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Yes, they do. You can't trust the self-reporting of patients when it comes to drugs, especially when it comes to the life of a yet-to-be-born child, who may be affected by said drugs. It's a totally rational thing to do for the sake of a newborn. It's not some "police state shit," it's completely rational medical care.
LOL, I absolutely can. If you believe you haven't ingested any drugs, what's the harm in having yourself tested? If anything, the outcome you expect to happen simply adds credence to you. Where do you live that people who aren't on drugs would categorically refuse to be tested? Because their "privacy" rights are being tested? Who cares about being tested for a crime when you know you're in the clear? The test literally becomes evidence in your favor.
I'll concede I don't know enough about these tests to comment on their validity. But that's a separate argument to be made in court, regardless of the result.