The Best Way to Confirm Pregnancy: Blood Test (2023)

When it comes to confirming pregnancy, the most reliable method is through a blood test. This test analyzes the presence of the hormone hCG (human chorionic gonadotropin) in the blood, which is produced during pregnancy. The blood test can detect even small amounts of hCG, providing accurate results.

When to Take the Blood Test

It is recommended to take the blood test for pregnancy 10 days after fertilization or from the first day of a missed period. While the test can be done before a missed period, there is a higher chance of a false negative result. It is important to note that a blood test does not require a medical prescription and fasting is not necessary. Typically, the results are available within a few hours after the blood sample is collected .

Interpreting the Results

The results of the blood test for pregnancy vary depending on whether the woman is pregnant and the gestational weeks. Here is a breakdown of the beta-hCG levels in the blood test for different scenarios:

  • Not Pregnant (Negative): A result of less than 5 mIU/ml indicates a negative result, meaning the woman is not pregnant.
  • 3 Weeks of Pregnancy: Beta-hCG levels range from 5 to 50 mIU/ml.
  • 4 Weeks of Pregnancy: Beta-hCG levels range from 5 to 426 mIU/ml.
  • 5 Weeks of Pregnancy: Beta-hCG levels range from 18 to 7,340 mIU/ml.
  • 6 Weeks of Pregnancy: Beta-hCG levels range from 1,080 to 56,500 mIU/ml.
  • 7-8 Weeks of Pregnancy: Beta-hCG levels range from 7,650 to 229,000 mIU/ml.
  • 9-12 Weeks of Pregnancy: Beta-hCG levels range from 25,700 to 288,000 mIU/ml.
  • 13-16 Weeks of Pregnancy: Beta-hCG levels range from 13,300 to 254,000 mIU/ml.
  • 17-24 Weeks of Pregnancy: Beta-hCG levels range from 4,060 to 165,500 mIU/ml.
  • 25-40 Weeks of Pregnancy: Beta-hCG levels range from 3,640 to 117,000 mIU/ml.

It is important to note that the blood test should be taken at least 10 days after a missed period to avoid false negative results. This is because it takes time for the fertilized egg to travel to the uterus and for the body to produce sufficient beta-hCG hormone for detection. In some cases, it may take up to 6 days after fertilization for the beta-hCG levels to start increasing in the blood .

Quantitative and Qualitative Blood Tests

There are two types of blood tests for pregnancy: quantitative and qualitative.

  • Quantitative Blood Test: This test measures the exact amount of hCG hormone present in the blood. It is performed by collecting a blood sample and sending it to a laboratory for analysis. The results of the test can indicate the concentration of hCG hormone in the blood and, depending on the concentration, provide an estimate of the gestational week.

  • Qualitative Blood Test: This test is similar to a home pregnancy test and is often referred to as a "pregnancy test." It determines whether a woman is pregnant or not based on the presence of hCG hormone in the blood. However, it does not provide information about the concentration of the hormone. If the qualitative blood test is positive and the woman experiences pregnancy symptoms, it is recommended to repeat the test after 3 days if the initial result was negative .

Detecting Multiple Pregnancies

In the case of multiple pregnancies (such as twins), the levels of beta-hCG hormone are usually higher than the indicated levels for each gestational week. However, to confirm the number of babies, an ultrasound is necessary. If a woman suspects she is pregnant with twins, she can compare the approximate gestational week with the beta-hCG levels mentioned earlier. If the numbers align, it is possible that she is pregnant with more than one baby, but an ultrasound is required for confirmation.

Other Results and Potential Issues

The results of the beta-hCG blood test can also indicate potential issues such as ectopic pregnancy, miscarriage, or blighted ovum (when the embryo does not develop). These problems are typically identified when the hormone levels are lower than expected for the gestational age. If the results are abnormal, it is important to consult an obstetrician to evaluate the cause of the hormonal imbalance .

Next Steps After Confirming Pregnancy

After confirming pregnancy with a blood test, it is crucial to schedule an appointment with an obstetrician to begin prenatal care. The obstetrician will guide the woman through the necessary tests and screenings to ensure a healthy pregnancy without complications, such as preeclampsia or gestational diabetes. Early prenatal care is essential for the well-being of both the mother and the baby .


In conclusion, the blood test is the most reliable method to confirm pregnancy. It detects the presence of the hCG hormone in the blood, providing accurate results. The test should be taken at least 10 days after a missed period to avoid false negatives. The results can indicate the gestational week and help identify potential issues. After confirming pregnancy, it is important to seek prenatal care from an obstetrician for a healthy and successful pregnancy journey .


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