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Lower than normal levels of estriol a hormone may also indicate that a woman is at high risk for having a baby with Down syndrome. The quad marker screen is a safe and useful screening test for families concerned about birth defects or genetic diseases.

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It is a test that carries no risk to the baby, since a blood sample is taken only from the mother. However, there are no prenatal tests that can guarantee your baby and pregnancy will be completely healthy or without complications. Quad marker screen results that are not in the normal range do not necessarily mean there is a problem in your pregnancy. The quad marker screen is used as a screening tool only, which means it can only assess your risk of having a baby with a certain birth defects it is not used to diagnose the particular problem that may be present.

If the quad marker screen results are not in the normal range, further tests such as an ultrasound or amniocentesis may be necessary.

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Out of 1, pregnant women, approximately 50 will have quad marker screen results that indicate an increased risk for having a baby with a birth defect. Of those 50 women, only one or two will actually have a baby with an open neural tube defect. About 40 women will have quad marker screen results that show an increased risk for having a baby with Down syndrome and one or two will actually have a baby with Down syndrome.

It is recommended that all pregnant women have a quad marker screen, but it is your decision whether or not to have the test. I stretched more. I gobbled Advil. Chased it with aspirin.

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Choked down handfuls of vitamins A, C and E. And finally quit running for a month. But it sounded so preposterous, so incredibly counterintuitive, that I held little hope for success. This is what I did: I jogged 2 miles up a fire trail in the nearby San Gabriel Mountains, and then I turned around and raced back down the trail at tempo effort. At a mile, I was mewling like a lost kitten. Three days later, my quads were as good as new. They were better than new.

A parallel is the soreness caused by starting a new weight training regimen. Soreness is caused by the lowering of weights, which is the eccentric loading. With concentric loading, our muscle shortens. When we perform dumbbell curls, a concentric contraction of our biceps bends our elbow, bringing our hand toward our shoulder. Eccentric loading occurs when muscles lengthen and shorten at the same time. When we run, our quadriceps contracts when our foot touches the ground. This stabilizes our knee and stops us from collapsing.

But even stabilized, our knee bends slightly, stretching our quadriceps as it shortens.

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This eccentric tug-of-war creates enormous tension in our quads. Brisk downhill running increases the eccentric load on our quads, causing more muscle damage. Schwartz recommends running to second repetitions down a 3 percent grade at about meter—3K race speed.