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Phenotypic screening for fetal chromosomal or structural abnormalities (first-trimester maternal serum screening)

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

This test measures specific substances in your blood during early pregnancy to help assess the risk of certain chromosomal or structural abnormalities in your baby.

Quick summary

["Early pregnancy screening helps identify potential risks for genetic conditions that may require further evaluation or specialized care."]

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

Key facts at a glance

LOINC
64720-6
Short code
Father pregnancy times PhenX
Synonyms
Father pregnancy times PhenX
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Critical range
0.5 N/A – —
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
phenx
CPT
86592
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 This Test Measures

The test detects levels of proteins and other substances (such as PAPP-A and free β-hCG) in your blood. These markers can provide clues about your baby’s chromosomal health and potential risks for conditions like Down syndrome, Edwards syndrome, or Patau syndrome.

Why It’s Done During Pregnancy

This screening is typically performed between 10 and 14 weeks of pregnancy. It’s part of routine prenatal care and helps guide discussions about next steps, such as additional testing (e.g., nuchal translucency ultrasound or amniocentesis).

How the Test Works

A blood sample is taken from you, and the lab analyzes the substances in your serum. The results are compared to standard ranges to estimate risk levels for chromosomal abnormalities.

What the Results Mean

Results are usually reported as a risk percentage for specific conditions. A low risk means your baby is likely healthy, while a higher risk may prompt further diagnostic testing. Your healthcare provider will interpret the results in the context of your pregnancy history and other factors.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

First-trimester maternal serum screening

Frequently asked questions

Is this test covered by insurance?
Coverage depends on your insurance plan, your pregnancy stage, and local guidelines. Check with your insurance provider or healthcare provider to confirm if this screening is included in your prenatal care benefits.
What happens if my screening results are abnormal?
If your screening results suggest an increased risk, your healthcare provider may recommend additional tests, such as an ultrasound or amniocentesis, to get more detailed information about your baby’s health. These tests are designed to provide more certainty and allow for early interventions if needed.
Can I choose not to have this screening?
Yes, you have the right to decline this screening if you prefer. Always discuss your preferences with your healthcare provider to make an informed decision.
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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