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 Noida. Lab: NABL-accredited. "Advance" buys two tests: the full Thyroid Profile in place of TSH alone, and Insulin-Fasting. Every other component is identical to the Antenatal Profile, which covers the same ground if your obstetrician has asked for neither. ## The Two Additions, and Nothing Else Thyroid Profile (3): Tri-Iodothyronine Total (TT3), Thyroxine - Total (TT4) and Thyroid Stimulating Hormone (TSH), replacing the single TSH test. Maternal hypothyroidism affects fetal neurodevelopment, so thyroid testing is standard; one in ten Indian adults is hypothyroid, women about three times as often as men, 15.86% against 5.02% (Unnikrishnan et al., IJEM, 2013;17(4):647–652). TSH alone catches most cases; TT3 and TT4 show where in the pathway the problem sits. Pregnancy shifts thyroid ranges by trimester and binding proteins push total T3 and T4 up, so these need trimester-specific reading. Insulin-Fasting (1): circulating insulin on a fasting sample. Read against the fasting glucose it indicates insulin resistance, the mechanism behind gestational diabetes, which can be present while glucose still reads normal because the pancreas compensates. It does not diagnose gestational diabetes: that is the oral glucose tolerance test your obstetrician schedules, usually at 24–28 weeks. ## Your Obstetrician Sets the Schedule This profile supports antenatal care; it does not satisfy or replace an antenatal protocol, and it is not a first-trimester workup. Indian antenatal care runs visit by visit, and that schedule belongs to the obstetrician treating you. Two standard parts of it are missing here: VDRL or 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. ## The Three Viral Tests Quantify, They Do Not Screen This profile carries HIV - Quantitative (Viral Load), Hepatitis B Virus - Viral Load and Hepatitis C Virus- Viral Load. All three are viral load quantification assays, measuring how much virus circulates in someone already known to carry that infection, to monitor disease and antiviral treatment. A viral load is a monitoring number; it does not answer whether an infection is present. Antibody and antigen screening tests do that, and a doctor advises on them. ## Blood Grouping (A B O) and Rh Type One parameter with more riding on it than anything else here. An Rh-negative mother carrying an Rh-positive baby can form antibodies against fetal red cells; a first pregnancy is usually unaffected, but in a later one they cross the placenta and destroy the baby's red cells — haemolytic disease of the newborn. Anti-D immunoglobulin prophylaxis prevents nearly all of it, on the obstetrician's schedule, but only once the Rh status is on record. The ABO group is separately required before any transfusion. ## Blood Picture - Peripheral Smear Examination Hand work, not machine work: a pathologist prepares a slide and reads it under the microscope, cell by cell. That is pathologist time, the first item cut from a pregnancy package built to a price. Five findings: Red Blood Cells, White Blood Cells, Platelets, Hemoparasites, and the pathologist's written Impression. Anaemia is why it is here: over 50% of Indian women aged 15–49 are anaemic (NFHS-5, 2019–21), and the slide says which kind — microcytic pale cells for iron deficiency, macrocytic for B12 or folate deficiency, sickle-shaped for sickle cell disease, which alters pregnancy management. Platelets catches clumping that analysers report as a falsely low count, and a true low count changes delivery and anaesthesia decisions. Blast cells that may point to leukaemia show on the same slide, and Hemoparasites looks for malarial parasites — relevant in Delhi NCR, where malaria and dengue are endemic and malaria in pregnancy raises risk for mother and baby. ## Holding the Fast, and Getting an Early Slot Fasting insulin cannot be interpreted on a non-fasting sample, so the 8–10 hours here are not optional. The answer is an early home slot: dinner by 9 or 10 PM, water overnight, phlebotomist at first light, food immediately after. Noida's sector grid makes early visits easy to schedule; if you work rotating shifts, say so at booking so the slot sits after a sleep rather than at the end of one. Free across Sector 15, 16, 27, 34, 51, 52, 71, 110, 120, 128, 132, 143 and Film City. ## The Other 3 Components CBC with ESR (21): haemoglobin, red cell indices, white cell differential, platelets, ESR — the anaemia and infection baseline of pregnancy. Complete Urine Analysis (17): protein, glucose, nitrites, leukocytes, pus cells, casts. Urinary infection in pregnancy is often symptomless, and urine protein is part of pre-eclampsia surveillance; the routine test detects overt proteinuria but not microalbuminuria, which needs a separate 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