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Low PAPP-A results

Printed From: OHbaby!
Category: Pregnant
Forum Name: Pregnancy
Forum Description: Pregnant! Wanting to chat to other mums-to-be (or dads-to-be)? Share your thoughts, experiences, and ideas... This is that place!
URL: https://www.ohbaby.co.nz/forum/forum_posts.asp?TID=41182
Printed Date: 30 July 2025 at 7:03am
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Topic: Low PAPP-A results
Posted By: kat.clarke
Subject: Low PAPP-A results
Date Posted: 16 December 2011 at 11:46am
I was told today by my midwife that my Nuchal scan and bloods were low but my PAPP-A were low, I have a specialist appointment in the beginning of January 2012 but my head is truly doing me in.
This is baby#5 and I am 14weeks tomorrow, I am also 37yrs old. Has anyone else in here gone thorugh this and is will to share their story.
Thanks, Kat X



Replies:
Posted By: kebakat
Date Posted: 16 December 2011 at 12:13pm
Me!

My scan was fine but my pappa was really low. I went for an extra scan at the hospital done by an ob at 15w. He said I could do an amnio if I really wanted to but he couldn't see any evidence of downs so we didn't go through with that.

Low pappa can lead to low birth weight so I had to have growth scans every 4 weeks in the last trimester but never had any issues. My boy was born at 36w (naturally) at 6lb 15oz and he's healthy.


Posted By: ooligator
Date Posted: 16 December 2011 at 8:46pm
I am 37 also, and had good measurements on the nuchal scan, but the combined results gave me a risk for downs syndrome of 1:60. My age related risk is 1:150 because of being 37, so the bloods must have increased it, as my nuchal measurement was 1.3mm, well below the threshold.

We were referred to the maternal fetal medicine clinic, and the woman rang up and basically said, "what test do you want done, amnio or CVS", DH and I had decided that we didn't want any further testing, as 1:60 risk is only a 2% chance of baby having downs (it's all a statistical guesstimate, predominantly controlled by my age), and we wouldn't terminate anyway. So because we don't want any further testing, they don't want to see us.

I'm 15 weeks now.

-------------
Me 38
DH 39
DD1 - 3 years, born prem at 30 weeks after 5 years TTC
DD2 - born prem at 33 weeks
http://lilypie.com">


Posted By: freckle
Date Posted: 16 December 2011 at 9:46pm
I had normal NT measurement at 1.3, low Papp-A, raised Hcg and I was 35 (36 when giving birth). I opted for the amnio as it stressed me out to much not knowing and results showed no chromosomal abnormalities :) She's now a perfect 9 month old... There are a few things that can effect the accuracy of the results - like how accurate was your weight or due date?

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mum to 3 lovely girls :D


Posted By: kat.clarke
Date Posted: 17 December 2011 at 1:53am
WOW thank you ladies for your comments and stories.

kebakat, great to know that someone around the same age as me went through it and came out the otherside with a healthy wee man.

ooligator, I don't know any of my numbers but again thank you for sharing your story..I guess it is a HUGE numbers game. Best of luck with your pregnancy.

freckle,I have had 2 scans with only 1 day difference in the EDD. Is there, a safe/not safe term for amnio? I have heard that there is also a percentage of a misscarriage risk with amnio. Again I am soooo glad your wee girl is well.

Thank you again ladies for easing my mind with your stories, I know these are only 3 out of sooo many more but it has certainly lightened my heart reading them.


Posted By: freckle
Date Posted: 17 December 2011 at 8:33pm
Yeah there is a small risk of miscarriage, with the Dr who did mine he had a MC rate of 1 in 500/600 so it's very low! these days the equipment etc has improved so much the risk of MC is much lower than it use to be. Did you get given the calculated risk?

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mum to 3 lovely girls :D


Posted By: kat.clarke
Date Posted: 19 December 2011 at 9:15am
No calculated risk was given, but I guess I will know more after the visit with the specialist.

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http://lilypie.com">


Posted By: MeysMade
Date Posted: 08 October 2012 at 3:14pm
Hi all, was just wanting to bump this thread as I have just been given this news today.

NT measurement was a great 1.3mm (exactly the same as my 16 month old DD who is fine). DS risk was 1:620 which is low risk the others were 1:48000 and 1:100000 so no worries there really. Baby looked perfectly fine at the 12 week scan, measured a day ahead of my due date, which I knew for sure as we were trying for this baby.

My MW has told me not to worry and that they will monitor me closely with serial scanning but I'm finding it hard not to worry...

Any of you ladies who have previously posted here want to shed some light on what this all means for me and my little kicker in there? :)

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http://lilypie.com">



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