Prenatal Essentials
Prenatal screening commonly included during pregnancy.
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Included Markers
9 markersA prenatal panel that covers commonly tested markers during pregnancy, including thyroid function, iron status, vitamins, blood sugar, and hCG. These markers can provide useful data to discuss with your healthcare provider during pregnancy.
Why this test?
During pregnancy, the body undergoes significant physiological changes that can affect nutrient levels, thyroid function, and blood sugar regulation. Monitoring these markers can provide data that may support conversations with your healthcare provider about your prenatal health.
Who is this test for?
This test may be relevant for women who:
- Are pregnant and want to check commonly monitored prenatal markers
- Are planning a pregnancy and want a baseline measurement
- Want to assess nutrient and thyroid status during pregnancy
- Would like data to discuss with their midwife or obstetrician
What is tested?
This panel measures nine markers:
- b-hCG: the pregnancy hormone, used to confirm and monitor early pregnancy
- TSH: thyroid stimulating hormone, as thyroid function can change during pregnancy
- Free T4: the active thyroid hormone
- Ferritin: reflects iron stores, which may become depleted during pregnancy
- Iron (Serum): measures circulating iron levels
- Vitamin B12: involved in nervous system function and red blood cell production
- Folate (Folic Acid): plays a role in cell division and is commonly monitored during pregnancy
- Vitamin D (25-OH): involved in calcium absorption and immune function
- HbA1c: reflects average blood sugar over the past 2 to 3 months
What can this test tell you?
Together, these markers cover several areas relevant during pregnancy. Thyroid function (TSH and Free T4) can shift during pregnancy, and changes may warrant attention. Iron and ferritin levels may decrease as the body supports increased blood volume. B12 and folate are involved in cell growth and development, while Vitamin D plays a role in calcium metabolism. HbA1c provides context about blood sugar regulation over recent months. These results can inform discussions with your prenatal care provider.
How is the sample collected?
The test requires a blood draw at a certified sample point (afnamepunt). There are over 750 locations across the Netherlands. After placing your order, you can select a convenient location and schedule your visit.
When is this test useful?
This test may be considered when:
- You are pregnant and want to check nutrient and thyroid levels
- You are planning a pregnancy and want a baseline assessment
- You want data to bring to your next prenatal appointment
- You experience symptoms such as fatigue or have concerns about nutrient status during pregnancy
What do the results mean?
Each marker is presented with your value and the reference range. During pregnancy, some reference ranges differ from non-pregnant values, and your healthcare provider can help interpret the results in this context. Low ferritin or iron may suggest depleted stores, while abnormal TSH may indicate thyroid changes that warrant follow-up. Results are intended to be discussed with your prenatal care provider.
Preparation
No fasting is required for this panel. The test can be taken at any time of day.
What happens after the results?
Your results are typically available within a few working days. Each marker is shown with your value, the reference range, and an explanation. These results can be shared with your midwife, obstetrician, or GP to discuss whether any follow-up may be appropriate.
Frequently Asked Questions
From order to report in 4 steps
Test when you want, not only when symptoms are severe. No waiting list, no referral needed. Just order and go.
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
Within 2-3 hours 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
Within 2-3 hours 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 450+ 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 moreTSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
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-human chorionic gonadotropin (b-hCG) is a hormone produced primarily during pregnancy. It is also used as a tumour marker in certain clinical contexts. Measuring b-hCG levels can provide valuable information about reproductive health.
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 the primary storage protein for iron in your body. It reflects your iron stores more accurately than iron levels themselves, which can fluctuate considerably throughout the day. Low ferritin is the earliest sign of iron deficiency — often measurable before your haemoglobin drops and anaemia develops. High ferritin can indicate iron overload but is also a widely used inflammation marker. Interpretation always depends on the clinical context.
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)
ThyroidTSH, or thyroid-stimulating hormone, is produced by the pituitary gland and controls the thyroid. It is the most commonly used blood value to assess thyroid function. An abnormal TSH level can indicate an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism). Thyroid problems are common — especially in women — and can cause a wide range of symptoms, from fatigue and weight gain to palpitations and nervousness.
The thyroid affects virtually every organ in your body. The hormones it produces (T3 and T4) regulate your metabolism, heart rate, body temperature, energy level, and even your mood. When thyroid function is disrupted, the effects can be wide-ranging. Hypothyroidism (underactive) is the most common thyroid condition, affecting an estimated 5% of adults, with a clear predominance in women. It is often caused by the autoimmune condition Hashimoto's disease. Symptoms develop gradually and are therefore often recognised late. Hyperthyroidism (overactive) is less frequent but can be more serious. Graves' disease is the most common cause. Untreated, it can lead to heart rhythm disorders and bone loss. For women trying to conceive, the TSH value is particularly relevant, as suboptimal thyroid function can affect fertility and pose risks during pregnancy. A TSH below 2.5 mU/L is often used as a target in this context.
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-human chorionic gonadotropin (b-hCG) is a hormone produced primarily during pregnancy. It is also used as a tumour marker in certain clinical contexts. Measuring b-hCG levels can provide valuable information about reproductive health.
b-hCG is essential for confirming and monitoring pregnancy. Rising levels in early pregnancy can help assess whether the pregnancy is progressing as expected. Outside of pregnancy, elevated b-hCG levels may indicate certain tumours and warrant further investigation.
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 the primary storage protein for iron in your body. It reflects your iron stores more accurately than iron levels themselves, which can fluctuate considerably throughout the day. Low ferritin is the earliest sign of iron deficiency — often measurable before your haemoglobin drops and anaemia develops. High ferritin can indicate iron overload but is also a widely used inflammation marker. Interpretation always depends on the clinical context.
Iron deficiency is the most common nutritional deficiency worldwide and one of the leading causes of fatigue. Ferritin detects iron deficiency at an early stage, before haemoglobin drops. This makes it a valuable preventive marker. In women of childbearing age, iron deficiency is particularly common due to menstrual blood loss. A ferritin below 30 µg/L with symptoms such as fatigue, concentration problems, or hair loss is often already reason to supplement, even if haemoglobin is still normal. On the other hand, significantly elevated ferritin (above 500 µg/L) can indicate haemochromatosis, a hereditary condition in which the body absorbs too much iron. Untreated, this can lead to liver, heart, and joint damage. Haemochromatosis occurs in 1 in 200 people of European descent and is often discovered late.
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