Question

Patient Age: AFPMOM1.01. Free-β-HCGMOM3.62. High risk of Down syndrome, low risk of neural tube defects, age 26, weight 48 kg, gestational age 15 weeks and 5 days. Seeking Assistance: I hope to receive some advice. The Free-β-HCGMOM3.62 level is decreasing, indicating a higher risk of Down syndrome. This is a chromosomal disorder where the child may have intellectual disabilities and be unable to live independently. The initial Down syndrome screening is only a preliminary test, and the results only reflect the level of risk. A detailed fetal chromosome test is required for diagnosis. It is recommended to undergo an amniocentesis chromosome test at 20 weeks to clearly determine any chromosomal abnormalities in the fetus.

Answer

With a high risk of Down syndrome, it is recommended to undergo an amniocentesis chromosome test at 20 weeks for a definitive diagnosis and subsequent treatment.