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Informed decision-making

Prenatal Bloodwork: Questions and Choices

An overview of common prenatal labs, what they can show, and questions to discuss before testing.

Cleveland Homebirth educational resource: Prenatal Bloodwork: Questions and Choices

What prenatal bloodwork may include

  • Complete blood count to look at red blood cells, hemoglobin, platelets, and signs of anemia or infection.
  • Blood type, Rh factor, and antibody screening.
  • Screening for infections such as hepatitis B, syphilis, HIV, and, when chosen or indicated, gonorrhea and chlamydia.
  • Rubella immunity, glucose screening, and other tests based on history, gestational age, symptoms, and informed preference.

When testing is commonly offered

  • Early pregnancy testing establishes a baseline and identifies information that may affect prenatal or newborn care.
  • Later pregnancy testing may reassess anemia, antibodies, glucose, or other findings as indicated.
  • Your exact panel and timing should reflect current guidelines, your history, and a shared decision with your care team.

Potential benefits

  • Knowing blood type and Rh status can guide urgent care and Rh immune globulin counseling.
  • Finding anemia may support timely nutrition, supplementation, further evaluation, and hemorrhage planning.
  • Identifying infections can guide treatment and newborn preventive care.

Questions to ask

  • Which tests are being offered, and what decision could each result change?
  • What are the limits of the test, including false-positive or false-negative results?
  • What happens if I delay, decline, or choose only part of the panel?
  • How will results be shared, stored, and coordinated with consultants or hospital staff if needed?

Related resources

Keep preparing with clear, practical information.

Read another guide online or return to the full client resource library.

Understanding sensitization prevention

Rh Factor and Rh Immune Globulin

A plain-language guide to Rh incompatibility, antibody formation, testing, and Rh immune globulin decisions.

Read guide

Imaging decisions

Prenatal Ultrasound: Uses, Benefits, and Questions

A balanced overview of why ultrasound may be offered, what it can and cannot show, and how referrals work.

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A higher-complexity decision

Breech Presentation: Options and Informed Choice

A client-friendly overview of breech presentation, consultation, turning options, birth settings, and individualized risk discussion.

Read guide

Questions belong in care

A handout cannot know your history.

Bring your questions to Julia or the appropriate physician, imaging professional, pediatric clinician, laboratory, or specialist before making an individual decision.

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