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Fetal Red Blood Cell Count (with Qualitative Hemoglobin F Fractionation)

Published: August 9, 2026Updated: August 17, 2026

This test measures the number of fetal red blood cells in your blood and assesses the proportion of fetal hemoglobin (HbF) present. It may be used during pregnancy to evaluate fetal blood health or genetic conditions.

Quick summary

["This test helps monitor fetal red blood cell health and identify potential genetic or developmental concerns during pregnancy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
75373-1
Short code
Fetal RBC/2000 RBC NFr Bld Kleih Betke
Synonyms
Fetal RBC/2000 RBC NFr Bld Kleih Betke
Category
chemistry
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
kleihauer-betke
CPT
85041
SNOMED
900000000000003001
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you are pregnant and experiencing symptoms like anemia, unusual fetal movement, or if there is suspicion of conditions like fetal hydrops, thalassemia, or other blood disorders. It can also be part of prenatal screening for genetic risks.

What to Expect Before the Test

No special preparation is needed. A blood sample will be drawn from a vein in your arm, similar to other routine blood tests. You may feel a slight pinch, but it usually takes only a few minutes.

What the Test Results Mean

The test provides two main pieces of information: the count of fetal red blood cells and the qualitative proportion of fetal hemoglobin (HbF) in your blood. Lower-than-expected fetal RBC counts or unusual HbF levels may signal underlying conditions that need further evaluation.

Common Conditions Monitored

This test is particularly useful in diagnosing or monitoring conditions such as fetal anemia, thalassemia syndromes, or other genetic blood disorders that may affect fetal development. It can also help assess the effectiveness of treatments like blood transfusions.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: whole-blood

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: Fetal Red Blood Cell Count and HbF Fractionation

Short name

Fetal RBC Count & HbF Profile

Frequently asked questions

What does a low or high fetal RBC count mean?
A low fetal RBC count may indicate fetal anemia, which can be caused by genetic disorders, immune issues, or other conditions affecting red blood cell production. High counts alone are less common but may warrant further investigation for underlying causes.
How is fetal hemoglobin (HbF) related to this test?
Fetal hemoglobin is a type of hemoglobin found in fetal red blood cells. Elevated levels of HbF can be associated with certain genetic blood disorders, such as thalassemia, or may be a normal part of fetal development. The qualitative assessment helps determine if further genetic testing is needed.
Can this test be done at any stage of pregnancy?
Yes, this test can be performed at various stages of pregnancy, often during routine prenatal care or when specific symptoms or risks are identified. It is typically done through a simple blood draw, making it a safe and accessible option.
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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 17, 2026. · Read our editorial policy