Prenatal Diagnosis - Hershkovitz Flashcards

1
Q

What are biochemical markers for screening Downs Syndrome?

A

Triple test:
Increased hCG
Decreased AFP
E3
Gives 65% accuracy

Combined test:
Free beta hCG
Pregnancy Associated Plasma Protein A (PAPPA)
Nuchal Translucency >3cm (65% by itself)
Gives 85% accuracy

Integrated test
Inhibin
Decreased AFP
at 16-18 weeks
Gives 95% accuracy

Amnio performed when triple test above 1/370 or >35 and >1/270

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