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It involves a blood test and measuring the fluid at the back of the baby's neck (nuchal translucency) with an ultrasound scan.

This is sometimes called a nuchal translucency scan.

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All pregnant women in England are offered an ultrasound scan at around 8 to 14 weeks of pregnancy. It's used to see how far along in your pregnancy you are and check your baby's development.

Instead, you will be offered another blood test between 14 and 20 weeks of pregnancy to screen for the risk of Down's syndrome.

This test is not quite as accurate as the combined test.

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