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2ndtrimester3screenserplimp

Published: August 9, 2026Updated: August 17, 2026

A blood test performed during pregnancy to screen for certain birth defects and chromosomal abnormalities.

Quick summary

{"Screens for neural tube defects like spina bifida","Helps assess risk for Down syndrome and other chromosomal conditions","Performed between 15-20 weeks of pregnancy","Results indicate risk level, not a definitive diagnosis","A positive screen means further testing is needed"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
49572-1
Short code
2nd trimester 3 screen SerPl-Imp
Synonyms
2nd trimester 3 screen SerPl-Imp
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
17
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is the Second Trimester Triple Screen?

The second trimester triple screen is a blood test that measures three substances in a pregnant woman's blood: alpha-fetoprotein (AFP), human chorionic gonadotropin (hCG), and estriol. These are substances produced by the fetus and the placenta during pregnancy. By measuring their levels, healthcare providers can estimate the risk of certain birth defects and genetic conditions.

What Does This Test Screen For?

This screening test helps identify the risk of: Neural tube defects such as spina bifida (an opening in the baby's spine or brain), Down syndrome (trisomy 21), and other chromosomal abnormalities. It does not provide a definitive diagnosis but indicates whether further diagnostic testing is recommended.

How is the Test Performed?

A healthcare provider will draw a small blood sample from your arm. The sample is then sent to a laboratory for analysis. The test is typically done between 15 and 20 weeks of pregnancy. Results are usually available within a few days to a week.

Understanding Your Results

Results are reported as screen positive or screen negative. A 'positive' result means your baby has a higher risk for certain conditions, but it does NOT mean your baby definitely has a problem. Similarly, a 'negative' result does not guarantee a healthy baby. Your healthcare provider will explain your results and discuss whether additional tests such as ultrasound or amniocentesis are recommended.

Reference range

NCBI: NSE 0-17 ng/mLN/A

Specimen: serum

No special preparation usually required. Stay well hydrated. Inform your healthcare provider of all medications and supplements you are taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Is the triple screen mandatory?
No, the triple screen is a voluntary screening test. All pregnant women should be offered prenatal screening, but participation is entirely optional. Discuss the benefits and limitations with your healthcare provider to make an informed decision.
Does a positive result mean my baby has a birth defect?
No, a positive (abnormal) result indicates an increased risk, not a diagnosis. Most women with abnormal triple screen results go on to have healthy babies. Follow-up testing such as detailed ultrasound or amniocentesis is offered to confirm or rule out any problems.
Can the test tell me the sex of my baby?
While some markers may suggest fetal sex, the triple screen is not designed for this purpose. Sex determination is typically done by ultrasound in the second trimester or through genetic testing if requested.
What factors can affect the test results?
Several factors can influence results including inaccurate pregnancy dating, maternal weight, race, diabetes, smoking, and certain medications. It's important to provide accurate information to your healthcare provider for proper interpretation.
What's the difference between screening and diagnostic tests?
Screening tests (like the triple screen) estimate the risk of having a condition but cannot confirm it. Diagnostic tests (like amniocentesis or chorionic villus sampling) can provide a definitive diagnosis with nearly 100% accuracy but carry a small risk of pregnancy loss.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy