Some routine lab tests are done on all pregnant women at different times during the pregnancy.
Other tests are done for a specific indication.
Early in pregnancy, obtain:
- Complete Blood Count, including hemoglobin or hematocrit, MCV, white blood count and platelet count
- Urine protein and urine culture
- Blood group and Rh type
- Atypical antibody screen
- Rubella immunity. If non-immune, plan to immunize postpartum.
- Varicella Immunity. If non-immune, plan to immunize postpartum
- RPR or VDRL (for syphilis)
- Chlamydia
- Gonorrhea
- Hepatitis B and Hepatitis C
- HIV
- Pap Smear if over age 21 and due for one.
- Ultrasound for identification of accurate gestational age, and multiple gestations.
- Screening for fetal aneuploidy
In addition, patients at high risk may require testing for:
- Type II Diabetes
- Thyroid disease
- TB (tuberculosis)
- Toxoplasmosis
- Thalassemia
- Sickle Cell
- Tay Sachs
- Cystic Fibrosis
- Fragile X
- Chagas Disease
- Phenylketonuria
- Spinal Muscular Atrophy
- Cytomegalovirus
- Lead
Subsequent lab tests at 24-28 week include:
- Hemoglobin or hematocrit
- Glucose screening
- Administration of Rhogam to Rh negative women
Subsequent tests at 35-37 weeks:
- Group B Strep
Other testing may be indicated, based on earlier laboratory tests, medical or social factors, and clinical findings during the pregnancy.