Is DNA Testing Safe During Pregnancy for Paternity, Genetic Traits?
Updated on May 15, 2025
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Is DNA Testing Safe During Pregnancy for Paternity, Genetic Traits?

Understanding your baby's DNA before birth can offer peace of mind or critical answers. Whether you're exploring health screening or resolving paternity questions, there are safe ways to get the information you need. This guide breaks down your options and what to expect from each one.

Key Takeaways

If you're considering DNA testing while pregnant, here's what you need to know:

  • Non-invasive tests are extremely safe. A simple blood draw from the mother can reveal important information without any risk to the baby.
  • You can test as early as 8 to 10 weeks. Non-invasive testing begins early and can provide insight into paternity or genetic health.
  • Accuracy varies by test type. Screening tests like NIPT are highly accurate but not 100% definitive; invasive tests provide more certainty.
  • Invasive tests carry a small miscarriage risk. CVS and amniocentesis offer diagnostic accuracy but come with added risks.
  • Talk to your provider before choosing. A healthcare provider can help you weigh options based on timing, safety, cost, and your goals.

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Why Consider DNA Testing During Pregnancy?

Many expectant parents turn to DNA testing for a variety of reasons—some medical, others personal.

You may be thinking about testing because you want reassurance that your baby is healthy. Or perhaps you're dealing with paternity questions that feel urgent to resolve before birth. In some cases, your doctor might recommend testing based on age, medical history, or family background.

Common reasons for prenatal DNA testing include:

  • Screening for genetic conditions like Down syndrome
  • Determining paternity
  • Finding out the baby's sex early
  • Family history of genetic disorders
  • Planning for special medical or emotional needs
  • Personal peace of mind

If your healthcare provider suggests prenatal testing, it's usually because there's a benefit to having more information early on.

Non-Invasive Prenatal Testing (NIPT): Safe and Informative

DNA testing doesn’t always mean taking a risk. One of the most common and safest ways to learn about your baby's genetic profile is through Non-Invasive Prenatal Testing, or NIPT. You can read more in our deep-dive on Non-Invasive Prenatal Testing (NIPT).

How NIPT Works

NIPT works by analyzing cell-free fetal DNA, which is genetic material that floats freely in the mother's bloodstream. This DNA comes from the placenta and usually matches the baby's genetic makeup.

All it takes is a standard blood draw from the expectant mother. The sample is then sent to a lab, where technicians isolate and analyze fetal DNA fragments.

Most people can have NIPT done as early as 9 to 10 weeks into pregnancy, although some providers offer it as early as week 8.

What NIPT Can Screen For

NIPT can screen for a variety of chromosomal conditions and other markers:

  • Down syndrome (Trisomy 21)
  • Edwards syndrome (Trisomy 18)
  • Patau syndrome (Trisomy 13)
  • Sex chromosome abnormalities like Turner or Klinefelter syndrome
  • Fetal sex
  • Some microdeletion syndromes (depends on the test provider)
  • Paternity, when combined with a DNA sample from the alleged father

While it's not always marketed as a paternity test, many labs offer non-invasive prenatal paternity testing (NIPPT) that uses the same technology as NIPT.

Safety and Limitations

The best part about NIPT? It's incredibly safe.

  • No risk to your baby—just a simple blood test for you
  • No anesthesia, invasive procedures, or recovery time
  • Minimal discomfort (similar to any routine blood draw)

But it’s important to understand that NIPT is a screening test, not a diagnostic test.

This means:

  • It tells you the likelihood of a condition—not a yes or no answer
  • If results come back high-risk, you’ll need further testing to confirm (like CVS or amniocentesis)
  • In rare cases, results can be false positives or false negatives
  • Some samples may be “non-reportable” due to low fetal DNA levels in your blood

If you’re hoping for absolute certainty, especially for genetic disorders or paternity, talk to your provider about diagnostic options.

Invasive Diagnostic Tests: CVS & Amniocentesis

If you’re looking for diagnostic certainty, your provider may recommend an invasive test. These tests collect actual fetal cells for analysis, which means the results are more definitive—but there’s a small risk of complications.

Chorionic Villus Sampling (CVS)

CVS involves removing a small piece of placental tissue (called chorionic villi), which shares the baby’s genetic makeup. This procedure is typically done between 10 and 13 weeks of pregnancy.

There are two ways it may be performed:

  • Transabdominal CVS: A thin needle is inserted through the belly under ultrasound guidance.
  • Transcervical CVS: A thin tube is guided through the cervix to reach the placenta.

CVS can diagnose a wide range of chromosomal and genetic abnormalities, as well as establish paternity. However, it does not detect neural tube defects like spina bifida.

The risk of miscarriage with CVS is about 1 in 200, though this may vary depending on your provider’s experience and whether you’re carrying multiples.

Amniocentesis

Amniocentesis is usually done a bit later—between 15 and 20 weeks of pregnancy. It involves inserting a thin needle through the abdomen into the amniotic sac to draw a small amount of fluid.

