ANC Profile Test

• Helps to know the maternal blood group
• To detect any abnormalities in blood parameters
• To rule out any sexually transmitted diseases or infections
• For diagnosis of diabetes mellitus and thyroid dysfunctions.

Antenatal Profile-I is a routine screening test to measure the CBC, Blood Group, TSH, VDRL, HBsAg, HIV-DUO, Anti HCV, Abnormal Hb Studies, FBS, PPBS in blood serum and also routine urine examination.

• These tests are recommended to be done by pregnant women as part of routine screening to prevent the risk of congenital infections in the foetus.
• In case of high risk pregnancies, other specialized tests may also be done apart from the routine screening.
• Pregnant women with family history of certain blood disorders and congenital conditions may be required to undergo some additional tests apart from routine screening.

This test requires a blood sample. A tourniquet (elastic) band is placed tightly on the upper arm. The patient is then asked to make a fist. This helps in the build-up of blood filling the veins. The skin is disinfected before needle insertion and the blood sample is collected in vacutainer. The urine sample is also instructed to be collected in a sterile container for urine examination.

8 to 10 hours fasting required, only plain water to be consumed in fasting period.

CBC test

Low hemoglobin levels may indicate anemia, which requires further testing and treatment.

Presence of glucose in urine may indicate diabetes mellitus and further confirmatory tests.

Presence of High pus cell count may indicate urine infection requiring further treatment.

FBS and PPBS

Elevated levels of blood glucose levels indicate diabetes mellitus (gestational diabetes).

Gestational diabetes is a common condition especially in high risk pregnancies.

TSH(Ultrasensitive)

TSH levels are prone to physiologic, seasonal and diurnal variation.  Abnormal levels (any increase or decrease) should be further investigated.

Blood Group and Rh Typing.

The blood group and Rh positivity status helps to confirm the blood group of the pregnant woman.

HBsAg Screening

Non-reactive result indicates the absence of Hepatitis infection.

All Reactive results must be confirmed by further testing.

HIV-DUO

HIV-DUO is a screening test. Positive result indicates HIV infection and requires further tests to confirm the result.

VDRL- RPR Serum

Rising titres are found in active disease and levels subside after successful treatment.

Positive test should be confirmed by further testing.

Reactive titre is often associated with biological false positives which may occur during pregnancy.

Anti HCV-Ab to Hepatitis C Virus

Positive result indicates the presence of Hepatitis C viral infection. Further tests like RNA PCR may be required to further differentiate past(resolved) and chronic infections.

Abnormal Haemoglobin Studies

Mild to moderate increase in foetal haemoglobin can be seen in some acquired conditions like Pregnancy.

Based on the levels of HbF, HbA0 and HbA2, diagnosis of sickle cell anemia, Beta Thalassemia, and other blood disorders can be made.

In case of haemoglobinopathy, DNA Analysis and Genetic counselling is advised.

• Antenatal Test
• CBC test
• Urine Test
• VDRL test
• Blood group test
• HIV test
• Thyroid test
• HBs Antigen test
• FBS test
• TSH test
• Abnormal Hemoglobin tests

The fasting blood glucose test measures the glucose or sugar levels in blood post 10-12 hours of fasting period. These levels are measured to know the risk of diabetes during pregnancy.

The PPBS test measures the blood sugar levels post 2 hours of meals. These levels are measured for diagnosis of diabetes during pregnancy.

TSH is a hormone produced by the thyroid gland and is responsible for the production of T3 and T4 hormones. Thyroid hormones have an impact on the physiological bodily functions. During gestation period thyroid levels can have an impact on the maternal and foetal health.

• Complete blood count (CBC) evaluates cells circulating in blood i.e., haemoglobin levels, red blood cells, white blood cells and platelets which determine general state of heath of an individual. Low haemoglobin levels are often seen during pregnancy which may lead to anaemia.
• If any abnormality is detected, further tests are recommended.

The blood group test is important to know the blood group of the pregnant woman. The Rh positivity status is important to avoid of Rh incompatibility reactions during childbirth.

Routine urine test is done to detect the presence or absence of any abnormalities in urine that may impact the maternal and foetal health. Urine routine and microscopy is a screening test. Abnormal results may require further tests.

HbsAg test is done to detect the presence or absence of Hepatitis B infection during antenatal period.

HIV-DUO Test is a Screening test for detection of antibodies to HIV type 1 and/or 2 antigens in human serum or plasma.

Rapid Plasma Reagin (RPR) is done to screen presence of Syphilis in people with high risk of contracting infection & as a part of screening panel for all pregnant women (to prevent congenital infections).

RPR helps in monitoring progression of disease and also to assess response to treatment.

This is a screening test detecting anti-HCV antibody which is useful for diagnosis of Hepatitis C Viral infection.

Abnormal Haemoglobin Studies measures the various components of haemoglobin like foetal haemoglobin (HbF), Haemoglobin (Hb A0) and Haemoglobin (HbA2) and helps to detect blood disorders like Beta thalassaemia and various hemoglobinopathies. It's most often used to help diagnose anaemia, sickle cell disease, and other haemoglobin related blood disorders.