Buy a pregnancy blood test: check your blood values
Prenatal screening commonly included during pregnancy.
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Are you expecting, or hoping to be soon? A lot comes your way during this time, including questions about your health. A pregnancy blood test can give you insight into a number of blood values that are often looked at during this period.
That way you get a factual starting point about things like your iron, your folate and your thyroid, something tangible to hold on to while so much is changing in your body.
Why this test?
During pregnancy a lot changes in your body, and your blood tells part of that story. A prenatal blood test can offer insight into values connected to this phase, such as your iron stores, your vitamin status and how your thyroid is working.
This panel measures a number of markers that are often looked at around a pregnancy. It does not give you a diagnosis, but it does give information you can calmly discuss with your midwife or GP.
Who is this test for?
This test can be useful if you are pregnant or hoping to conceive and want to know more about your blood values. Think of women in the first trimester, women preparing for a pregnancy, or those who simply want to know where certain values stand.
Are you already being seen by a midwife or gynaecologist? Then this test can be an addition to that care, never a replacement for it.
What is tested?
This panel looks at nine blood values that are often relevant around a pregnancy:
- b-hCG: the pregnancy hormone, whose level can confirm a pregnancy and say something about the early phase.
- Ferritin: reflects your iron stores, which are often watched more closely during pregnancy.
- Folate (Folic Acid): a B vitamin that gets a lot of attention around conception and in early pregnancy.
- HbA1c: gives a picture of your average blood sugar over the past two to three months.
- Iron (Serum): the iron circulating in your blood at that moment.
- TSH: the hormone that signals your thyroid.
- Vitamin B12: involved in the formation of red blood cells and your energy metabolism.
- Vitamin D (25-OH): plays a role in your bones and your immune system.
- Free T4 (Thyroxine): the free, available form of the thyroid hormone thyroxine that, together with TSH, shows how your thyroid is working.
What can this test tell you?
The results can give you an impression of how these values are doing. A low ferritin or a low iron level may, for instance, fit with a reduced iron reserve, something that is more common during pregnancy.
Your thyroid values, TSH and free T4, can show whether your thyroid seems in balance. The b-hCG level can confirm a pregnancy and, together with other information, say something about the early phase. On its own, no single value makes a diagnosis; they mainly offer insight you can discuss with a healthcare provider.
How is the sample collected?
This test requires a small blood draw at a certified lab. In the Netherlands you can choose from more than 750 blood draw locations, so there is usually one near you.
After ordering, you pick a location and schedule a moment that suits you. The draw itself usually takes only a few minutes, and you do not need a referral from your GP.
When is this test useful?
A pregnancy blood test can be valuable at different moments, for example:
- when you have just found out you are pregnant and want a picture of some baseline values
- when you are trying to conceive and preparing for a pregnancy
- when you dealt with anemia or thyroid issues in an earlier pregnancy
- when you are simply curious about your blood values during this period
What the right moment is for you depends on your own situation and on what your midwife or GP advises.
What do the results mean?
Your result shows your value for each marker, together with a reference range and a short explanation. What counts as usual can differ during pregnancy compared with outside of it, because your body adapts.
A value below or above the range can mean different things and does not say much on its own. The doctor helps you place your blood values in the right context, in line with your pregnancy.
Preparation
For this panel you usually do not need to fast, so you can schedule the appointment whenever suits you best. If you take supplements or medication, it helps to mention that, so the doctor can assess your result properly. Unsure about something? You can always ask.
What happens after the results?
Your result is usually available online within a few working days. Each value is shown clearly with a reference range and an explanation, so you understand what you see.
Every blood test result includes a professional assessment from a BIG-registered doctor. For treatment decisions, discuss your results with your GP.
Frequently Asked Questions
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Choose your hormone test
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Receive your lab referral
On the same business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Choose your hormone test
Browse our hormone panels and pick what you want tested. Compare markers and prices, or build a custom test.
Receive your lab referral
On the same business day you'll receive an email from ZorgDomein with a barcode. Orders outside business hours are processed the next business day.
Get tested at a lab near you
Show the barcode on your phone and bring a valid ID. Done in under 15 minutes.
Receive your report from the doctor
A BIG-registered physician reviews your hormone values and writes a personal report. On your dashboard within a few business days.
Always a location near you
With more than 700+ certified phlebotomy points across the Netherlands.
What We Test
This test includes 9 biomarkers to give you a comprehensive health picture.
