Lab Test In Pregnancy
Prenatal labwork is scheduled at your first official appointment (the first appointment after your free consult). One blood draw is required, and the blood is sent to either LabCorp or Quest Diagnostics for evaluation. The tests that we routinely perform in the first trimester of pregnancy would be:

  • Complete Blood Count (CBC),
  • Blood Type and Rh Factor
  • Hemoglobin and Hematacrit
  • Sexually Transmitted Disease Screen (RPR),
  • Hepatitis B Surface Antigen Test (HBSag)
  • Rubella Status
  • Urinalysis/Urine Culture.


Results normally take 3-5 day to be returned to us. Any abnormal results are reviewed by our back up physician for his advise.

Routine labwork is included in our standard fee for midwifery services. Or, if you just prefer to have your labwork drawn with us and decide to go to another healthcare provider, we will do your OB workup for $175.00.

Optional tests offered but not included inour standard OB lab package: Gonorrhea and Chlamydia testing, HIV, MSAFP, and Cystic Fybrosis Screening, as well as Amniocentesis (referral required) and toxoplasmosis screen.

At 18-21 weeks we schedule your sonogram. This is about the best time to have the test because all of the organs are formed and it is the best time (for you) to see the sex of the baby. Although that is the biggest reason moms and dads want to have a sono, your midwife is looking at different things. As an out of hospital healthcare provider, I want to make sure the baby is well formed, that the placenta looks good and know where it is located, and take a look at the heart and lungs. Make sure you bring a video tape and John will record your sono for you!
Sonograms are $150.00.

At 28 weeks of pregnancy, we perform a routine fingerstick, testing your blood sugar (see the 28 week visit section for more details) and hemoglobin (checking for anemia), and offer the HbsAg test again. If you are an Rh Negative mommie, we also test your Rh status at this point. Rh Negative moms have to have this additional blood draw.

At 36 weeks, we stick your finger one last time to check your hemoglobin, test for Group B Strep, Gonorrhea & Chlamydia and offer the HbsAg test again, as well as the Antibody screen again if Mom is Rh Negative.

Visit the March of Dimes website for explanations of the different test that are offered: www.marchofdimes.com
Optional Lab Tests Offered:
  • Maternal Serum Alpha Fetal Protein Test (MSAFP)
  • Chorionic Villus Sampling
  • Amniocentesis
  • Ultrasound or Sonography
  • HIV Screening
  • Gonorrhea & Chlamydia Cultures

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