Haematology• Updated 21 October 2026

Coombs Test

A blood test that finds antibodies against red blood cells, used in pregnancy and for some anaemias.

Results: Usually within a day Specimen: Blood

Quick Summary

Primary Purpose

To check for antibodies that can harm a baby's red cells in pregnancy, or cause anaemia in adults.

What It Measures

Direct and indirect antiglobulin tests.

Preparation

No preparation needed.

Overview

The indirect Coombs test is used in Rh-negative pregnant women.

The direct test looks for antibodies stuck to red cells in haemolytic anaemia or newborn jaundice.

What It Measures

Indirect Coombs

Antibodies in the blood.

Direct Coombs

Antibodies on red cells.

How It's Performed

  1. 01

    Preparation

    Usually no special preparation. Tell the staff about medicines you take.

  2. 02

    Blood sample

    A small amount of blood is taken from a vein in your arm with a thin needle.

  3. 03

    Afterwards

    Press on the spot for a minute. A small bruise is common; you can go back to normal activities.

Interpreting Results & Next Steps

Discuss with Doctor

Normal ranges differ between laboratories, ages and sexes; always use the range printed on your report and ask your doctor what your results mean.

If values are High:

A positive test means antibodies are present; your doctor will explain what follow-up is needed.

Sources and further reading

Last updated 21 October 2026. For more detail, see these trusted health organisations.

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