Folate, also known as vitamin B9, is a water-soluble vitamin involved in cell division and DNA synthesis. Adequate folate levels are considered important for overall health and may be particularly relevant during periods of rapid growth.
Learn moreHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
Learn moreThyroid-stimulating hormone (TSH) is produced by the pituitary gland and serves as the master regulator of thyroid function. TSH levels may help indicate whether the thyroid is producing appropriate amounts of hormones. Your healthcare provider can interpret your TSH results.
Learn moreSerum iron measures the amount of circulating iron in your blood. Iron is essential for haemoglobin production, oxygen transport, and energy metabolism throughout the body.
Learn moreFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Learn moreBeta-hCG (human chorionic gonadotrophin) is the hormone produced by an implanting pregnancy. This blood test measures the beta chain of that hormone and returns an exact number in U/L rather than a yes-or-no answer. In serum, hCG becomes detectable roughly eight to eleven days after conception, a few days earlier than most home urine tests pick it up. Outside pregnancy hCG has a second role: it is used as a tumour marker in trophoblastic disease and in germ cell tumours, in women and in men alike. A single value tells you little. Meaning almost always comes from the trend across two measurements and from ultrasound, interpreted by your doctor.
Learn moreVitamin B12 is considered essential for red blood cell formation, neurological function, and DNA synthesis. Deficiency may develop gradually and is sometimes associated with dietary patterns. Healthcare providers can help interpret your results.
Learn moreVitamin D is a fat-soluble vitamin that plays a key role in calcium absorption, bone health, and immune function. It is primarily produced in the skin through sunlight exposure and can also be obtained from certain foods and supplements.
Learn moreFerritin is a protein that stores iron in your cells and releases it when your body needs it. Blood ferritin levels reflect your body's total iron stores and are the most sensitive indicator for iron deficiency.
Learn moreFolate (Folic Acid)
VitaminsFolate, also known as vitamin B9, is a water-soluble vitamin involved in cell division and DNA synthesis. Adequate folate levels are considered important for overall health and may be particularly relevant during periods of rapid growth.
Folate is considered vital for DNA synthesis, red blood cell formation, and proper neural tube development during pregnancy. Low levels may be associated with anaemia, fatigue, and increased cardiovascular risk. Your healthcare provider can advise on appropriate levels.
HbA1c (Glycated Hemoglobin)
MetabolicHbA1c (glycated haemoglobin) reflects your average blood sugar levels over the past 2-3 months. It is the gold standard for long-term blood sugar monitoring and diabetes management.
HbA1c provides a long-term view of blood sugar control, unlike fasting glucose which reflects a single point in time. It is essential for diabetes diagnosis and management. Consult your healthcare provider.
TSH (Thyroid Stimulating Hormone)
ThyroidThyroid-stimulating hormone (TSH) is produced by the pituitary gland and serves as the master regulator of thyroid function. TSH levels may help indicate whether the thyroid is producing appropriate amounts of hormones. Your healthcare provider can interpret your TSH results.
TSH is widely considered the most sensitive initial screening test for thyroid disorders. Even subtle changes in thyroid function may be reflected in TSH levels before other thyroid markers become abnormal. Your healthcare provider may use TSH as a starting point for comprehensive thyroid evaluation.
Iron (Serum)
MineralsSerum iron measures the amount of circulating iron in your blood. Iron is essential for haemoglobin production, oxygen transport, and energy metabolism throughout the body.
Iron is vital for producing red blood cells and carrying oxygen. Both low and high levels can affect your health. Serum iron is best interpreted alongside ferritin and TIBC for a complete picture. Consult your healthcare provider.
Free T4 (Thyroxine)
ThyroidFree T4 (thyroxine) is the main hormone produced by the thyroid gland. It may serve as a precursor that your body converts into the more active T3. Healthcare providers often consider Free T4 a primary indicator of thyroid gland output.
Free T4 may help your healthcare provider determine whether your thyroid gland is producing adequate hormone levels. Some experts consider it one of the most informative markers for detecting both overactive and underactive thyroid conditions early.
b-hCG (Human Chorionic Gonadotropin)
FertilityBeta-hCG (human chorionic gonadotrophin) is the hormone produced by an implanting pregnancy. This blood test measures the beta chain of that hormone and returns an exact number in U/L rather than a yes-or-no answer. In serum, hCG becomes detectable roughly eight to eleven days after conception, a few days earlier than most home urine tests pick it up. Outside pregnancy hCG has a second role: it is used as a tumour marker in trophoblastic disease and in germ cell tumours, in women and in men alike. A single value tells you little. Meaning almost always comes from the trend across two measurements and from ultrasound, interpreted by your doctor.
