Routine antenatal tests

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What are antenatal tests?
Antenatal tests are an important part of your pregnancy care and help make sure that you and your baby are healthy throughout your pregnancy. Different types of tests, including blood tests, urine tests and ultrasound scans are used to check different aspects of your own and your baby’s health. Some tests are recommended for everyone, while others are offered only to women at a greater risk of a particular condition.
Some antenatal tests are screening tests. This means that they are designed to assess the chance of you or your baby having a particular condition. If you receive a high-risk result on a screening test, you might decide to do a diagnostic test that can tell you for certain whether your baby has that condition.
At your first antenatal visit, your doctor or midwife will explain which antenatal tests are recommended for you and when you should have them.
Which antenatal tests are offered during pregnancy?
There are different types of antenatal tests offered at different times during pregnancy, including blood tests, urine tests, ultrasound scans and special tests.
Here is a summary of some of the antenatal tests routinely offered during pregnancy in Australia:

Name	Type of test	What does it check for?	When is it done?
Infectious disease screen	Blood test	Immunity to infections such as hepatitis, HIV and rubella	First antenatal visit
Blood group + antibodies	Blood test	Blood group	First antenatal visit
Full blood count	Blood test	Anaemia	First antenatal visit
Vitamin D level	Blood test	Vitamin D deficiency	First antenatal visit
Urine culture	Urine test	Infection	First antenatal visit May be repeated during pregnancy
Dating scan	Ultrasound scan	Estimated due date	8 – 14 weeks
Nuchal translucency test	Ultrasound scan	Screens for genetic abnormalities	11 – 13 weeks
Combined first-trimester screen (CFTS)	Ultrasound scan + blood test	Screens for genetic abnormalities	11 – 14 weeks
Non-invasive prenatal testing (NIPT)	Blood test	Screens for genetic abnormalities	From 10 weeks
Chorionic villus sampling (CVS)	Procedure	Diagnoses genetic abnormalities	From 11 weeks
Amniocentesis	Procedure	Diagnoses genetic abnormalities	From 15 weeks
Morphology scan	Ultrasound scan	Fetal growth and development Position of the placenta	18 – 20 weeks
Gestational diabetes screening	Blood test	Gestational diabetes	24 – 28 weeks
Group B strep screen	Vaginal-rectal swab	Group B strep	30 – 36 weeks

Why do I need tests during pregnancy?
Antenatal tests are an important way to check your own and your baby’s health and wellbeing throughout your pregnancy. Antenatal tests can help to:

pick up medical problems early so they can be treated early
identify any genetic conditions affecting your baby, so you can decide what to do next
check that your baby is growing and developing normally

It’s important to do tests at the recommended time to make sure you get the right information to make any necessary decisions. Ask your doctor or midwife if you’re not sure when you need to have a particular test, or why it is recommended for you.
Do I have to have tests and what are my options?
You can choose whether or not to have antenatal tests. You may decide to have all the tests recommended by your doctor or midwife, or only a few.
It’s a good idea to think about the possible results of antenatal testing, and what you might feel when you get the results.
Many women find it helpful to ask questions and discuss their options with their doctor or midwife. Your partner, close family and friends can also help you make choices that are right for you.
Be careful about following advice from the internet or social media since it may not be accurate. Your doctor or midwife can answer your questions and give you accurate information and advice about your situation.
Who will do the tests?
Your doctor or midwife will refer you for any antenatal tests that are recommended for you.
Blood tests are usually done at a pathology collection centre or hospital by a trained pathology collector.
Ultrasound scans are usually performed by a specially-trained technician called a sonographer, but they can be performed by anyone who is trained to do them. This may include doctors, midwives or other health workers. Scans may be performed in a radiology clinic or a hospital.
Procedures such as chorionic villus sampling (CVS) and amniocentesis are done by a specialist doctor in a clinic or hospital.
To find a healthcare provider near you, use the Service Finder.
What do antenatal tests cost?
Medicare covers the cost of many antenatal tests, including ultrasounds and blood tests, but not all of them. You may need to pay an out-of-pocket cost depending on the test and where you get it done. It’s a good idea to ask about fees when you book your appointment.