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Alpha-Fetoprotein (AFP), Maternal Serum/Plasma — Diabetes- and Weight-Adjusted

Published: August 9, 2026Updated: August 16, 2026

A maternal blood screening test for alpha-fetoprotein, adjusted for maternal diabetes and weight, used with other prenatal screening results to assess fetal risk.

Quick summary

["This prenatal screening test helps identify pregnancies that may need further evaluation for certain fetal conditions."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
43996-8
Short code
AFP Diabetes+wt adj MoM SerPl
Synonyms
AFP Diabetes+wt adj MoM SerPl
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
0
Ref high
10
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
82105
SNOMED
394971007
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 this test?

Maternal serum alpha-fetoprotein is a blood test performed during pregnancy. The result may be adjusted for factors such as maternal weight and diabetes before it is interpreted alongside other prenatal screening information.

Why might I need this test?

This test is used as part of prenatal screening to help assess the risk of certain fetal conditions, including neural tube defects and some chromosome disorders. An unusual result does not by itself establish a diagnosis.

How is the test performed?

A blood sample is drawn from the mother and the AFP level is measured in the laboratory. The result is compared with expected levels for the current stage of pregnancy and may be adjusted for maternal weight and diabetes.

How do I prepare for the test?

Fasting is generally not required, and you can usually continue your normal diet. Follow your prenatal care provider's instructions, particularly if the test was ordered as part of a specific screening panel.

Reference range

Normal: <10 ng/mLN/A

Specimen: serum

No special preparation required. For PSA, avoid sexual activity for 24-48 hours before the test.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A higher-than-expected AFP level may be associated with open neural tube defects, certain abdominal wall defects, or pregnancy loss, although other factors can also raise AFP. A lower-than-expected level may occur with some chromosome disorders, including Down syndrome. An abnormal screening result usually requires review by your prenatal care provider and may lead to ultrasound or diagnostic testing.

Short name

Maternal Serum AFP, Adjusted

Frequently asked questions

Does an abnormal AFP result mean my baby has a condition?
No. AFP is a screening test, so an abnormal result indicates that further evaluation may be needed but does not confirm a condition. Your provider will consider the AFP result together with ultrasound, gestational age, and other screening tests.
Why are my weight and diabetes taken into account?
Maternal weight and diabetes can affect the expected AFP level. Adjusting the result helps clinicians interpret it more accurately and reduces the chance of an unnecessary abnormal result.
When is maternal serum AFP usually measured?
It is commonly offered as part of prenatal screening during the second trimester. The timing and other screening tests included may vary, so confirm the plan with your prenatal care provider.
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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 16, 2026. · Read our editorial policy