No, it’s not necessary. It’s a personal choice based on your own beliefs or medical history. Some parents want to know if their baby will be born with a condition to plan for their care. Unfortunately, some families receive devastating results and have to decide whether to continue with the pregnancy. The choice to proceed with prenatal screening or diagnostic testing is entirely up to you and your healthcare provider.
Most prenatal genetic screenings use the pregnant woman’s blood. If the screening test results indicate a high risk for a congenital condition, your provider will perform more invasive tests to diagnose specific conditions. Invasive diagnostic tests include amniocentesis and CVS.
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The first-trimester serum screening, cell free fetal DNA screening and the NT ultrasound exam all occur at 11 to 14 weeks of pregnancy. Combining information from the blood tests with the ultrasound findings indicates how high the risk is for some common chromosomal disorders, like Down syndrome.
You can have carrier screenings at any point during your pregnancy, even as early as 6 to 10 weeks gestation. These tests check for “single gene” genetic conditions that you can potentially pass to the fetus. Carrier screening won’t identify conditions due to abnormal chromosome numbers, like Down syndrome.
Cell-free fetal DNA testing (noninvasive prenatal screening or testing) checks your blood for fetal DNA. It looks for chromosomal conditions like Down syndrome, trisomy 13 and trisomy 18. Your provider can perform this screening as early as 10 weeks gestation, or later during pregnancy.
Second-trimester screenings occur between weeks 15 and 22 weeks of pregnancy. Second trimester blood screening tests include maternal serum alpha-fetoprotein (AFP) screen and the quad screen. It’s called a quad screen because it measures four proteins: alpha-fetoprotein (AFP), estriol, human chorionic gonadotropin (hCG) and inhibin-A. These tests can help your healthcare provider determine if the fetus is at increased risk for genetic or physical abnormalities. Fetal anatomy ultrasound is another way to screen for fetal genetic or physical abnormalities.
There is always a chance the prenatal screening is wrong. Your healthcare provider can provide details about the accuracy rates for any screening tests you receive during pregnancy.
Prenatal screenings don’t carry any risk. It’s a blood sample. There is a slightly higher risk if you move forward with diagnostic tests like amniocentesis or CVS. The risks for those tests include infection, bleeding or miscarriage.
Results from genetic screening tests take several days. Results from diagnostic testing can take several days or even weeks to complete. In most cases, they’re sent to a lab for testing. Your healthcare provider will receive your test results first, then share the results with you.
Genetic screening tests measure risk only. They don’t tell you for sure if the fetus has a genetic condition. A positive result means the fetus is at a higher risk for that disorder than the general population. A negative result means the fetus is at a lower risk of having that disorder than the general population.
Your healthcare provider may suggest diagnostic testing like CVS or amniocentesis. They may refer you to a genetic counselor who specializes in high-risk pregnancies and genetic conditions. Don’t be afraid to talk to your providers about what your test results mean and the risks and benefits of diagnostic testing.
No, they aren’t bad for you. Diagnostic tests like amniocentesis or CVS carry some risk. That’s why diagnostic tests are only performed when providers suspect a genetic condition and not during routine prenatal genetic screenings.
It depends on the test. Most providers perform genetic testing after 10 weeks of pregnancy and before 22 weeks of pregnancy. At this time, neither screening nor diagnostic tests can occur prior to 10 weeks gestation.
Cell-free DNA screening (NIPT) can give information about fetal sex in addition to the information about the risks for genetic conditions. Ultrasound may also be able to tell you about sex. Being able to determine fetal sex assignment is a bonus, not the main reason to do the test.
Pregnancy screenings and diagnostic tests are a personal choice. You’ll likely have questions about what screening tests you should get or what your test results mean. Don’t be afraid to ask questions. Remember, only you and your family can decide how to handle positive results from both types of genetic tests.
Some common questions to ask are:
There is no right or wrong answer when it comes to prenatal genetic testing. The decision is up to you and your family. If you’re concerned about prenatal tests or need clarification on what each test is looking for, talk to your healthcare provider. They will be able to discuss the risks and benefits of all genetic tests with you and help you make the best decision for you and your family. Remember, most babies are born healthy, but it’s important that you understand your options and what genetic tests are available to you.
Prenatal tests can give your providers information about your pregnancy and fetal development. Cleveland Clinic’s experts can guide you through prenatal testing.

Last reviewed on 09/09/2022.
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