Our Health Library information does not replace the advice of a doctor. Please be advised that this information is made available to assist our patients to learn more about their health. Our providers may not see and/or treat all topics found herein.

Integrated test during pregnancy (birth defects testing)

The integrated test is a screening test done during pregnancy to find out the chance that a baby has certain birth defects, such as Down syndrome. The test is done in two stages at two different times during the pregnancy. You will get the results after the tests in the second trimester are done.

  • The first stage can be done around 10 to 13 weeks of pregnancy. The tests done for this stage are:
    • An ultrasound. The ultrasound can show the age of the baby and measure the thickness of the skin at the back of the baby's neck (nuchal translucency, or NT).
    • Blood tests done to measure the level of two substances in the blood called pregnancy-associated plasma protein A (PAPP-A) and beta-human chorionic gonadotropin hormone (beta-hCG).
  • The second stage can usually be done between weeks 15 and 20. The tests done for this stage are all blood tests and include:
    • Alpha-fetoprotein (AFP).
    • Beta-human chorionic gonadotropin (hCG).
    • Unconjugated estriol (a form of estrogen).
    • Inhibin A.

The results of all these tests are reviewed to see if levels are higher or lower than expected, and the results are reported after the second stage.

COVID-19 Update

Women’s Care is closely following the most up-to-date announcements and information on the known cases of Novel Coronavirus (COVID-19). Because this information is always changing, we will be monitoring all updates from the World Health Organization and Centers for Disease Control. 

If you are experiencing a fever or chills, cough, shortness of breath, persistent chest pain or pressure, any other COVID Coronavirus or flu symptoms, or had COVID exposure, please make sure to contact us via phone prior to your appointment. You may also contact us for any additional questions by calling our office at (913) 384-4990. We are accepting appointments, however we are currently not allowing guests with the exception of ONLY allowing ONE guest for patients’ new OB visit and ultrasound, 20 week anatomy ultrasound, and 3D ultrasound. Infants and children are not allowed into our office at this time. 

Here are a few additional resources as well: 

World Health Organization
Centers for Disease Control

We appreciate your patience during this time, look forward to continuing to serve our community!

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