The Double Marker test is a first-trimester prenatal screening test used to estimate the risk of certain chromosomal abnormalities in the developing baby. It measures two biochemical markers in the mother’s blood:
Free β-hCG
PAPP-A (Pregnancy-Associated Plasma Protein-A)
The results are combined with maternal age, gestational age, and ultrasound findings such as NT measurement to calculate an individualized risk estimate.
Why is it Done?
Screening for risk of Trisomy 21 (Down syndrome)
Screening for Trisomy 18 (Edwards syndrome)
Helps guide further prenatal evaluation when indicated
When is it Recommended?
Usually performed during the first trimester, around 11–13+6 weeks of pregnancy, as part of combined first-trimester screening.
Important Note
This is a screening test, not a diagnostic test. A high-risk result does not confirm a chromosomal abnormality. Your doctor may recommend further evaluation or diagnostic testing based on the overall risk assessment.