Why more extensive prenatal testing matters
What else could be in your prenatal?
Published research has identified contamination in commercially available prenatal supplements.
An ingredient label tells you what a prenatal is intended to contain. It does not necessarily tell you what else may be present.
Many patients, and even many healthcare professionals, are unaware of the issue.
In October 2023, the International Federation of Gynecology and Obstetrics (FIGO) called for prenatal supplements to be independently assessed across a substantially broader range of potential contaminants.
The P2i™ response
Extensively tested. Completely transparent.
P2i™ was developed around FIGO’s recommendations for broader prenatal supplement testing. Every batch is independently tested across an extensive panel of heavy metals, pesticides and toxicants, allergens and microbial properties.
The results are made available for healthcare professionals and patients to review.
You do not have to take our promise on trust. You can review the research and testing information for yourself.
Review the evidence
Prenatal Testing Reports and FIGO Guidance
Review the published reports examining prenatal supplement contamination and the FIGO statement that informed the P2i™ broader approach to testing.
Additional Peer-Reviewed Research on Prenatal Metal Exposure
The following studies examine prenatal exposure to metals and potential associations with pregnancy and birth outcomes. They provide broader context on prenatal exposure but do not identify prenatal supplements as the source of exposure.
What is missing that should be included?
Choline is missing from most prenatal vitamins
Choline is an essential nutrient involved in early brain development, cell structure and nervous-system function. During pregnancy, the adequate intake rises to 450 mg per day. P2i™ provides 450 mg of choline per serving.
Why Choline Matters During Pregnancy
Choline plays an important role in fetal brain and spinal-cord development, including processes associated with neural-tube closure, memory-center formation and cognitive function.
It is recognized as an important nutrient during pregnancy, yet many prenatal supplements contain little choline or none at all.
A Common Nutritional Gap
National U.S. survey data indicate that average choline intake among pregnant individuals is approximately 319 mg per day, with only 8.5% consuming the recommended amount.
P2i™ provides 450 mg of choline per serving, meeting the U.S. adequate intake established for pregnancy.
Foundational prenatal nutrition
Folate matters from the very beginning
Folate is an essential B vitamin that supports maternal health and healthy fetal development, particularly during the earliest stages of pregnancy. P2i™ provides 1334 mcg DFE of folate per serving.
Why Folate Matters During Pregnancy
Folate is needed for normal cell division and supports the development of the baby’s brain and spinal cord.
This development begins very early in pregnancy, often before someone knows they are pregnant. That makes consistent folate intake important both before and during pregnancy.
Meaningful Prenatal Support
P2i™ provides 1334 mcg DFE of folate per serving as part of a prenatal formula designed to combine important nutrition with extensive independent testing and transparency.
P2i™ is designed around two equally important questions: what should be kept out of a prenatal, and what needs to be included.
The question healthcare professionals ask next
Is P2i™ covered by Medicaid? Yes.
A higher standard of prenatal testing and transparency should be accessible to more mothers and families.
P2i™ by Kirkman Prenatal is Medicaid approved, making its extensive testing, transparent results and important prenatal nutrition available to eligible patients.
Healthcare professionals can recommend a prenatal that was developed around FIGO’s broader testing recommendations and provides meaningful amounts of both choline and folate.
California is demanding greater transparency
P2i™ is already ahead of the new standard
California has enacted a new law requiring broader testing and public disclosure from prenatal multivitamin manufacturers.
Beginning January 1, 2027, Senate Bill 646 requires covered prenatal multivitamin manufacturers to test every lot for arsenic, cadmium, lead and mercury.
Brand owners will also be required to make their heavy-metal testing information publicly available.
P2i was developed around a much broader testing program and already gives healthcare professionals and patients access to its testing information.
Transparency should not have to wait
California’s law begins in 2027. P2i™ provides access to its testing information today.
Heavy-metal testing represents only one part of the P2i™ broader independent testing program.
Information for healthcare professionals
The P2i™ information you need
P2i brings extensive testing, meaningful prenatal nutrition, transparency and Medicaid access together in one prenatal.
Review the essential coverage, nutritional and testing information below when considering P2i™ for your patients.
Complete product information
Supplement Facts
Each serving consists of four capsules. Each container provides 30 servings.
Free Of: Milk, Eggs, Fish, Shellfish, Tree Nuts, Peanuts, Wheat, Soy and Sesame.
Other Ingredients: Vegetarian Capsule (hypromellose and water) and Microcrystalline Cellulose.
Review the Supplement Facts panel for the complete list of nutrients, ingredient forms, amounts per serving and Daily Values.
Frequently Asked Questions
Is P2i™ covered by Medicaid?
Yes. P2i™ by Kirkman Prenatal is Medicaid approved. Its National Drug Code is 12325002600.
What does P2i™ test for?
The P2i™ testing panel includes 24 heavy metals, 120 pesticides and toxicants, 11 allergens and 9 microbial measures.
How does P2i™ align with FIGO’s recommendations?
P2i™ was developed around the International Federation of Gynecology and Obstetrics’ recommendations for broader independent assessment of prenatal supplements.
Where can I review the P2i™ testing results?
P2i™ testing information is made available for healthcare professionals and patients to review.
How much choline and folate does P2i™ provide?
P2i provides 450 mg of choline and 1334 mcg DFE of folate per serving.
How does P2i™ compare with California’s new requirements?
Beginning January 1, 2027, California Senate Bill 646 will require manufacturers of covered prenatal multivitamins to test each lot for arsenic, cadmium, lead and mercury. Specified testing information must be made publicly available online so consumers can review the results without providing a UPC, lot number or proof of purchase.
P2i™ is independently tested across a broader panel that includes 24 heavy metals, 120 pesticides and toxicants, 11 allergens and 9 microbial measures. The results are made available for patients and healthcare professionals to review.
The law requires public visibility into specified testing results. It does not specifically require those results to be presented in a document called a Certificate of Analysis, or COA.
Read California Senate Bill 646
The Kirkman commitment
For every mother. Every baby. Every family.
P2i™ represents a higher standard for prenatal supplements, but the commitment behind it extends across Kirkman.
Kirkman’s Ultra Tested® program evaluates raw ingredients before formulation and tests finished products again after manufacturing. Nothing is released until it has been evaluated against Kirkman’s established quality and purity specifications.
It is part of Kirkman’s commitment to helping mothers choose supplements for themselves and their families with greater confidence.
The statements made on this website have not been evaluated by the Food and Drug Administration. Kirkman products are not intended to diagnose, treat, cure or prevent any disease.
A Certificate of Analysis for Every Product.
What is a Certificate of Analysis (COA)?
A Certificate of Analysis (COA) documents the laboratory testing performed on a product and confirms whether it meets Kirkman's established quality specifications.
Why does Kirkman provide a COA?
Transparency shouldn't mean asking customers to take our word for it—it should mean showing our work.
That's why Kirkman provides a Certificate of Analysis (COA) for every product, giving customers clear visibility into the testing behind every supplement they choose for themselves and their families.
What does a COA include?
Depending on the product, a COA may include results for:
- Microbial testing
- Heavy-metal testing
- Ingredient or product identity
- Potency or strength
- Purity specifications
- Other applicable quality tests
No marketing claims. Just documented evidence of how each product was evaluated — available for every product, every time.