Gabbe's Obstetrics: Normal and Problem Pregnancies. What is the Quadruple or Combined Test? The quadruple screen test is a blood test done during pregnancy to determine whether the baby is at risk for certain birth defects. Call us at (888) 689-UCSF or browse our directory. Wapner RJ, Dugoff L. Prenatal diagnosis of congenital disorders. More tests are needed to confirm an abnormal result. Driscoll DA, Morgan MA, Schulkin J. If you have an abnormal result, you will have another ultrasound to check the age of the developing baby steps.

Need a doctor?

Normal value ranges may vary slightly among different laboratories. However, based on the current available data it cannot be considered an independent risk factor for cardiovascular disease. The quad screen (sometimes referred to as the quadruple screen, AFP4, or multiple marker) is a blood test that can tell you whether your baby is at an increased risk for certain conditions. If the test is abnormal, you may need to talk to a genetic counselor. This test is usually performed between the 15th and 22nd weeks of the pregnancy, but it is most accurate between the 16th and 18th weeks. Any duplication or distribution of the information contained herein is strictly prohibited. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.

The test identifi es about 6 out of 10 cases of Edwards’ syndrome.

The blood sample is sent to a laboratory for testing.

© 2002 - 2019 The Regents of The University of California, Alpha-fetoprotein (AFP) – a protein produced by the baby, Human chorionic gonadotropin (hCG) – a hormone produced in the placenta, Unconjugated estriol (uE3) – a form of the hormone estrogen produced in the fetus and the placenta, Inhibin A -- a hormone released by the placenta, Your baby’s gestational age This test is a screening test, so it does not diagnose problems. Normal levels of AFP, hCG, uE3, and inhibin A.

Philadelphia, PA: Elsevier; 2021:chap 10. Philadelphia, PA: Elsevier; 2019:chap 32.

8th ed.

Normal Values. Creasy and Resnik's Maternal-Fetal Medicine: Principles and Practice. If you have an abnormal result, you will have another ultrasound to check the age of the developing baby. Am Fam Physician. Additional tests are needed to confirm the results. Low levels of AFP and estriol and high levels of hCG and inhibin A may be due to a problem such as: The quadruple screen can have false-negative and false-positive results (although it is slightly more accurate than the triple screen). Certain women are at greater risk of having a baby with these defects, including: Normal levels of AFP, hCG, uE3, and inhibin A. 162: Prenatal diagnostic testing for genetic disorders. To determine the chance of your baby having a birth defect, the test also factors in: No special steps are needed to prepare for the test.

An abnormal test result does NOT mean that your baby definitely has a birth defect.

In: Resnik R, Lockwood CJ, Moore TR, Greene MF, Copel JA, Silver RM, eds. Genetic screening and prenatal genetic diagnosis. The test results will likely be sent to your doctor, and you may be able to look them up yourself on a computer if you have access to sign into your medical records. Often, the results can be abnormal if your baby is older or younger than your provider had thought. Editorial team. PMID: 26938573 pubmed.ncbi.nlm.nih.gov/26938573/.

162: Prenatal diagnostic testing for genetic disorders. This means it does not diagnose birth defects. Certain women are at greater risk of having a baby with these defects, including: Normal levels of AFP, hCG, uE3, and inhibin A. Philadelphia, PA: Elsevier; 2019:chap 32. Driscoll DA, Simpson JL. Afterward, there may be some throbbing. Often, the results can be abnormal if your baby is older or younger than your provider had thought. Talk to your health care provider about the meaning of your specific test results.

2009;79:117-123. This test is a screening test. To determine the chance of your baby having a birth defect, the test also factors in: When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. ), Death of the baby inside the womb (usually results in a miscarriage), Hematoma (blood accumulating under the skin), Infection (a slight risk any time the skin is broken). Possible next steps include: During pregnancy, increased levels of AFP may be due to a problem with the developing baby, including: High AFP can also mean that you’re carrying more than one baby. However, some people choose not to have any more tests done, for personal or religious reasons. Williams DE, Pridjian G. Obstetrics. 7th ed.

Ultrasound to check the baby's brain, spinal cord, kidneys, and heart.

Normal value ranges may vary slightly among different laboratories. SUMMARY with a risk of 1 in 150 or greater are interpreted as screen-positive for and about 1 in 15 women with screen-positive results will have an affected The quadruple test identifi es about 4 out of 5 cases of Down’s syndrome

You may feel slight pain or a sting when the needle is inserted.

New York Eye and Ear Infirmary of Mount Sinai, The Blavatnik Family – Chelsea Medical Center, Heart - Cardiology and Cardiovascular Surgery, Mount Sinai – Sema4 Health Discovery Initiative Patient Opt Out Registry, Alpha-fetoprotein (AFP), a protein produced by the baby, Human chorionic gonadotropin (hCG), a hormone produced in the placenta, Unconjugated estriol (uE3), a form of the hormone estrogen produced in the fetus and the placenta, Inhibin A, a hormone released by the placenta, Women who are over 35 years old during pregnancy, Women with a family history of birth defects. You may also feel some throbbing at the site after the blood is drawn. Please discuss with your doctor any questions or concerns you may have. The test measures levels of 4 pregnancy hormones: If the test does not measure levels of inhibin A, it is called the triple screen test. ACOG Practice Bulletin No. Low levels of AFP and estriol and high levels of hCG and inhibin A may be due to a problem such as: Veins and arteries vary in size from one patient to another and from one side of the body to the other. Talk to your health care provider about the meaning of your specific test results.

Ultrasound to check the baby's brain, spinal cord, kidneys, and heart.

Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Medical Center. The quadriple test measures how much blood cells are present in your body.

The quadruple screen test is a blood test done during pregnancy to determine whether the baby is at risk for certain birth defects. Certain women are at greater risk for having a baby with these defects. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. The test is done to find out if your baby might be at risk for certain birth defects, such as Down syndrome and birth defects of the spinal column and brain (called neural tube defects). (measured in weeks from the day of your last period to the current date), Tests to detect or rule out certain birth defects (such as Down syndrome), Ultrasound to check the baby’s brain, spinal cord, kidneys, and heart, Absence of part of the brain and skull (anencephaly), Defect in the baby's intestines or other nearby organs (such as duodenal atresia What Abnormal Results Mean.

It may take approximately a week for your test results to be ready. Philadelphia, PA: Elsevier; 2016:chap 20. These women include those over 35 years old during pregnancy, those taking insulin to treat diabetes, and those with a family history of birth defects. Often, the results can be abnormal if your baby is older or younger than your doctor or nurse had thought.