are part of newborn screening programs to identify rare metabolic disorders. The reference provided states that providers may test a baby's urine to identify certain health conditions, and that urine test results can provide insight into the baby's overall condition.

How is a Urine Sample Collected from a Newborn?

Collecting a urine sample from a newborn requires special techniques. Common methods include:

  • Urine Collection Bag: A sterile bag with adhesive is attached to the baby's skin around the genitals to collect urine.
  • Catheterization: In some cases, a thin, flexible tube (catheter) may be inserted into the baby's bladder to collect a sample. This is usually done by a healthcare professional.
  • Suprapubic Aspiration: Rarely, a needle may be inserted through the abdominal wall into the bladder to collect urine. This is an invasive procedure typically reserved for specific situations.

What Information Can a Newborn Urine Test Provide?

A urine test can reveal a variety of information about a newborn's health, including:

  • Infection: The presence of bacteria can indicate a UTI.
  • Kidney Function: Levels of certain substances, such as protein or creatinine, can provide information about kidney function.
  • Drug Exposure: The presence of drugs in the urine can indicate exposure in utero.
  • Metabolic Disorders: Specific markers can indicate the presence of rare metabolic disorders detected through newborn screening.