HI,

yes I had a low papp A result (same as yours actually) at my 1st trimester screen and a Downs risk of 1 in 48. I had a CVS done last week and the fish test came back normal. I am awaiting a follow-up appointment with the doctors next week.

Ive done a bit of reading up on low Papp A levels and to be honest it just scared me. I have two healthy boys already, with no hassle pregnancies.

good luck with the next step. il be interested to see how you go

R