The Ability of the Quadruple Test to Predict Adverse Perinatal Outcomes in a High-risk Obstetric Population

Objective To determine the ability of the quadruple Down's syndrome screening test (quad screen) to predict other adverse perinatal outcomes (APO) in a high-risk obstetric population. Setting A tertiary medical centre in West Virginia. Methods We retrospectively reviewed 342 obstetric patients with quad screen data from a single clinic. The quad screen included maternal serum levels of alphafetoprotein (AFP), human chorionic gonadotrophin (hCG), uncongjugated oestriol (uE3), and inhibin A. The risk of APO was compared between patients with at least one abnormal marker versus no abnormal markers and ≥2 abnormal markers versus