{"id":15686,"date":"2025-05-05T17:34:09","date_gmt":"2025-05-05T12:04:09","guid":{"rendered":"https:\/\/www.lalpathlabs.com\/blog\/?p=15686"},"modified":"2025-05-05T17:34:41","modified_gmt":"2025-05-05T12:04:41","slug":"what-is-double-marker-test","status":"publish","type":"post","link":"https:\/\/www.lalpathlabs.com\/blog\/what-is-double-marker-test\/","title":{"rendered":"Double Marker Test: Purpose, Procedure, and Results"},"content":{"rendered":"<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium\" src=\"https:\/\/media-blog.lalpathlabs.com\/apis\/29d60ea0-1ef5-45e1-b062-607bdcf4da97.jpg\" alt=\" Double Marker Test\" width=\"1200\" height=\"601\" \/><\/p>\n<p><span data-contrast=\"auto\">During pregnancy, a series of tests are conducted to monitor the health of the baby and the mother to rule out any severe medical conditions in the fetus. One such test is the double marker or <\/span>dual marker test<span data-contrast=\"auto\">, which ensures the fetus does not have any chromosomal diseases.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">Let&#8217;s understand the purpose of the<\/span> double marker test<span data-contrast=\"auto\">, its procedure, and its results.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2><span style=\"font-size: 14pt\"><b>What is a Double Marker Test?<\/b><\/span><\/h2>\n<p><a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/maternal-serum-screen-2\"><b><span data-contrast=\"none\">Double marker test<\/span><\/b><\/a> <span data-contrast=\"auto\">or maternal serum screening is performed in the first trimester of the pregnancy to assess the risks of chromosomal abnormalities in the fetus. <\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">The test measures the level of <\/span><a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/hcg-beta-total-quantitative-maternal\"><b><span data-contrast=\"none\">Beta-<\/span><\/b><b><span data-contrast=\"none\">hCG<\/span><\/b><\/a><span data-contrast=\"auto\"> (beta-human chorionic gonadotropin) and <\/span><a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/papp-a\"><b><span data-contrast=\"none\">PAPP-A<\/span><\/b><\/a> <span data-contrast=\"auto\">(Pregnancy-Associated Plasma Protein A). The altered presence of these markers in the blood of pregnant women may indicate the risk of chromosomal abnormalities like Down Syndrome and Edward&#8217;s Syndrome.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>Dual marker test in pregnancy<span data-contrast=\"auto\"> is not mandatory, but it is essential in pregnant women over the age of 35 or in couples who have a family history of chromosomal diseases.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">The test is only predictive and does not confirm the chromosomal diseases in the developing foetus. The healthcare provider will order a diagnostic test after the screening tests are positive to confirm the abnormalities.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2><strong><span style=\"font-size: 14pt\">What are Chromosomal Abnormalities?<\/span><\/strong><\/h2>\n<p><span data-contrast=\"auto\">Chromosomal disabilities that are detected in the <\/span>double marker tests<span data-contrast=\"auto\"> occur due to irregularities in the number of chromosomes in the foetus&#8217; DNA. Normally, a female foetus will have 22 pairs of autosomes and a pair of XX chromosomes, and a male foetus will have 22 pairs of autosomes and a pair of XY chromosomes. In the case of chromosomal disabilities, this division differs in the following way:<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Down Syndrome:<\/span><\/b><span data-contrast=\"auto\"> It occurs in the foetus when there is a duplication of the 21st chromosome. It is also known as trisomy 21.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Edward&#8217;s Syndrome:<\/span><\/b><span data-contrast=\"auto\"> This happens when there is an extra copy of chromosome 18 and is also known as trisomy 18.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:360,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Patau&#8217;s Syndrome:<\/span><\/b><span data-contrast=\"auto\"> It occurs when there is an extra copy of chromosome 13. It is also referred to as trisomy 13.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2><span style=\"font-size: 14pt\"><b>What is the Procedure for the Double Marker Test?<\/b><b>\u00a0<\/b><\/span><\/h2>\n<p><b><span data-contrast=\"auto\">A double marker test<\/span><\/b><span data-contrast=\"auto\"> is usually performed anywhere between weeks 11 and 14 in the first trimester. The test measures beta-hCG and PAPP-A in the blood. Beta hCG is a glycoprotein hormone secreted by the placenta. If the hormone is present in high levels, it can indicate the risk of Down Syndrome. PAPP-A is a plasma protein, and low levels of it are also associated with Down Syndrome.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><b><span data-contrast=\"auto\">Double marker test<\/span><\/b><span data-contrast=\"auto\"> involves a <\/span><a href=\"https:\/\/www.lalpathlabs.com\/book-a-test\"><span data-contrast=\"none\">blood test<\/span><\/a><span data-contrast=\"auto\"> and an ultrasound called nuchal translucency (NT) scan.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">NT scan uses sound waves to collect real-time images of the foetus and is particularly used to estimate the size of the clear area at the back of the foetus&#8217; neck. It examines the fluid collection at the back of the neck. The presence of more fluid is associated with Down Syndrome.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">Together, these tests provide a much clearer understanding of the potential risks of chromosomal abnormalities in the development of a foetus.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<h2><span style=\"font-size: 14pt\"><b>What are the Results of a Double Marker Tests?<\/b><b> <\/b>\u00a0<\/span><\/h2>\n<p><span data-contrast=\"auto\">The results of the <\/span><a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/maternal-serum-screen-2\"><b><span data-contrast=\"none\">dual marker test<\/span><\/b><\/a><span data-contrast=\"auto\"> can fall into any of three categories: low-risk, moderate-risk, and high-risk. <\/span><span data-contrast=\"auto\">Low risk<\/span><span data-contrast=\"auto\"> means there are very low chances of chromosomal abnormalities in the baby.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">If the screening results in moderate or high risk of abnormalities, healthcare providers may perform more invasive tests such as non-invasive prenatal testing, amniocentesis, or chorionic villous sampling. These are diagnostic tests that can confirm the presence of chromosomal abnormalities in the fetus.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">After the test is conducted, the turnaround time or the expected time of the result can vary between three and seven days.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">Although the <\/span>double marker test<span data-contrast=\"auto\"> is not mandatory, it offers crucial insights into the fetus&#8217;s health. Pregnant mothers must consider taking the test to ensure the overall well-being of the fetus and to avoid any future complications.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span data-contrast=\"auto\">If someone is considering taking the double marker test, they must consult their healthcare providers for proper guidance and book a <\/span><a href=\"https:\/\/www.lalpathlabs.com\/pathology-test\/maternal-serum-screen-2\"><b><span data-contrast=\"none\">double marker test<\/span><\/b><\/a><span data-contrast=\"auto\"> at <\/span><a href=\"https:\/\/www.lalpathlabs.com\/\"><span data-contrast=\"none\">Dr. Lal PathLabs<\/span><\/a><span data-contrast=\"auto\"> for accurate screening.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-size: 14pt\"><b>FAQs<\/b><\/span><\/p>\n<ol>\n<li>\n<h3><span style=\"font-size: 12pt\"><b> What is double marker test in pregnancy?<\/b><\/span><\/h3>\n<\/li>\n<\/ol>\n<p>Double marker test<span data-contrast=\"auto\"> is a screening test conducted in the first trimester of pregnancy to detect the risk of chromosomal disabilities such as Down Syndrome, Edward&#8217;s Syndrome, and Patau&#8217;s Syndrome in the developing foetus.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ol start=\"2\">\n<li>\n<h3><span style=\"font-size: 12pt\"><b> How to check the pregnancy kit?<\/b><\/span><\/h3>\n<\/li>\n<\/ol>\n<p><span data-contrast=\"auto\">Pregnancy kits are used to detect the presence of human chorionic gonadotropin (hCG) in the urine. The chemical on the strip changes colour when it comes in contact with hCG. The colour change depends on the test used, for which the instructions on the kit should be read carefully. \u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n<ol start=\"3\">\n<li>\n<h3><span style=\"font-size: 12pt\"><b> How much does a double marker test cost?<\/b><\/span><\/h3>\n<\/li>\n<\/ol>\n<p>Double marker test prices<span data-contrast=\"auto\"> can vary based on the location and insurance coverage. It&#8217;s advisable to consult the labs performing the test to confirm the price and any prerequisites for the test. \u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559740&quot;:276}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>During pregnancy, a series of tests are conducted to monitor the health of the baby and the mother to rule out any severe medical conditions in the fetus. One such test is the double marker or dual marker test, which ensures the fetus does not have any chromosomal diseases.\u00a0 &nbsp; Let&#8217;s understand the purpose of [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":15695,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1813,1786],"tags":[1840,2761,2762,1841,2763,2764],"acf":[],"_links":{"self":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/15686"}],"collection":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/comments?post=15686"}],"version-history":[{"count":5,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/15686\/revisions"}],"predecessor-version":[{"id":15696,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/posts\/15686\/revisions\/15696"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/media\/15695"}],"wp:attachment":[{"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/media?parent=15686"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/categories?post=15686"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.lalpathlabs.com\/blog\/wp-json\/wp\/v2\/tags?post=15686"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}