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Prenatal Screening Report

Triple Screen Test

Name

Nisha Mishra

Physician

Kavitha B

Clinic/Hosp

Age

l33Y

Andhra Hospital

Specimen

Matemal Serum

Col Date

2010712015

Receipt

RCP't507840

Volume

3ml

Received

21t07t2015

Reported

25t0712015

Clinical lnformation
MaternalWeight (Kgs)

ART

49.7

Down Syndrome Births

Gestation on Scan

18.2

Gestation for Report (Wks) 18.3

No

No

IDDM

Single

Risk Factor

None

Scan Date

19107nus

Current Gestation (Scan) Wks

'18.3

LMP

1i/0212015

Current Gestation (LMP) Wks

22.4

Methodology

CLIA

History

Results

Pregnancy Type

Risk Assessment
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AFP

26.96

lU/mL

0.53

Down syndrome

BhCG

10.97

ng/ml

0.83

ONTD

uE3

1.863

ng/mL

0.48

Trisomy 18

Ootq Syndrome Risk

1in43

1in250

The rlsk for Down oyndrome is

more than the screening cutoff,

1 in 187951

1 in 100

The risk for ONTD is less than the

screening cutoff.

1 in 100

The risk for Trisomy 18 is less than th(

screening cutoff.

-A

in 106

,rt"omy

ONTD Risk

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6.1

18 Risk

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Test Details and Limitations: Triple screen test

is a blood test done to identiry high risk pregnancies for common genetic disorders like Down syndrome, Edward
syndrome and open neural tube defec{s. The test calculates statistical risk by combining levels of AFP, beta hCG and uE3 fetal protein levels measured with age,
weight, gestation, and other factors. The test only identiliff risk and further diagnostic tests are required to rule out / confrm genetic defect in fetus. Sensitivity is best
at 1S,20 weeks of gestation ranging usually 85-957o This is a screening test and not diagnostic.

End ofThe Report

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Biochem Technologist

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Dr. Anuradha Udumudi

Director (Research and Laboratory Services)