What is Fetal Fraction Meaning and Its Percentage?

Afeef Chaudhary

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Fetal Fraction Meaning

Fetal fraction meaning, the percentage of placenta-derived cell-free DNA (cfDNA) in a pregnant woman’s blood, is important in prenatal screening. This is significant in ensuring that non-invasive prenatal testing (NIPT) works correctly. There must be enough baby parts for the test to work. Early on, this helps determine if the child has any genetic risks. Learn more about fetal fraction meaning.

What is Fetal Fraction Meaning?

Fetal fraction meaning is specifically quantifying the amount of cfDNA derived from the placenta within the maternal bloodstream. This mother’s cfDNA is a practical pregnancy test since it represents the baby’s DNA. The NIPT test requires a maternal percentage. About 4% is typical. This figure can alter during pregnancy based on the mother’s weight, length of pregnancy, and number of babies. 

In the first 10–20 weeks of pregnancy, 10–15% should be born. What the test says might not be suitable if the baby part is less than this amount. This might cause fake alarms or require the test to be done again.

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What is the Fetal Fraction Percentage?

What is the Fetal Fraction Percentage

So, Fetal Fraction Percentage ranges from little than 4% to more than 30% of blood plasma, but is usually between 10% and 20%. A 4% FF is usually needed to diagnose fetal aneuploidy or other genetic abnormalities. This number tells you how much cfDNA in the mother’s blood comes from the placenta. Scientists need a more significant fetal share to understand the baby’s genes better. It’s essential to keep this number. This usually takes place around the tenth week of pregnancy. 

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How Does Fetal Fraction Affect NIPT Results?

How Does Fetal Fraction Affect NIPT Results

We can see how baby fraction numbers change by looking at minimum limits, accuracy, and the chance of getting a false negative.

Minimum Threshold Requirement

For NIPT to work, the mother must have a baby part in her body. The test usually needs a baby part of at least 4% to work. If the baby percentage is less than this amount, the test might not be able to find genetic problems. This means that the results will be vague.

Accuracy and Reliability

More often than not, the NIPT readings are correct when the baby share is high. The fetal share is much more likely to be accurate when looking for genetic conditions like trisomy 21 (Down syndrome). This is usually 10% to 15% between 10 and 20 weeks of pregnancy. There may need to be a second or even third test to confirm the results if there isn’t enough baby percentage.

Risk of False Negatives

The test might come back clean even though there is a problem with the genes if the fetal share is low. This can be very scary for pregnant women who depend on NIPT to let them know early on about their baby’s health. Ensuring there are enough baby parts is essential so that mistakes like these don’t happen.

What Determines Fetal Fraction?

What Determines Fetal Fraction

There are many reasons why the fetal fraction, or the amount of cfDNA from the mother in her blood, may change. You need to know these things to get the most accurate Non-Invasive Prenatal Testing (NIPT).

Maternal Weight

No matter how much the mother weighs, the baby share changes a lot. Most of the time, women who are overweight or fat have smaller uteri. This is because the mother’s blood can lower the amount of cfDNA from the placenta. This means a more minor part of the fetal mass can be studied.

Gestational Age

Another important thing that affects the baby share is how long the pregnancy has been going on. Most of the time, the fetal share is highest between 10 and 21 weeks of pregnancy. To get a good report on the NIPT, the mother’s blood needs to have the most maternal cfDNA.

Type of Pregnancy

The mother receives a different portion if she had a singleton or twins. Twins have 1.6 times more infant tissue than singletons. This larger mother share can improve NIPT in twin pregnancies. However, it makes it tougher to identify the changing baby’s cfDNA.

Conclusion

An essential part of how well and regularly Non-Invasive Prenatal Testing (NIPT) works is a prenatal fraction. The test determines how much cfDNA from the placenta is in the mother’s blood. It must be present in significant enough amounts to be valid for screenings before birth. They tell you important things about your baby’s health as it grows. From this article you know the Fetal Fraction Meaning.

FAQ

What does NIPT have to do with fetal fraction?

This part of NIPT is essential because it tells us how sure the test is. There needs to be enough fetal DNA so that there is enough cfDNA from the mother to study. It is required to find genetic issues with the baby.

What will happen if more new tissue is needed?

If the fetal fraction is too low, which is usually less than 4%, the NIPT might not give precise results or might give fake hits. In this case, you should test it again or add more tools for tracking on top of it.

How does the mother’s weight change the baby’s fraction?

There is less mother cfDNA in the blood of overweight or obese women. This means that their weight can change the fetusfraction. This could mean that NIPT needs to be more accurate since the number of babies decreases.

Does the amount of baby parts change when a woman is pregnant?

The number of babies can indeed change when a woman is pregnant. Most of the time, they are highest between 10 and 21 weeks of pregnancy. This is the best time for NIPT because there is the most cfDNA from the placenta at this point, so the test results are more fitting.

What happens when a woman is going to have twins?

Sometimes, there are more fetuses when there are twins—about 1.6 times more than when there is only one baby. This extra fetal DNA can make NIPT work better, but it also makes it harder to tell which baby’s cfDNA input is which.

Sources:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9245487/#:~:text=The%20average%20FF%20may%20vary,aneuploidy%20or%20other%20genetic%20defects.

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