Does the double marker test result point towards Down's syndrome?

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She is 32 years old. I do not have her complete gynecology, obstetrics, medical, previous family and drug history actually but at 32 years of age, the risk is not as much as elderly pregnant ladies at 40 years of age or above. So age-wise low risk as you have described report 1:596 means one in around 600 children will be affected. So least risk. For previous history in her and your family of Down's syndrome you have not mentioned actually but if it was significant (means if you had any relative with Down's syndrome) it should be mentioned them in the report as well. The biochemical risk they have mentioned one in 224 children in her laboratory report (attachment removed to protect patient identity) they made risk value. Normal cut off value for biochemical risk is one in 250 children actually below this doctors just have to describe patient that your risk is one in 224 children. But this risk is not all over for her it is just biochemical results in the laboratory that can have some fluctuations as well in results.

All over her age, the previous history is not having any significant risk and biochemical markers also not very abnormal. It is better to have a scan around 13 weeks for nuchal translucency to have a more clear idea as this also need to check for Down syndrome for safe side. It is measurement 2.98 mm or below is normal. At 20 weeks better to have detailed anomaly scan with expertise hands and at 22 weeks better to check hearts and its flow tracts for developing baby via scan. In case of any abnormal symptoms like bleeding, pain or dizziness or palpitation report to the hospital.

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It is better to have nuchal translucency today. For stomach pain, it might be acidic symptoms of pregnancy. She can have cold milk at bedtime and in morning after waking up.

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This report is better. As I told you, the nuchal translucency of less than 2.9 is normal and here it is 1.8. So, it is normal. The rest of the results also as per ultrasound satisfactory. There are fewer chances of trisomies. It is better to have a detailed anomaly scan at 20 weeks and check outflow tract around 22 weeks.

I hope that things would be normal. Best of luck.