FACTORS ASSOCIATED WITH cffDNA CONCENTRATION IN IN VITRO FERTILIZATION PREGNANCIES

The Son Trinh1, , Minh Phuong Nguyen1
1 Military Institute of Clinical Embryology and Histology

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Abstract

Objectives: To evaluate the association between maternal age, maternal body mass index (BMI), gestational age, and cell-free fetal DNA (cffDNA) concentration in in vitro fertilization pregnancies. Methods: A retrospective cross-sectional study was conducted on 1,000 IVF pregnancies undergoing non-invasive prenatal testing (NIPT) at the Military Institute of Clinical Embryology and Histology, Vietnam Military Medical University, from January 2023 to February 2026. Results: The mean maternal age was 30.8 ± 5.1 years; the mean BMI was 21.2 ± 2.0 kg/m²; and the mean gestational age was 10.8 ± 1.2 weeks. The overall mean cffDNA concentration was 16.2 ± 5.2%. No statistically significant differences in cffDNA concentration were observed across maternal age groups (p = 0.577) or maternal BMI categories (p = 0.859). The cffDNA concentration increased with gestational age, from 14.9 ± 4.6% at 9 weeks to 17.1 ± 5.1% beyond 12 weeks (p = 0.005), with a Pearson correlation coefficient of r = 0.1701 (p < 0.001). Conclusion: In IVF pregnancies, cffDNA concentration increases significantly with advancing gestational age. Maternal age and maternal BMI are not significantly associated with changes in cffDNA concentration.

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References

1. Deng C and Liu S. Factors affecting the fetal fraction in noninvasive prenatal screening: A review. Front Pediatr. 2022; 10:812781.
2. Hou Y, Yang J, Qi Y, et al. Factors affecting cell-free DNA fetal fraction: statistical analysis of 13,661 maternal plasmas for non-invasive prenatal screening. Hum Genomics. 2019; 13(1):62.
3. Hoàng Thu Lan, Nguyễn Thị Lương, Hoàng Thị Ngọc Lan và CS. Nghiên cứu một số yếu tố của mẹ và thai ảnh hưởng đến nồng độ DNA tự do của thai trong máu mẹ. Tạp chí nghiên cứu y học. 2024; 182(9):70-77.
4. Kallianidis K, Dimitroulia E, Mavrogianni D, et al. Comparison of the fetal fraction of cell-free DNA in in-vitro fertilization (IVF) versus natural conception: evaluation of the fetal fraction with IVF parameters. Cureus. 2022; 14(4):e24516.
5. Vũ Thị Thúy Chi, Trịnh Thị Quế, Nguyễn Bá Sơn và CS. Phân tích giá trị của nồng độ cffDNA trong xét nghiệm NIPT sàng lọc trước sinh hội chứng Down. Tạp chí Y học Cộng đồng. 2023; 64(2).
6. Hestand MS, Bessem M, van Rijn P, et al. Fetal fraction evaluation in non-invasive prenatal screening (NIPS). Eur J Hum Genet. 2019; 27(2):198-202.
7. Alberry M, Maddocks D, Jones M, et al. Free fetal DNA in maternal plasma in anembryonic pregnancies: Confirmation that the origin is the trophoblast. Prenat Diagn. 2007; 27(5):415-418.