At a Glance
Package: Advance Antenatal Profile. Tests: 52 parameters, 10 components. Price: From 1499. Fasting: 8–10 hours, for the Blood Glucose Fasting and Insulin-Fasting components. Sample: Blood and urine, single visit. Reports: 24 hours, digital. Home collection: Free across Gurgaon. Lab: NABL-accredited. This is the Antenatal Profile with two additions, and nothing else. Its only genuine additions are the full Thyroid Profile — TT3 and TT4 alongside TSH, instead of TSH alone — and Insulin-Fasting. Every other component is identical. If you do not need a fasting insulin value or the wider thyroid picture, the Antenatal Profile covers the same ground. ## Pregnancy Care Follows Your Obstetrician's Schedule Antenatal testing in India runs to a schedule the treating obstetrician sets, with particular tests at particular gestational weeks. This profile supports that care; it does not satisfy or replace an antenatal protocol, and it is not a complete first-trimester workup. Two standard elements of Indian antenatal care are absent: VDRL/RPR for syphilis and rubella IgG. Antenatal infection screening — HIV 1&2 antibody, HBsAg, anti-HCV — is also not what the three viral tests here do. Treat this as baseline laboratory work and let your obstetrician direct the rest. ## What the Three Viral Tests Here Actually Measure This profile contains HIV - Quantitative (Viral Load), Hepatitis B Virus - Viral Load and Hepatitis C Virus- Viral Load. All three are viral load quantification assays. They measure the quantity of virus circulating in someone already known to carry that infection, and they exist to monitor disease activity and response to antiviral treatment. They do not answer "do I have this infection?" That is answered by antibody and antigen screening tests — HIV 1&2 antibody, HBsAg and anti-HCV — separate tests your doctor will advise on. A viral load result is a monitoring number, not a screening result. ## Blood Grouping (A B O) and Rh Type A single parameter that carries more weight in pregnancy than any other test here. If you are Rh-negative and carrying an Rh-positive baby, your immune system can form antibodies against fetal red cells. The first pregnancy is usually unaffected; in a later one those antibodies can cross the placenta and destroy the baby's red cells — haemolytic disease of the newborn. Anti-D immunoglobulin prophylaxis prevents almost all of it, on a schedule your obstetrician sets, but only when the Rh status is on record. The ABO group is separately required before any transfusion. ## The Two Additions: Full Thyroid Profile and Fasting Insulin Thyroid Profile (3): Tri-Iodothyronine Total (TT3), Thyroxine - Total (TT4) and Thyroid Stimulating Hormone (TSH). Maternal hypothyroidism affects fetal neurodevelopment and is a standard pregnancy screen. One in ten Indian adults is hypothyroid, women roughly three times more often than men — 15.86% versus 5.02% (Unnikrishnan et al., IJEM, 2013;17(4):647–652). TSH alone detects most cases; TT3 and TT4 show where in the pathway the problem sits. Pregnancy shifts thyroid reference ranges by trimester, and total T3/T4 are affected by rising binding proteins, so results need trimester-specific interpretation rather than the standard adult range. Insulin-Fasting (1): measures circulating insulin on a fasting sample. Read with the fasting glucose, it indicates insulin resistance — the mechanism behind gestational diabetes — before glucose itself rises. A limitation worth stating: fasting insulin is not a diagnostic test for gestational diabetes. That diagnosis is made with an oral glucose tolerance test, which your obstetrician will schedule, usually between 24 and 28 weeks. ## Blood Picture - Peripheral Smear Examination A pathologist prepares a slide from your blood and examines it under a microscope, cell by cell — work no analyser can replicate, which is why it costs pathologist time and is the first item cut from cheaper pregnancy packages. Five findings are reported: Red Blood Cells, White Blood Cells, Platelets, Hemoparasites, and the pathologist's written Impression. Anaemia is the reason it belongs in a pregnancy profile. Over 50% of Indian women aged 15–49 are anaemic (NFHS-5, 2019–21), and the smear identifies which kind: microcytic, pale cells for iron deficiency; macrocytic cells for B12 or folate deficiency; sickle-shaped cells for sickle cell disease, which changes how a pregnancy is managed. It also flags blast cells that may indicate leukaemia, and platelet clumping that analysers report as a falsely low platelet count — which matters because a true low count affects delivery and anaesthesia decisions. Hemoparasites is relevant in Delhi NCR, where malaria and dengue are endemic and malaria in pregnancy raises risk for mother and baby. ## The Other 3 Components CBC with ESR (21): haemoglobin, red cell indices, white cell differential, platelets and ESR — the anaemia and infection baseline of pregnancy. Complete Urine Analysis (17): protein, glucose, nitrites, leukocytes, pus cells and casts. Urinary infection in pregnancy is often symptomless, and urine protein is part of pre-eclampsia surveillance. The routine urine test detects overt proteinuria but not microalbuminuria, which requires a separate urine microalbumin or albumin-creatinine ratio test. Blood Glucose Fasting (1): under 100 mg/dL normal, 100–125 prediabetes, 126 and above diabetes (ADA Standards of Care, 2024). ## Sources NFHS-5, 2019–21 · Unnikrishnan et al., IJEM, 2013;17(4):647–652 · ADA Standards of Care in Diabetes, 2024 Content last reviewed: October 2026