Down syndrome screening shows high risk of neural tube defects

Patient's question:

At 16+6 weeks of pregnancy, I had the Down syndrome screening. The report came out yesterday, which indicated a high risk of neural tube defects, with an AFPMOM value of 3.55. The doctor recommended a B at 20 weeks, which can be detected, but waiting at home for 1 month is really hard to endure. I'm asking if there are any timely tests that can be done to rule out the risk as early as possible.

Doctor's answer:

Analysis of the condition: Based on your test results, there is a high risk of neural tube defects, suggesting a higher likelihood of the fetus developing Down syndrome. Although 3D/4D ultrasound can be used as a screening method for Down syndrome, it is not a definitive diagnostic method.
Recommendations: It is recommended that you visit the hospital in the near future for an amniocentesis, which is the basis for ruling out the possibility of Down syndrome in the fetus. Amniocentesis can be used for fetal chromosome karyotyping, chromosomal genetic disease diagnosis, as well as genetic disease diagnosis, metabolic disease diagnosis, and the diagnosis of open neural tube defects in the fetus.

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