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Amniotic Fluid Alpha-Fetoprotein (AFP) Mass Concentration

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

This test measures the amount of alpha-fetoprotein (AFP), a protein produced by the fetus, in amniotic fluid. It helps assess fetal development and screen for certain birth defects.

Quick summary

["AFP in amniotic fluid can indicate risks for neural tube defects or chromosomal abnormalities."]

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

Key facts at a glance

LOINC
11860-4
Short code
Fet Cisterna magna Diam US.meas
Synonyms
Fet Cisterna magna Diam US.meas
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us-measured
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 AFP in Amniotic Fluid Used For?

AFP testing in amniotic fluid is primarily part of a prenatal screening test. It helps identify potential issues like spina bifida (an open spinal cord defect) or other neural tube defects. It may also be used in conjunction with other tests to evaluate chromosomal conditions, such as Down syndrome.

How Is the Test Performed?

Amniotic fluid is collected through a procedure called an amniocentesis, where a small amount of fluid is taken from around the fetus. The fluid is then analyzed in a lab to measure AFP levels. This test is typically performed between 15 and 20 weeks of pregnancy.

What Are Common Results and Next Steps?

Results are usually reported as a mass concentration value. If the AFP level is elevated, it may signal an increased risk for certain birth defects, prompting further diagnostic testing. If the level is low, it may raise concerns about other conditions that require additional evaluation.

What Does a Low or High AFP Level Mean?

Elevated AFP levels in amniotic fluid can sometimes indicate neural tube defects, though they are not definitive on their own. Low levels may be associated with other conditions, such as certain chromosomal abnormalities or multiple gestation (e.g., twins). Always discuss results with your healthcare provider.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance: AFP in Amniotic Fluid Plays a Key Role in Prenatal Screening by Identifying Potential Genetic or Structural Birth Defects Early. While not a definitive diagnostic test, it helps guide further evaluation, such as additional genetic testing or ultrasounds, to ensure the health and safety of the pregnancy.

Short name

AFP Level in Amniotic Fluid

Frequently asked questions

Why is AFP Testing Done During Pregnancy?
AFP testing is part of a routine screening to check for birth defects. It helps healthcare providers monitor fetal development and identify conditions that may require closer observation or additional testing.
How Often Is This Test Performed?
This test is usually done once during pregnancy, typically between 15 and 20 weeks gestation, as part of a first-trimester screening or second-trimester anomaly scan.
Can AFP Levels Change Over Time During Pregnancy?
AFP levels in amniotic fluid are measured at a specific time point and are not typically repeated unless additional concerns arise or further evaluation is recommended by your healthcare 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