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Acetylcholinesterase Amniotic Fluid Test

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Acetylcholinesterase Amniotic Fluid Test

Short Name: AChE Amniotic Fluid Test

Also known as: Amniotic Fluid Acetylcholinesterase Test, AChE Test for Neural Tube Defects

Acetylcholinesterase Amniotic Fluid Test test available at DNA Labs India for ₹13,000. Uses Gel Electrophoresis on Amniotic Fluid samples. Results in Results are typically available within 2-3 weeks after sample collection.. Free home collection in 300+ cities across India.

Prenatal Diagnostic TestFemalePregnant Women🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of this test is to screen for and diagnose neural tube defects and chromosomal abnormalities like Down syndrome in the fetus. By measuring acetylcholinesterase levels in the amniotic fluid, healthcare providers can assess the risk of these conditions, especially in high-risk pregnancies. This enables early intervention, genetic counseling, and informed parental decision-making.

Test Code
52
Price
₹13,000
Sample Type
Amniotic Fluid
Result Time
Results are typically available within 2-3 weeks after sample collection.
Fasting Required
No
Method
Gel Electrophoresis
Step 1

Sample Collection

Patient should be informed about the procedure, risks, and benefits. A duly filled Test Send Out Consent Form (Form 35) is mandatory. Fasting is not required, but hydration and rest are recommended prior to the procedure.

Method: Amniocentesis

Step 2

Laboratory Analysis

The procedure is performed under ultrasound guidance. A thin needle is inserted through the abdomen into the amniotic sac to withdraw approximately 3 ml of amniotic fluid. The process takes about 15-30 minutes and may cause mild discomfort.

Step 3

Report Delivery

Patients should rest for a short period post-procedure. Monitor for any signs of complications such as cramping, bleeding, or leakage of amniotic fluid. Avoid strenuous activities for 24 hours.

Timeline: Results are typically available within 2-3 weeks after sample collection.

Patient Instructions

1
Before the Test:Ensure informed consent is obtained. No specific preparation is required, but staying hydrated and relaxed can help. Inform the healthcare provider of any medications or allergies.
2
During the Test:The test involves amniocentesis. Under ultrasound guidance, a needle is inserted into the amniotic sac to collect fluid. The procedure is typically quick and performed in a clinical setting.
3
After the Test:Rest for at least 30 minutes post-procedure. Avoid heavy lifting or strenuous activities for 24 hours. Contact your doctor if you notice any unusual symptoms.

About This Test

Who Should Get This Test

The primary purpose of this test is to screen for and diagnose neural tube defects and chromosomal abnormalities like Down syndrome in the fetus. By measuring acetylcholinesterase levels in the amniotic fluid, healthcare providers can assess the risk of these conditions, especially in high-risk pregnancies. This enables early intervention, genetic counseling, and informed parental decision-making.

How to Prepare

  • Sample should be drawn between 13-24 weeks gestation
  • Indicate gestational age, collection date, and clinical indications on the Test Request Form
  • Include AFP and MoM results if available
  • Duly filled Test Send Out Consent Form (Form 35) is mandatory
  • Avoid blood contamination during collection
  • Ship the sample refrigerated or frozen in a sterile screw capped vial

Doctor's Notes

Reviewed by — MBBS, MD (General Medicine) · Reg. No. 8052

"This test is essential for early detection of neural tube defects in high-risk pregnancies, enabling timely medical intervention and informed decision-making."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeAmniotic Fluid
Sample Volume3 ml
ContainerSterile screw capped vial
Collection MethodAmniocentesis

Sample Stability

Room Temperature8 hours
Refrigerated (2-8°C)2 weeks
Frozen (-20°C)6 weeks
Sample Rejection Criteria:
  • Blood-contaminated sample
  • Sample collected outside 13-24 weeks gestation
  • Insufficient sample volume (<1 ml)
  • Missing or incomplete consent form

