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Test Code ANT1 Antenatal Screen 

Specimen Requirements

Submit only one of the followings:    
    
ABO Group and Rh Type (ABORh)    
Preferred
Specimen Type: Whole Blood
Container/Tube: EDTA Lavender Top
Volume: 3.0 mL
Minimum Volume: 3.0 mL whole blood
    
Acceptable    
Specimen Type: Whole Blood
Container/Tube: EDTA Pink Top
Volume: 6.0 mL
Minimum Volume: 6.0 mL whole blood
    
HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab, VZG    
Specimen Type: Serum
Container/Tube: Gold Top (SSTII) / Red Top
Volume: 5.0 mL / 6.0 mL blood
Minimum Volume: 1.0 mL serum
Collection Instructions: Allow specimen to clot for 30 mins and centrifuge within 2 hrs
    
Urine Formed Elements (UFE)    
Specimen Type: Early morning first void urine collection without preservatives
Container/Tube: Screw Capped sterile urine container.
Volume: 100.0 mL
Minimum Volume: 20.0 mL urine
Collection Instructions: Send specimen to the laboratory immediately
    

Full Blood Count (FBC)

Specimen Type: Whole Blood

Container/Tube: Lavender Top (EDTA)

Volume: 3.0 mL whole blood

Minimum Volume: 1.5 mL whole blood

Collection Instructions: Send whole blood specimen to the laboratory immediately

Specimen Stability

ABO Group and Rh Type (ABORh)

Samples are kept for 14 days. Test best performed on fresh drawn samples

 

HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab, VZG

Specimen type Serum
Ambient 24 hours
Refrigerate 6 days (preferred)
Frozen 8 months

 

Urine Formed Elements (UFE)

Specimen type Urine
Ambient 2 hours
Refrigerate 1 day
Frozen Not acceptable

 

Full Blood Count (FBC)

Specimen Type Whole Blood
Ambient 8 hours
Refrigerate 1 day
Frozen Not acceptable

Methodology

See individual test listings for methodology

Days and Times Performed

ABO Group and Rh Type (ABORh) 24 hrs, TAT 1 day
HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab Monday through Friday, TAT 1 - 3 days
Varicella Zoster IgG (VZG) Tuesday, Friday, TAT 2 - 5 days
Urine Formed Elements (UFE) 24 hrs, TAT 1 day
Full Blood Count (FBC) Monday through Sunday, TAT 1 day

Specimen Condition

ABO Group and Rh Type (ABORh)

Haemolysis Gross Invalidate Result
Icterus Not applicable
Lipaemia Not applicable
Others: Insufficient specimen Reject

 

HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab, VZG    

Gross Haemolysis Reject
Icterus OK
Lipaemia OK
Others Not applicable

 

Urine Formed Elements (UFE)

Haemolysis Not applicable
Icterus Not applicable
Lipaemia Not applicable
Others Not applicable

 

 

 

 

 

Full Blood Count (FBC)

Haemolysis Not applicable
Icterus Not applicable
Lipaemia Not applicable
Others: Clotted, insufficient specimen Reject

Reference Interval

See individual test listings for reference interval

Reflex Testing

Hepatitis B Surface Antigen, qualitative (HBsAg)

Samples reactive for HBsAg are confirmed by HBsAg (Confirmation).

Samples reactive for HBsAg are tested by a reflex test, Hepatitis B e Antigen (HBeAg)

 

Syphilis Ab

Samples reactive for Syphilis Ab are confirmed by supplemental test Treponema pallidum Passive Particle Agglutination (TPPA) Assay. 

Samples reactive for TPPA are tested by a supplemental test Rapid Plasma Reagin (RPR) to confirm an acute syphilis.

Testing Laboratory

ABO Group and Rh Type (ABORh) National University Hospital Transfusion Services, 67722305
HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab,  Varicella Zoster IgG (VZG),  Urine Formed Elements (UFE) National University Hospital, Singapore Clinical Chemistry, 67724346

Useful For

ABO Group and Rh Type (ABORh) Determine ABO and Rh (D) blood group
HBsAg, Anti-HBs, Syphilis Ab, Anti-HIV Ag-Ab, VZG, UFE Blood tests to evaluate and prepare for a healthy pregnancy.

Service Code

34013

LOINC Code Information

See individual test listings for LOINC code information

Update

Last updated 21/02/2025