What is the normal risk rate for Down syndrome?

Patient's question:

The risk rate test result for Down syndrome is 1/499, AFP test result is 53.843 NG/ML; MOM value is 1.26; HCG test result is 41.052 NG/ML; MOM value is 2.73; risk rate for trisomy 18 is 1/142857; I had blood drawn at 16 weeks and 4 days of pregnancy. The report shows a result below the cutoff value, suggesting dynamic observation is recommended. The report indicates low risk or negative, but it cannot completely rule out the possibility of fetal abnormalities or other abnormalities. Is this result normal? Do I still need to undergo amniocentesis?

Doctor's answer:

A Down syndrome screening is a method that involves drawing a pregnant woman's blood serum to detect the concentration of alpha-fetoprotein and human chorionic gonadotropin in the mother's serum. It also combines the pregnant woman's due date, age, weight, and gestational age at the time of blood collection to calculate the risk coefficient of giving birth to a child with Down syndrome.
Children with Down syndrome have severe intellectual disabilities, cannot live independently, and often suffer from complex cardiovascular diseases. They require long-term care from family members, imposing significant emotional and financial burdens on the family.

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