Difference Between Quadruple and Dual Marker Test

Double marker and quadruple marker tests are recommended for women during pregnancy. These tests are conducted in the first and second trimesters of the pregnancy to check for any genetic disorder or risk for certain birth defects in the unborn child. 

In the first trimester, a double marker test, also known as maternal serum testing, analyses blood for specific chromosomal abnormalities. 

During the second trimester, a quadruple or quad screening test is used to assess the levels of four substances in a pregnant woman's blood. Women over the age of 35 and having a history of birth defects should consider getting dual and quadruple marker test at an affordable price

These tests, though they screen for any abnormalities in the growing foetus, are slightly different.

Timing of Tests

  • Dual Marker Test: There is a relatively slim window for conducting the dual marker test. Usually, it is conducted near the end of the first trimester, between weeks 11 and 14. The dual marker test cost may vary depending on the healthcare provider. 
  • Quadruple Test: Your healthcare provider will ask if you want to get the quad test done during the second trimester. The screening is performed between the 15th and 20th weeks of pregnancy, but more accurate results can be achieved between the 16th and 18th weeks.

Types of Pregnancy Hormones measured

  • Dual Marker Test: A double marker test includes a blood sample and an ultrasound. The blood sample is taken to look for two hormones—the free beta human chorionic gonadotropin and pregnancy-associated plasma protein A (PAPP-A).
  • Quadruple Test: In a quadruple test, the pregnant woman provides a blood sample for lab testing. The test measures the four pregnancy hormones, which include alpha-fetoprotein (AFP), human chorionic gonadotropin (HCG), unconjugated oestriol, and inhibin A.

Abnormalities Predicted 

  • Dual Marker Test: Double markers test can predict the abnormalities but not confirm them. It can help in detecting Down Syndrome. Trisomy 13 (Patau’s syndrome), and Trisomy 18 (Edward’s syndrome). 
  • Quadruple Test: Quadruple tests assess more abnormalities than dual marker tests. It checks the chances of the foetus developing Down syndrome, Edward’s syndrome, Turner syndrome, spina bifida, and abdominal wall defects. 

These multiple marker tests, though optional, can be beneficial to check for any kind of difficulty in pregnancy. A dual marker test and a quadruple marker test are conducted in the first and second trimesters of pregnancy, respectively. 

In addition to predicting Down syndrome and Edward's syndrome, which are predicted in the dual marker test, the quad test can also check for spinal bifida and abdominal wall defects.

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