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Pregnant, maternal seru screen shows high AFP level. Risks involved if continued pregnancy?

Dear Doctor,My daughter is pregnant with her second baby, now running 20th week.My daughter is 32 years old.She has a girl child 5 years old who is normal.Her maternal seru screen 3 results showed level of AFP is high.The gestational age at sampling was 18+1.What risks are there if she continues her pregnancy?Will the baby be alright?We are from India.(AFP-172)
Asked On : Fri, 15 Feb 2013
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OBGYN 's  Response
Mar 2013
Thank you for your query.
Elevated maternal AFP puts the baby at high risk for neural tube defects and other abnormalities.
however, it is not confirmatory.
You should consult a Medical Genetics Specialist who will take into account the combined risk ( after considering factors like maternal age, family history and many others ) and offer you the choice of invasive testing like Amniocentesis to be sure.
Also , a detailed ultrasound for fetal anomalies by a reputed person is a must.
Take care.
Answered: Sat, 16 Feb 2013
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