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Screening For Fetal Aneuploidies

“Screening Test” – the word means a test done to detect potential health issues from a group of asymptomatic people. So, how do we conduct such tests for fetal aneuploidies. 

We screen the mother to identify such issues. There are 2 types of screening tests.

Gestational Age Dependent – Double marker, Quadruple marker- cost effective, good screening tests.

Gestational Age Independent – NIPT – more sensitive, expensive, better screening tests.

Double Marker – done between 10 – 13 weeks 6 days- checks for β hcg and PAPP A levels – along with NT scan – 95% sensitive.

Quadruple Marker – done around 16 weeks – checks for β hcg, AFP, estriol and inhibin A – 90% sensitive.

NIPT – Non Invasive Pre Natal Testing – checks the fetal DNA isolated from maternal blood. Depends on fetal fraction- 99% sensitive.

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