The fluid contains fetal cells and proteins, which can be analyzed for:

  • Chromosomal abnormalities
  • Genetic disorders
  • Neural tube defects
  • Fetal infections
  • Paternity confirmation

This test offers near 100% accuracy for many conditions. However, like CVS, it carries a miscarriage risk—typically estimated between 1 in 300 to 1 in 1,000 when done by skilled practitioners.

Read more about what to expect from an amniocentesis procedure.

Why Choose Invasive Tests?

While NIPT offers strong screening power, invasive tests are sometimes necessary:

  • To confirm a positive NIPT result
  • To test for conditions NIPT doesn’t cover
  • To obtain fetal DNA for legal paternity testing
  • When a structural issue is seen on ultrasound

Discuss with your provider whether the benefit of certainty outweighs the small risk of complications.

Paternity Testing Options Compared

You may be specifically interested in determining paternity before birth. There are a few ways to go about this, each with its pros and cons.

Non-Invasive Prenatal Paternity Test (NIPPT)

This test uses cell-free fetal DNA from the mother’s blood and compares it with a cheek swab from the potential father.

  • Safe: No risk to the baby
  • Early: Can be done from around 8 to 10 weeks
  • Accurate: Over 99.9% when processed by accredited labs
  • Expensive: Often costs between $700 and $1,500

For more on this option, check our full guide to DNA testing while pregnant.

CVS or Amniocentesis for Paternity

If you’re already undergoing CVS or amniocentesis, these procedures can also be used to establish paternity using fetal DNA.

  • Highly accurate
  • No additional testing needed (if already scheduled)
  • Risks involved: These tests are invasive and carry a small chance of pregnancy loss

Post-Natal Paternity Testing

This option is completely safe and performed after birth using cheek swabs from the baby and potential father.

  • Inexpensive (usually around $250 to $425)
  • Extremely accurate
  • No risk to mother or baby
  • Downside: Must wait until after birth

If timing isn’t urgent, postnatal testing is the simplest and safest approach.

Making Informed Decisions

With so many options, it’s normal to feel overwhelmed. Making the right choice starts with thoughtful discussion and clear information.

Discussing Options with Your Healthcare Provider

Your provider can help you weigh:

  • Why you’re testing (health concerns, paternity, reassurance)
  • How far along you are
  • What level of certainty you need
  • Your health history and any risk factors

You may also want to speak with a genetic counselor, especially if you’re navigating high-stakes decisions. Consider talking with a genetic counselor about your results.

Considering the Emotional and Ethical Aspects

Genetic and paternity testing can carry emotional weight. Think about:

  • Who should know the results
  • How you’ll handle unexpected findings
  • Your values around choice, planning, and privacy

If you feel stressed, give yourself time and space to reflect.

Understanding Accuracy and Lab Standards

Not all labs are equal. Look for:

  • Accredited testing centers
  • Transparent accuracy claims
  • Clear descriptions of what's included
  • Turnaround time expectations
  • Client support availability

Some testing services also offer legal-grade reports if documentation is needed for custody or court.

What This Means for You

No one test fits every situation. Whether you're confirming paternity, checking for genetic conditions, or simply seeking peace of mind, prenatal DNA testing offers useful options at every stage of pregnancy.

With the help of your provider, you can choose a path that respects your comfort level, timeline, and goals. The right information, at the right time, can help you feel more confident as you prepare for the arrival of your baby.

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Updated on May 15, 2025
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10 sources cited
Updated on May 15, 2025
  1. American Pregnancy Association. . Non-Invasive Prenatal Paternity Test
  2. Cleveland Clinic. . Pregnancy Genetic Testing
  3. Cleveland Clinic. . NIPT Test
  4. DNA Diagnostics Center. . Non-Invasive Prenatal Paternity Testing
  5. Illinois Department of Public Health. . NIPT Fact Sheet
  6. Mayo Clinic. . Amniocentesis
  7. Mayo Clinic. . DNA Paternity Test
  8. NHS UK. . Chorionic Villus Sampling (CVS)
  9. TeachMeObGyn. . Chorionic Villus Sampling
  10. QuickTest Services. . Prenatal vs Postnatal Paternity Testing
Dr. Rizza Mira
Dr. Rizza Mira
Medical Reviewer
Dr. Rizza Mira is a medical doctor and a general practitioner who specializes in pediatrics, nutrition, dietetics, and public health.

As a pediatrician, she is dedicated to the general health and well-being of children and expecting parents. She believes that good nutrition, a healthy lifestyle, and prevention of illness are key to ensuring the health of children and their families.

When she’s not in the hospital, Rizza advocates and mobilizes causes like breastfeeding, vaccination drives, and initiatives to prevent illness in the community.
Katrina Canlas
Katrina Canlas
Content Contributor
KC Canlas is an experienced content writer for Know Your DNA. She combines her passion for storytelling with a deep understanding of DNA and genetics. She creates engaging content that can empower readers with knowledge about their genetic makeup, promoting a greater understanding of the role DNA plays in their lives.