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Cell-free fetal DNA (cffDNA) is fetal DNA circulating freely in the maternal blo
od stream. It can be sampled by venipuncture on the mother. Analysis of cffDNA p
rovides a method of non-invasive prenatal diagnosis.
Cell free fetal DNA shedding into maternal bloodstream
cffDNA originates from the trophoblasts making up the placenta.[1][2] It is esti
mated that 2-6% of the DNA in the maternal blood is fetal in origin.[3] The feta
l DNA is fragmented and makes its way into the maternal bloodstream via shedding
of the placental microparticles into the maternal bloodstream (figure 1).[4] St
udies have shown that cffDNA can first be observed as early as 7 weeks gestation
, and the amount of cffDNA increases as the pregnancy progresses.[5] cffDNA dimi
nishes quickly after the birth of the baby, so that it is no longer detectable i
n the maternal blood approximately 2 hours after birth