The best-known rule of thumb about hCG is that the value doubles every 48 hours in early pregnancy. That is a simplification. In a normally progressing intrauterine pregnancy below roughly 1,500 U/L, the minimum expected rise over 48 hours is about 50 per cent, and normally progressing pregnancies exist that rise more slowly than the classic doubling. As the value climbs, the rate of rise also slows. Two measurements 48 hours apart, run by the same laboratory, are therefore far more informative than one isolated result. Different laboratories use different assays and calibrations, so two numbers from two laboratories cannot simply be compared. A second limitation matters just as much: hCG cannot tell you where a pregnancy is located. An ectopic pregnancy can produce a rising, a falling or a plateauing hCG. Location is answered by transvaginal ultrasound, not by a number. Above the so-called discriminatory zone, somewhere between roughly 1,500 and 3,500 U/L depending on the centre, a normal intrauterine pregnancy should be visible on ultrasound. Sudden abdominal pain, pain radiating to the shoulder tip, dizziness or fainting in early pregnancy is an emergency, whatever the number is doing. A single value also cannot date a pregnancy. The weekly ranges overlap so heavily that a result without ultrasound gives no reliable gestational age. Outside pregnancy, hCG is a tumour marker. Trophoblastic disease, such as a molar pregnancy and choriocarcinoma, produces very high values. Germ cell tumours can produce hCG in both sexes; in men the result is assessed alongside AFP and LDH. In a man, any detectable hCG is abnormal and calls for clinical assessment. Finally, two assay artefacts explain why a surprising result is confirmed rather than acted upon. In the high-dose hook effect, an extremely high hCG saturates the assay and a falsely low value is reported. In so-called phantom hCG, heterophile antibodies react with the test: serum is positive, urine is negative, and there is no pregnancy. In perimenopausal and postmenopausal women a low hCG can also be pituitary in origin, which is a recognised benign finding and not a pregnancy.
Vitamin B12
VitaminsVitamin B12 is considered essential for red blood cell formation, neurological function, and DNA synthesis. Deficiency may develop gradually and is sometimes associated with dietary patterns. Healthcare providers can help interpret your results.
Vitamin B12 is believed to be vital for healthy nerve cells, red blood cell formation, and DNA synthesis. Low levels may be associated with anaemia, fatigue, and neurological symptoms. Early detection through testing may help prevent long-term complications.
Vitamin D (25-OH)
VitaminsVitamin D is a fat-soluble vitamin that plays a key role in calcium absorption, bone health, and immune function. It is primarily produced in the skin through sunlight exposure and can also be obtained from certain foods and supplements.
Adequate vitamin D levels are essential for strong bones, a well-functioning immune system, and overall well-being. Low levels may be associated with an increased risk of bone disorders, mood changes, and weakened immunity. Consult your healthcare provider for personalised advice.
Ferritin
MineralsFerritin is a protein that stores iron in your cells and releases it when your body needs it. Blood ferritin levels reflect your body's total iron stores and are the most sensitive indicator for iron deficiency.
Iron is essential for oxygen transport, energy production, and immune function. Ferritin testing helps detect iron deficiency before anaemia develops, or iron overload which can damage organs. Consult your healthcare provider for personalised advice.
Related biomarkers
Biomarkers often explored alongside this test for a fuller picture.
Active Vitamin B12
Active Vitamin B12 measures the bioavailable form of B12 available to your cells. For women, B12 may play a role in hormonal balance, energy production, and reproductive health. This test could provide early insight into your B12 status.
Bicarbonate
Bicarbonate helps regulate your body's pH balance, which can be influenced by hormonal changes during the menstrual cycle, pregnancy, and menopause.
C-Peptide
C-Peptide assesses insulin production, which can be affected by hormonal conditions like PCOS. Understanding your levels supports metabolic and hormonal health awareness.
Calcium
Calcium is crucial for women's bone health, particularly during pregnancy, breastfeeding, and menopause when calcium needs may increase significantly.
Ceruloplasmin
Ceruloplasmin levels can naturally fluctuate with hormonal changes. Understanding your copper metabolism supports comprehensive women's health monitoring.
Chloride
Chloride helps regulate fluid balance, which can fluctuate during the menstrual cycle and pregnancy. Monitoring supports awareness of your hydration and electrolyte status.
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