Advance Antenatal Profile in Delhi

52 parameters across 10 components: Complete Blood Count (CBC) + ESR (21), Complete Urine Analysis (17), Blood Picture - Peripheral Smear Examination (5), Thyroid Profile with Tri-Iodothyronine Total (TT3), Thyroxine Total (TT4) and Thyroid Stimulating Hormone (TSH) (3), Blood Grouping (A B O) and Rh Type (1), Blood Glucose Fasting (1), Insulin-Fasting (1), HIV - Quantitative (Viral Load) (1), Hepatitis B Virus - Viral Load (1) and Hepatitis C Virus- Viral Load (1). Sample is blood and urine in one visit; 8 to 10 hours of fasting is required.

Two tests. The full Thyroid Profile — Tri-Iodothyronine Total (TT3) and Thyroxine Total (TT4) alongside TSH — replaces the single Thyroid Stimulating Hormone (TSH) IHC test, and Insulin-Fasting is added. That is the entire difference: 52 parameters across 10 components against 49 across 9. Every other component is identical. If your obstetrician has not specifically asked for a wider thyroid picture or a fasting insulin value, the Antenatal Profile covers the same ground for less.

No. HIV - Quantitative (Viral Load), Hepatitis B Virus - Viral Load and Hepatitis C Virus- Viral Load are viral load quantification assays. They measure how much virus is circulating in the blood of someone already known to be infected, and they are used to monitor disease activity and response to antiviral treatment. Whether an infection is present is answered by different tests — HIV 1&2 antibody, HBsAg for hepatitis B, and anti-HCV for hepatitis C. Ask your obstetrician for those by name if screening is what you need.

No. It is baseline laboratory work, not a complete first-trimester workup, and it does not satisfy an antenatal protocol. Antenatal care in India follows a visit-by-visit schedule set by the treating obstetrician, with particular tests at particular gestational weeks. Two standard elements of Indian antenatal care are absent from this profile: VDRL or RPR for syphilis, and rubella IgG. The ultrasound scans, the oral glucose tolerance test and the first-trimester screening markers are not part of it either.

It starts from 1499. That includes free home collection of both the blood and urine sample anywhere in Delhi, and digital reports within 24 hours, with nothing added at checkout. Book online or on WhatsApp.

It measures how much insulin is circulating on a fasting sample. Read alongside the Blood Glucose Fasting value, it indicates insulin resistance — the mechanism underlying gestational diabetes — which can be present while glucose is still normal, because the pancreas compensates by producing more insulin. It is most informative if you have polycystic ovary syndrome, a high BMI or a family history of diabetes. It must be taken fasting; a non-fasting insulin value cannot be interpreted at all.

No. Fasting insulin is not a diagnostic test for gestational diabetes. The diagnosis comes from an oral glucose tolerance test, in which glucose is measured at intervals after a standard glucose drink, and your obstetrician schedules that separately — usually between 24 and 28 weeks. A normal fasting insulin and a normal fasting glucose early in pregnancy do not rule out gestational diabetes developing later, because insulin resistance rises as the pregnancy progresses.

TSH alone detects most thyroid dysfunction and is the usual first-line test, so the honest answer is that it is more information rather than automatically better. Adding Tri-Iodothyronine Total (TT3) and Thyroxine Total (TT4) shows where in the pathway the problem sits. This matters because maternal hypothyroidism is associated with impaired fetal neurodevelopment; one in ten Indian adults is hypothyroid, women roughly three times as often as men, 15.86% versus 5.02% (Unnikrishnan et al., Indian Journal of Endocrinology and Metabolism, 2013;17(4):647-652). Pregnancy shifts thyroid ranges by trimester and total T3 and T4 are raised by binding proteins, so trimester-specific interpretation is essential.

Because of Rh incompatibility. If you are Rh-negative and the baby is Rh-positive, your immune system can form antibodies against the baby's red cells. A first pregnancy is usually unaffected, but in a later one those antibodies cross the placenta and destroy fetal red cells, causing haemolytic disease of the newborn. Anti-D immunoglobulin prophylaxis prevents almost all of this, given on a schedule your obstetrician sets — but only when the Rh status is documented. The ABO group is separately required before any transfusion at delivery.

