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Placental Alkaline Phosphatase (PLAP) Test

Published: July 31, 2026Updated: August 10, 2026

A blood test that measures the amount of placental alkaline phosphatase in your blood. This enzyme is made by the placenta, the organ that forms during pregnancy to nourish and support your growing baby throughout pregnancy.

Quick summary

{"PLAP is a special enzyme made by the placenta to support pregnancy","The test helps monitor pregnancy health and detect potential complications","It may also be used to evaluate certain tumors in rare cases","A simple blood draw is all that's needed for this test","Results are compared to normal ranges for each stage of pregnancy"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
71367-7
Short code
PLAP
Synonyms
ALP Plac 2 SerPl-cCnc
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red top tube
Units
not specified
Ref low
0
Ref high
1
Critical range
— – 200 not specified
Fasting
false
Population
adult
Sex
female
Age range
18–55 years
Method
Enzymatic colorimetric assay using para-nitrophenylphosphate (pNPP) substrate
CPT
82040
SNOMED
271588004
Specimen volume
1-2 mL serum minimum
Stability
Room temperature: 8 hours; Refrigerated (2-8°C): 7 days; Frozen (-20°C): 30 days
Hemolysis max
50
Lipemia max
100
Icterus max
20
TAT
24–72 hours
Order
routine

What is this test?

The placental alkaline phosphatase (PLAP) test measures the amount of a specific enzyme in your blood. This enzyme is produced by the placenta, the organ that develops in your uterus during pregnancy to nourish your growing baby. PLAP first appears in the blood around 10-12 weeks of pregnancy and increases as the pregnancy progresses.

Why is it important?

PLAP serves important functions during pregnancy. It helps support the exchange of nutrients and waste products between you and your baby. By measuring PLAP levels, healthcare providers can get valuable information about how well the placenta is working. Abnormal levels may indicate problems with placental function or other pregnancy complications.

How is the test performed?

The test is simple and similar to other routine blood tests. A healthcare professional will draw a small sample of blood from your arm using a needle. The sample is then sent to a laboratory for analysis. No special preparation is typically needed, though your doctor may ask you to fast for a short time before the test.

Reference range

0-1 U/Lnot specified

Specimen: serum

No fasting or special preparation required

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

PLAP testing is primarily used to assess placental function and pregnancy health. Abnormally low PLAP levels may suggest placental insufficiency, which can lead to complications like intrauterine growth restriction (IUGR) or preeclampsia. Abnormally high levels may indicate conditions such as placental abruption, gestational diabetes, or in rare cases, certain tumors including ovarian or testicular cancers. The test is often used in combination with other prenatal tests to get a complete picture of pregnancy health.

Frequently asked questions

Is the PLAP test safe during pregnancy?
Yes, the PLAP test is completely safe. It only requires a small blood sample, similar to routine prenatal blood tests. There is no risk to you or your baby.
What do abnormal PLAP results mean?
Abnormal PLAP results don't always mean something is wrong. Your doctor will interpret the results based on your specific situation, including your stage of pregnancy and other test results. Further testing may be needed to confirm any concerns.
How often is this test done during pregnancy?
PLAP is not a routine test for all pregnancies. Your doctor may order it if there are concerns about placental function, fetal growth, or if other tests show abnormal results. The frequency depends on your individual health situation.
Can PLAP levels predict baby complications?
Abnormal PLAP levels can be a warning sign of potential complications, but they are not definitive predictors. They help doctors identify pregnancies that may need closer monitoring. Many women with abnormal PLAP levels go on to have healthy babies.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 10, 2026. · Read our editorial policy