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Routine drug testing of pregnant individuals, often conducted without consent, is opposed by ACOG. They advocate for validated screening tools, like questionnaires, to identify drug use instead of urine or blood tests. Routine testing is not recommended because it can criminalize pregnancy, deter individuals from seeking prenatal care, and disproportionately impact low-income and marginalized communities. Additionally, studies indicate that such testing can lead to numerous false positives. For more information, refer to the document from legalmomentum.org.