Cell shape and structure, which no analyser can see. A qualified pathologist prepares a slide from your blood and reads it cell by cell, reporting five findings: Red Blood Cells, White Blood Cells, Platelets, Hemoparasites, and a written Impression. A CBC says haemoglobin is low; the smear says why — small pale microcytic cells for iron deficiency, large macrocytic cells for B12 or folate deficiency, sickle-shaped cells for sickle cell disease, which substantially changes how a pregnancy is managed. It also detects blast cells that may indicate leukaemia and malarial parasites inside red cells.

Anaemia is the first reason: over 50% of Indian women aged 15 to 49 are already anaemic (NFHS-5, 2019-21), and treatment depends on which type it is, which a cell count cannot tell you. The second is platelets — automated counters misread platelet clumping as a dangerously low count, and in pregnancy that error affects delivery and anaesthesia decisions. The third is Hemoparasites: malaria and dengue are endemic across Delhi NCR, and malaria in pregnancy raises risk for mother and baby. It is often missing because it cannot be automated; a pathologist has to read every slide by hand, so it is the first line item cut to hold a price.

It points to a cause rather than confirming one. The CBC indices and the peripheral smear together indicate the type — microcytic cells suggest iron deficiency, macrocytic cells suggest B12 or folate deficiency. But this profile does not include serum ferritin, vitamin B12 or folate levels, so those are indications, not confirmations. If microcytic cells are reported, thalassaemia trait is also possible, and that requires a separate haemoglobin electrophoresis or HPLC test. Your obstetrician decides the follow-up.

It reports 17 parameters, including nitrites, leukocytes and pus cells for urinary tract infection, plus protein and glucose. Urinary infection is common in pregnancy and often entirely without symptoms, while untreated infection is associated with preterm labour. Urine protein feeds pre-eclampsia surveillance. One limitation: a routine urine test detects overt proteinuria but not microalbuminuria, which needs a separate urine microalbumin or albumin-creatinine ratio test. A result suggesting infection is usually followed by a urine culture, which is not part of this profile.

Easier than most people expect, and easier than managing it at a laboratory. Book the earliest morning slot available so the fast ends sooner, finish dinner by around 9 or 10 PM, drink water freely through the night, and have breakfast ready to eat the moment the sample is taken. Having family at home is an advantage here: someone can keep the food ready and stay with you, which matters because a long fast in pregnancy can bring on nausea or light-headedness. If your obstetrician has advised against fasting at this stage, tell us at booking.

Home collection is free across Delhi, and early morning slots are available throughout — including Vasant Vihar, Vasant Kunj, Chattarpur, Nehru Place, Jasola, Okhla, Connaught Place, Civil Lines, Model Town and Patel Nagar. A trained phlebotomist collects both the blood and the midstream urine sample at your door, and the samples travel to the laboratory in temperature-controlled conditions. Choose the earliest slot offered for your area, since both Blood Glucose Fasting and Insulin-Fasting need the overnight fast.

Digital reports arrive within 24 hours of sample collection, with all 52 parameters, reference ranges and flagged abnormal values. Carry the report to your next antenatal visit: thyroid values and haemoglobin are read against your gestational week rather than standard adult ranges, and fasting insulin has to be read alongside the fasting glucose. Your sample is processed at a NABL-accredited laboratory in our network. NABL accreditation is granted to individual laboratories after an evaluation of their equipment, processes and personnel; it is not a blanket brand certification, and HealthVas does not claim to hold accreditation itself.

Yes. Add her details as the person being tested, and pick the earliest morning slot because of the 8 to 10 hour fasting requirement. Anyone in the household can make the booking and be present when the phlebotomist arrives. One thing to settle with her obstetrician first: whether the full Thyroid Profile and fasting insulin are actually wanted at her current gestational week. If not, the Antenatal Profile covers the same ground, since those two tests are the only difference between the profiles.