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Prenatal quad screen

Also called: Quad marker screen, Second-trimester screen, AFP maternal serum

The quad screen is a blood test in the second trimester that estimates the chance of Down syndrome and spinal cord defects.

SampleBlood from the pregnant parent
Fasting?Usually not needed
ResultsAbout 1 week
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

It's done between 15 and 22 weeks. Many people now have NIPT instead, but the AFP part still screens for spina bifida.

Why it's done

  • Offered in pregnancy

Getting ready and what happens

  • None.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

Screen positive

Means a higher chance, not a diagnosis. Ultrasound, NIPT, or amniocentesis can follow.

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related tests

Sources

Last updated 2026-11-13.