Recommendations for Follow-up Blood Lead Level (BLL) Testing in Pregnant and Lactating Women

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BLL (μg/dl) Recommendation for Follow-up after Receiving Test Results*
<5 No follow-up testing is indicated.
5-14 Within 1 month: Obtain a maternal BLL or cord BLL at delivery and perform newborn follow-up testing.
15-24 Within 1 month and then every 2-3 months: More frequent testing may be indicated based on risk factor history. Obtain a maternal BLL or cord BLL at delivery and perform newborn follow-up testing.
25-44 Within 1-4 weeks and then every month: Obtain a maternal BLL or cord BLL at delivery and perform newborn follow-up testing.
>45 Within 24 hours and then at frequent intervals depending on clinical interventions and trend in BLLs: Obtain a maternal BLL or cord BLL at delivery and perform newborn follow-up testing.

*Centers of Disease Control and Prevention and NYS Department of Health recommendations. The higher the BLL, the stronger the recommendation is for a consultation. Consult with your Regional Lead Resource Center.

Lead Exposure Risk Factors and Sources

  • Foreign-born, poor nutritional status, evidence of pica, occupational exposure, use of alternative remedies, some imported spices, foods and cosmetics, and traditional lead glazed pottery.
  • Evidence of possible lead paint exposure prior to or during pregnancy from renovating or remodeling a home built before 1978.

Community Lead Exposure Data

NYS Regional Lead Resource Centers

For complete information visit health.ny.gov/LeadResourceCenters

  • Metropolitan/Hudson Valley Region
    • Montefiore Medical Center (718) 547-2789
  • Central/Eastern Region
    • SUNY Upstate Medical University (315) 464-7584
    • Albany Medical College** (518) 262-8602
  • Western Region
    • Kaleida Health/Women & Children’s Hospital of Buffalo (716) 878-7324
    • University of Rochester Medical Center** (585) 276-3105

**Subcontractors