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Prenatal Screening Blood Test (First Trimester)

Published: August 9, 2026Updated: August 16, 2026

This blood test helps assess your health and your baby’s risk for certain genetic conditions or chromosomal abnormalities during the first trimester of pregnancy.

Quick summary

Early screening can help identify potential concerns so you and your healthcare provider can make informed decisions about your pregnancy.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
75163-6
Short code
TRIMESTEROFFIRSTPRENATALVISIT
Synonyms
—
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
cdc-cs
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

This test is done to help your doctor understand how well a certain part of your body is working and to look for signs of disease, infection, or other conditions that may need treatment. Knowing why the test is being done can help you feel more prepared and confident about your care.

The first-trimester prenatal screening is typically performed between 10 and 14 weeks of pregnancy. It combines blood tests and ultrasound to evaluate your risk for conditions like Down syndrome, trisomy 13, and trisomy 18, as well as neural tube defects. This test is not diagnostic but helps guide further evaluation if needed.

During the test, a trained member of your care team will explain each step before it happens. The procedure is usually quick, and most people feel little or no discomfort. You may be asked to lie still, breathe in a certain way, or hold a position briefly while images are taken or a sample is collected.

You’ll have a simple blood draw, usually taken from a vein in your arm. The sample is sent to a lab for analysis. The test takes about 15 minutes, and you can resume normal activities afterward. No special preparation is required, but inform your healthcare provider if you’re taking any medications or have bleeding tendencies.

This test measures specific values in your body, such as levels, counts, or how well certain organs are functioning. Your doctor compares these values with standard reference ranges to see whether anything looks unusual and whether additional testing or treatment might be helpful for you.

The test measures specific substances in your blood, including hormones like human chorionic gonadotropin (hCG) and pregnancy-associated plasma protein-A (PAPP-A), which are linked to early pregnancy development. It also evaluates other markers that may indicate chromosomal or structural abnormalities.

Your care team will give you specific instructions before the test. You may need to avoid eating or drinking for several hours, temporarily pause certain medicines, or wear loose, comfortable clothing. Plan to arrive a little early so there is time to check in, and follow all timing instructions closely to ensure accurate results.

No specific preparation is needed, but it’s important to confirm your due date and pregnancy timeline with your healthcare provider. If you have a history of pregnancy complications or family history of genetic conditions, you may be advised to proceed with additional testing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

First-Trimester Prenatal Screening

Frequently asked questions

This screening helps identify a range of potential risks, though most pregnancies proceed without issues. Results are usually reported as a risk percentage, which helps guide whether further diagnostic testing (such as amniocentesis or cell-free DNA testing) is recommended. Early detection allows for timely medical advice and support.
How soon will I get my results? Most results are ready within a few days, although some tests take longer if samples are sent to a specialty lab. Your doctor's office will contact you, or you can view them in your patient portal. If you have not heard back within the expected time frame, call the office to ask.
Results are typically available within 1–2 weeks after the test. Your healthcare provider will discuss them in detail, including any next steps if further testing is needed.
What does a high or low risk mean? A result outside the normal range does not always mean you have a serious condition. It simply means your doctor should take a closer look. Values can be affected by medicines, diet, stress, or recent illness, so your doctor will review the result together with your full health history and may recommend follow-up testing if needed.
A higher risk does not mean you or your baby have a condition—it means there’s a greater chance. Your provider will explain the likelihood and help you understand your options. Many women proceed with normal pregnancies despite a higher risk.
While you can choose not to have this screening, it’s often recommended for early detection of potential concerns. Your healthcare provider can discuss alternatives or additional testing if you prefer.
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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 16, 2026. · Read our editorial policy