Understanding Your Results

Results of the Acetylcholinesterase Amniotic Fluid Test should be interpreted by a qualified healthcare provider in conjunction with other clinical findings and diagnostic tests. Elevated acetylcholinesterase levels may indicate an increased risk of neural tube defects or Down syndrome, but further evaluation is often necessary.
Negative result: No detectable acetylcholinesterase activity, suggesting low risk for open neural tube defects
Positive result: Elevated enzyme levels, indicating potential neural tube defects or other abnormalities; requires confirmatory testing
Equivocal result: Inconclusive findings, may need repeat testing or additional diagnostics
⚠️ When to Consult a Doctor:

Consult your doctor immediately if you experience severe abdominal pain, fever, heavy bleeding, or leakage of fluid from the vagina after the procedure. Also, seek medical advice for interpretation of test results and next steps.

Limitations

  • Not a standalone diagnostic tool; may require confirmatory tests such as ultrasound or genetic counseling
  • Cannot detect all birth defects or genetic disorders
  • Results may be inconclusive in some cases, necessitating repeat testing

Risks & Considerations

  • Risk of miscarriage (approximately 0.1-0.3%)
  • Infection at the needle insertion site
  • Leakage of amniotic fluid
  • Mild cramping or discomfort

Interfering Factors

  • Blood contamination of the amniotic fluid sample
  • Improper sample storage or handling
  • Timing of collection outside the recommended gestational age (13-24 weeks)

Compare With Similar Tests

TestAcetylcholinesterase Amniotic Fluid TestAlpha-fetoprotein (AFP) TestUltrasound ScanChorionic Villus Sampling (CVS)Non-invasive Prenatal Testing (NIPT)
ComparisonAcetylcholinesterase Amniotic Fluid TestScreening test for neural tube defects; less specific than AChE testImaging technique to visualize fetal anatomy; can detect structural defects but not enzyme levelsGenetic test performed earlier in pregnancy; carries higher risk than amniocentesisBlood test for chromosomal abnormalities; no risk of miscarriage but may not detect neural tube defects

Frequently Asked Questions

What is the Acetylcholinesterase Amniotic Fluid Test?
It is a prenatal test that measures acetylcholinesterase enzyme levels in amniotic fluid to detect neural tube defects like spina bifida and Down syndrome in the fetus.
Why is this test recommended?
It is recommended for high-risk pregnancies, such as women over 35, those with a family history of birth defects, or previous pregnancies with neural tube defects or Down syndrome.
How is the test performed?
The test involves amniocentesis: a needle is guided by ultrasound to withdraw a small amount of amniotic fluid from the uterus between 13-24 weeks of pregnancy.
Is the test safe?
Yes, it is generally safe with minimal risks, but like any invasive procedure, there is a small risk of miscarriage or infection. Discuss with your doctor.
What are the risks of amniocentesis?
Risks include a slight chance of miscarriage (0.1-0.3%), infection, leakage of amniotic fluid, and mild discomfort or cramping.
When should the test be done?
The test is performed between 13 to 24 weeks of gestation, ideally between 15-18 weeks for optimal accuracy.
What do the results mean?
Elevated acetylcholinesterase levels may indicate neural tube defects or Down syndrome. Negative results suggest low risk, but confirmatory tests may be needed.
How long does it take to get results?
Results are typically available within 2-3 weeks after sample collection and analysis.
What is the cost of the test?
The test costs INR 13,000 at DNA Labs India, which includes home sample collection across major Indian cities.
Is home collection available?
Yes, DNA Labs India offers free home sample collection for this test in over 200 cities across India for online bookings.
Can the test detect all birth defects?
No, it specifically detects neural tube defects and may indicate Down syndrome, but it cannot diagnose all genetic or chromosomal abnormalities.
What should I do if results are abnormal?
Consult your healthcare provider immediately for further evaluation, genetic counseling, and discussion of management options.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.
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