<prompt> Maternal serum Alpha Feto Protein MSAFP raised in all the following conditions except -Spina bifidaMultiple pregnancyOmphaloceleDowns syndrome  <response>: AFP UE3 hCG Associated conditions low low high Down Syndromelow low low trisomy 18 Edwards syndromehigh na na neural tube defects like spina bifida that may have associated increased levels of acetylcholinesterase in the amnionic fluid, omphalocele, gastroschisis, multiple gestation like twins or triplets, or an underestimation of gestational age. 