French Public Health Code
In forceEach examination must include a clinical examination and a test for albuminuria and glycosuria.
In addition, the following tests are carried out
1° During the first prenatal examination:
a) In the case of a first pregnancy, blood group determination (A, B, O, full rhesus and Kell phenotypes) if the patient does not have a complete blood group card (two determinations);
b) In all cases, screening for syphilis, rubella and toxoplasmosis in the absence of written results allowing immunity to be considered acquired, as well as testing for irregular antibodies, excluding antibodies directed against the A and B antigens; if the test is positive, identification and titration of the antibodies are compulsory;
2° During the fourth antenatal examination (sixth month of pregnancy), screening for HBs antigen, a blood count and, in women who are rhesus-negative or have previously received blood transfusions, a test for irregular antibodies, excluding antibodies to the A and B antigens; if the test is positive, identification and titration of the antibodies are compulsory;
3° During the sixth or seventh antenatal examination (eighth or ninth month of pregnancy), a second determination of blood group A, B, O, standard rhesus if necessary;
4° During the sixth and seventh antenatal examinations (eighth and ninth months of pregnancy), in women who are rhesus-negative or have previously received blood transfusions, a search for irregular antibodies, excluding antibodies directed against A and B antigens; if the search is positive, identification and titration of the antibodies are compulsory.
In addition, toxoplasma serology is repeated every month from the second antenatal examination if immunity has not been acquired.
