Pregnancy Anomaly Screening Profile
Pregnancy is a transformative journey, and ensuring the health and well-being of both the mother and the baby is of utmost importance. The Pregnancy Anomaly Screening Profile is a crucial set of tests performed during pregnancy to assess the risk of certain genetic conditions and developmental abnormalities in the fetus. This screening includes the measurement of Estriol (E3), Alpha-Fetoprotein (AFP), and Beta-Human Chorionic Gonadotropin (Beta HCG), which provide valuable insights into the baby's health.

Understanding the Key Markers
Estriol (E3)
Estriol is an estrogen hormone produced by the placenta and the fetus during pregnancy. It plays a vital role in maintaining a healthy pregnancy and fetal development.
- Low levels of Estriol may indicate the possibility of chromosomal abnormalities such as Down syndrome (Trisomy 21) or Edwards syndrome (Trisomy 18).
- A steady increase in Estriol levels is a positive sign of fetal well-being.
- Abnormal levels may also suggest placental dysfunction, requiring further medical evaluation.
Alpha-Fetoprotein (AFP)
AFP is a protein produced by the fetus and found in the amniotic fluid, maternal blood, and fetal circulation. This biomarker is essential in evaluating the risk of neural tube defects and other fetal abnormalities.
- Elevated AFP levels can indicate the presence of conditions such as spina bifida, anencephaly, or abdominal wall defects.
- Low AFP levels are often associated with Down syndrome or other chromosomal anomalies.
- AFP screening is usually performed between 15 to 20 weeks of pregnancy for the most accurate assessment.
Beta-Human Chorionic Gonadotropin (Beta HCG)
Beta HCG is a hormone produced by the placenta that supports early pregnancy. It is commonly measured in pregnancy tests and is also a significant marker in anomaly screenings.
- High levels of Beta HCG may be linked to chromosomal disorders like Down syndrome.
- Low Beta HCG levels can indicate the risk of miscarriage, ectopic pregnancy, or Edwards syndrome.
- A combination of Beta HCG with other markers provides a clearer risk assessment of fetal anomalies.
Why is Pregnancy Anomaly Screening Important?
This screening is non-invasive and helps expectant parents make informed decisions about their pregnancy. It allows:
- Early detection of potential congenital disabilities.
- Timely medical intervention and monitoring if abnormalities are detected.
- Better pregnancy management by assessing risks based on maternal and fetal health factors.
How is the Test Performed?
- A simple blood test is taken from the mother, usually between 15 to 20 weeks of pregnancy.
- The results are analyzed in combination with ultrasound findings and maternal factors to assess the likelihood of fetal abnormalities.
- If results indicate high risk, further diagnostic tests such as amniocentesis or chorionic villus sampling (CVS) may be recommended.
In short, The Pregnancy Anomaly Screening Profile is a crucial step in prenatal care. By evaluating Estriol (E3), Alpha-Fetoprotein (AFP), and Beta HCG, healthcare providers can identify potential risks and provide appropriate medical guidance. Regular screenings and consultations with a healthcare professional help ensure a healthy pregnancy and a safe delivery.