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Fetal Protein: Alpha-Fetoprotein (AFP) in Amniotic Fluid Measurement

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

This test measures the level of alpha-fetoprotein (AFP), a protein produced by the fetal liver and yolk sac, in amniotic fluid. It is used primarily during pregnancy to screen for certain birth defects.

Quick summary

["AFP screening helps identify risks for neural tube defects or other genetic conditions in your baby."]

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

Key facts at a glance

LOINC
11798-6
Short code
Fet PV Diam US.meas
Synonyms
Fet PV 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

Why Is This Test Done?

Your healthcare provider may recommend this test during pregnancy if you have a higher risk of certain birth defects, such as spina bifida or anencephaly. It is also commonly offered as part of the first-trimester screening or second-trimester anomaly scan. Early detection can help guide further testing or monitoring.

What Does the Test Involve?

A small amount of amniotic fluid is collected through a procedure called an amniocentesis. The fluid is then sent to a lab for analysis. The test measures the concentration of AFP, which can provide important information about your baby’s health.

What Are the Possible Results?

Results are interpreted in the context of your pregnancy timeline and other screening tests. Low or high levels of AFP may indicate an increased risk for certain birth defects, prompting additional diagnostic tests or closer monitoring.

What Does a High or Low AFP Level Mean?

Elevated AFP levels may suggest conditions like neural tube defects or other chromosomal abnormalities. Lower levels might be associated with other risks, such as miscarriage or certain genetic syndromes. Your healthcare provider will discuss these findings with you.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

AFP in amniotic fluid

Frequently asked questions

When should I expect results from this test?
Results from an AFP test in amniotic fluid are typically available within 1 to 2 weeks after the procedure. Your healthcare provider will contact you directly to discuss the findings.
What if my AFP level is abnormal?
If your AFP level is outside the expected range, your healthcare provider may recommend additional tests, such as an ultrasound, genetic testing, or further prenatal care to monitor your pregnancy closely. These steps help ensure the best possible care for your baby.
Is this test painful for me or my baby?
The procedure involves a small needle inserted into your abdomen to collect the amniotic fluid. While it may cause mild discomfort, it is generally well-tolerated. Your healthcare provider will explain the process and provide details on recovery and care afterward.
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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