Fetal fibronectin (fFN) is a fibronectin protein produced by fetal cells. It is found at the interface of the chorion and the decidua (between the fetal sac and the uterine lining). Fetal fibronectin is found normally in vaginal fluid in early pregnancy prior to 22 weeks due to normal growth and development of tissues at the junction of the uterus and amniotic sac. It may also be found in vaginal fluid after 36 weeks as labor approaches. However, fFN should not be detected between 22 and 36 weeks.[1]
It can be thought of as an adhesive or "biological glue" that binds the fetal sac to the uterine lining.[2] It is the product of alternative splicing of the fibronectin gene and contains a oncofetal domain not present in adult fibronectin.[3]