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Pregnant. Triple Blood Test Done. What Are The Findings?

Posted on Tue, 28 May 2013

Question: Hi,

I am in my 17th week of pregnancy. I turned 31 in March this year. My doctor recommended i get the triple marker blood test done.

I needed help to interpret the report as my doctor is on leave and I am getting a little anxious. The report is below:

TRIPLE TEST
---------------------
PATIENT SPECIFICATIONS
------------------------------------------

WEIGHT: 61.00 Kg
H/O SMOKING: no
H/O INSULIN DEPENDENT DIABETES: no
H/O IVF: no
ETHNIC ORIGIN: Asian
MATERNAL AGE AT TERM: 31.6 Yrs
H/O TRISOMY 21 SCREENING: unknown

ULTRA SOUND DETAILS
---------------------------------------
DATE OF ULTRASOUND: 01/05/2013
METHOD FOR GESTATION AGE ESTIMATION: Scan
FOETUS (NO'S): 1
GA ON THE DAY OF SAMPLE COLLECTION (F1): 16.5 Wks

TRIPLE TEST, SERUM
-------------------------------------
ALPHA FETOPROTEIN: 34.80 ng/mL
METHOD : CHEMILUMINESCENCE

HCG: 0000 mIU/mL
METHOD : CHEMILUMINESCENCE

UNCONJUGATED ESTRIOL: 1.01 ng/mL

MULTIPLE OF MEDIAN (MOM) VALUES
--------------------------------------------------------------
(FOETUS 1)
AFP MOM: 0.83
HCG MOM: 1.07
UNCONJUGATED ESTRIOL MOM: 1.26

RISK CALCULATION (FOETUS 1)
---------------------------------------------------
TRISOMY 21 SCREENING 1:2207 (Risk Cut Off 1:250)
TRISOMY 18 SCREENING <1:0000 (Risk Cut Off 1:100)
NEURAL TUBE DEFECT SCREENING <1:0000 (Risk Cut Off 1:50)

Test Method(s)
------------------------
TRIPLE TEST, SERUM-TRIPLE TEST
The reportable range for Trisomy 21, Trisomy 18 and NTD : >1:50 to < 1:0000.

Trisomy 21 : High Risk : >1:50 - 1:250

Trisomy 18 : High Risk : >1:50 - 1:100

NTD : High Risk : >1:50

Biological markers evaluated in this test have not been marked as H(High) or L(Low) since there is a wide variation in Alpha Fetoprotein, HCG and Unconjugated Estriol ranges depending upon gestational age. "In range" and "Out of range" columns are not applicable for the parameters appearing in Multiple of Median values (MoM) and Risk Calculation.

Individually, Alpha Fetaprotein or HCG or Unconjugated Estriol levels do not correlate with risk assessment of Trisomy 18, Trisomy 21 or Neural Tube Defects.

Could you please shed some light if the results look ok?

Thank you,
XXXXXX

Answered by Dr. Dr. Soumen Patra (1 hour later)

Hello XXXXXXX

Thanks for posting your query.

I have reviewed all test reports in details. Report values are within normal range. Here, you have nothing to worry. You are carrying a healthy pregnancy & healthy fetus without possible defects.

Please continue prescribed medication and proceed follow up check up as per schedule. Take healthy protein XXXXXXX diet, drink more water for better feto-placental circulation, maintain genital hygiene and take adequate rest on left lateral position.

Hope I have answered your query. If you have any further questions, I will be happy to help.

For any future query, you can directly ask me by viewing this page WWW.WWWW.WW
Wish your good health and successful motherhood.

Regards,
Dr Soumen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Soumen Patra (35 minutes later)

Thank you Dr Soumen for your prompt reply.

Your reply has prompted another question. I usually get lower back pain. I am doing back stretches and go for a daily walk for about 30-40 mins.

1. Is it safe to apply volini gel on my lower back every night when sleeping and also use a hot water bottle for back pain relief?

Regards,
XXXXXX

Answered by Dr. Dr. Soumen Patra (38 minutes later)

Hello XXXXXXX

Thanks for follow up query.

Yes, you can safely apply volini gel for low back pain along with use of hot water bottle & bag for the same.

Hope it helps to clear your confusion. If you do not need any clarification, you can close the discussion & rate the answer.

Regards,
Dr Soumen

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar