Quick Laboratory Reference

Recurrent Miscarriage

Test	12 weeks pre-procedure	Upon confirmation pregnancy (+HCG)	Every 4 weeks through 24	12 & 24 weeks gestation	Tube Requirements
APLA	X	X	X		female - 10 cc SST male - (2) 10 cc Na heparin
APA	X	X		X	female - 10 cc SST
ANA	X	X		X	female - 10 cc SST
IP	X	X		X	female - 4 cc EDTA
NKA	X	X		*	female - (2) 10 cc Na heparin
TNF	X	X			female - (2) 10 cc Na heparin
DQA	X				female - 4 cc EDTA male - 4 cc EDTA
DQB#	+				male - 10 cc ACD
F II P	X				female - 10 cc ACD
F V L	X				female - 10 cc ACD
MTHFR	X				female - 10 cc ACD

Infertility, pre-IVF/ET

Test	4 weeks before procedure	4 weeks gestation	12 weeks gestation	Tube Requirements
APA	X	X	X	female - 10 cc SST
ATA	X			female - 10 cc SST
IP	X	X	X	female - 4 cc EDTA
NKA	X	X	*	female - (2) 10 cc Na heparin
TNF	X	X		female - (2) 10 cc Na heparin
DQA	X			female - 4 cc EDTA male - 4 cc EDTA
DQB#	+			male - 10 cc ACD

# Investigational
* Repeat if IP is abnormal
+ Perform on male if couple shares DQA 4 or if male is DQA 2, 2

ANA - Antinuclear Antibodies
APA - Antiphospholipid Antibodies
APLA - Antipaternal Leukocyte Antibodies
ATA - Antithyroid Antibodies
DQA - DQ Alpha
DQB - DQ Beta
IP - Immunophenotype
NKA - Natural Killer Cell Assay
TNF - Tumor Nerosis Factor
F II P - Factor II (prothrombin) Mutation
F V L - Factor V Leiden Mutation
MTHFR - Methylene Tetrahydrofolate Reductase Mutation

Other studies available, please inquire.