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Fetal Fraction Activity (from maternal plasma) – 24-hour urine collection

Published: August 9, 2026Updated: August 16, 2026

This test measures the activity level of fetal cells in your urine over a 24-hour period. It helps assess the proportion of fetal DNA in your bloodstream, often used in prenatal screening.

Quick summary

["This test supports early detection of chromosomal abnormalities in your pregnancy."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
11621-0
Short code
Fet Trunk Activity US
Synonyms
Fet Trunk Activity US
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
us
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What This Test Measures

The test evaluates fetal fraction activity by detecting fetal cell-derived substances in your urine. Fetal cells shed DNA and other biomarkers that can be tracked over time to estimate fetal contribution to your bloodstream. This is typically done as part of non-invasive prenatal testing (NIPT).

Why It’s Done

Your healthcare provider may recommend this test if you’re at higher risk for certain chromosomal conditions (e.g., Down syndrome, trisomy 13, or 18) or if you’re experiencing pregnancy complications like miscarriage history or advanced maternal age. It’s also used in screening for fetal sex determination in some cases.

Sample Collection and Preparation

You’ll collect all urine produced in a 24-hour period in a sterile container. The sample is then sent to a lab for analysis. Follow your provider’s instructions carefully to ensure accuracy.

What to Expect Before the Test

No special preparation is needed, but drink plenty of water to ensure adequate urine volume. Avoid smoking or alcohol before testing, as they may affect results. Inform your provider about any medications you’re taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

What does a high fetal fraction activity mean?
A high fetal fraction activity may suggest an increased risk of certain chromosomal conditions, such as Down syndrome, but it’s not definitive. Your healthcare provider will discuss the results with you and may recommend further testing if needed.
How is this test different from a standard prenatal screening test?
This test specifically measures fetal cell-derived activity in urine, unlike traditional prenatal screening tests that often rely on blood-based DNA analysis. It’s part of a broader category of non-invasive prenatal tests (NIPT) that can provide additional insights into fetal health.
Can this test be used to determine the sex of the baby?
While this test can sometimes provide clues about fetal fraction activity related to sex chromosomes, it is not a definitive method for determining fetal sex. Other prenatal tests or ultrasounds are typically used for this purpose.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy