thread: Low PAPP-A Results after Nuchal Translucency Scan

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  1. #1

    Oct 2005
    A Nestle Free Zone... What about YOU?
    5,374

    YIPPPPPEEEEEEEE YEEEEHAW!!!!!!!!!!!!

    I am so so happy my love! It's such a relief.

    Did you find out if you have a little girl or a little boy on board?

    You could join one of our other chat threads to get much needed support. Thankyou for letting us know...

  2. #2
    Registered User

    Sep 2006
    Melbourne
    379

    Just an update on what is happening. A month ago at routine OB appointment the scan done at OB office said baby was about 1 week behind in growth. I had a growth scan done today which found the baby has fallen further behind about 2 weeks behind or in the 10th% of gestation, also there is low fluid and blood flow is restricted through the cord. So not a glowing report. The only positive is that it is not conclusive whether the small growth is directly related to the placenta. My DD was only 5lb 14oz (born at 37wks) so I have small babies anyway. The 1 reason why it may not be a placenta issue is babies that have restricted growth due to placenta issues generally have a large head (out of proportion with the body) but my baby is in proportion so this can suggest the placenta is not restricting growth but the cord blood flow is a concern. We also found out the baby is breech (as was my first) but I already suspected that.

    So I have another growth scan in 2 weeks to see what changes have occurred. From there there are a few options - steroid injections to help baby along with view of delivering shortly after, further monitoring (OB talked about going in every second day to have monitoring) and just continue on as growth is continuing.

    But OB has said once we get to 34 weeks he will deliver baby as the baby will be fine out and it is safer than risking going any further. So it seems I will have a baby within 6 weeks. Oh the things I have to do.

  3. #3
    Registered User

    Feb 2009
    75

    Hi Bridee,

    I had my 19 week ultrasound on Monday which showed I also have single umbilical artery, but everything else looked good and size was on target. I have been a little worried about the prospect of SUA but most stories I have read seem to be positive, so fingers are tightly crossed that things are positive for our babies too.

    Thanks for the update. Im hoping and praying that our babies grow healthy and strong. The best of luck to you in your upcoming appointments.

    Stella'sMum

  4. #4
    Registered User

    Nov 2008
    22

    My PAPP-A was 0.07 MoM, which I was warned was very low.

    Our baby has interuterine growth restriction which was found at the 20 week scan. The specialist believes it was caused by an early placental problem that has since rectified itself. As long as our little girl keeps meeting her expected growth curve from now on, he is hopeful that I will get to term and the baby will be small but otherwise okay.

    Unfortunately for us however our baby may also have a heart condition, which will require surgery.

    The team of doctors dealing with me say that they will take are better in or out approach and continually weigh up which option is better as I progress. But the interuterine growth restriction specialist has told me he has had cases as bad or worse than my little girl make it to term without any need for early induction.

    So heres to hoping we keep meeting growth curve expectations.

  5. #5
    Registered User

    Sep 2006
    Melbourne
    379

    Stellasmum - wow our pregnancies appear to be very similar, hopefully your bub grows a bit better than mine seems to be. My OB really didn't see the SUA as being an issue, he said once they know the kidneys are ok it doesn't really matter. But what I didn't ask yesterday was whether the restricted blood flow through the cord was related to SUA or it would be like that regardless. Will have to ask him in 2 weeks time.

  6. #6
    Registered User

    Sep 2006
    Melbourne
    379

    Another update from me, had a scan last Wedneday which resulted in some great news - looks like this bub is just small and the low papp-a isn't playing a part as first thought. The amonic fluid levels have returned to normal and the blood flow through the cord is no longer restricted. Bubs had good growth, put on about 200gms and stayed within the 10th% so the Dr was happy to say at this point just a small bub. So she won't need to be delivered at 34wks. We go back in a fortnight to see OB, he will do a scan in his office and in 1 months time I will go for a detailed growth scan again so still being closely monitored but OB is happy with everything at the moment. Now I just need bub to turn head down so we can try for a VBAC.

  7. #7
    Registered User

    Feb 2009
    75

    Bridee,

    That is such great news! I'm so glad everything is going according to plan. Keep me updated with news, im sure it will all be smooth sailing from here on in!
    Nothing to report from my side, last scan in the doctors office showed its a few days behind size in femur length but nothing to be concerned about by the looks of things. Hopefully SUA and low PAPP-A will mean nothing for us!

    Stella'sMum

  8. #8
    Registered User

    Apr 2009
    2

    Another one with low Papp-A scores

    Hi there

    Ive been reading this thread with much interest

    I got a call on tues of this week to come in a see the dr. I assumed it would be about the combines tests

    Im 33 yo and 1 st child

    My scores where as follows
    NT 1.1 MOM
    Papp-a .44MOM
    hcg 2.2MOM

    And the sheet says im in the increased risked catergory of 1 in 186

    Im rather nervous and have busily been researching what I can on the internet (god bless google)

    My Oh wants to have a Amnio done. less risk of miscarriage and I do too, but Im very scared and emotional about it

    Ive always been one with realistic goals and ambitions, but im dreaded the fact that if this baby has Downs then we will terminate. Im absolutly petrified and am hoping with all my might that he will be fine

    It was an assited pregnancy thru ovulation induction (i have PCOS) so i suppose they also take this into account

    It was nice reading those who unfortunatey had lower scores than I have got healthy babies.

    I have an appointment with my OB next thrus so from there I will book in to get the amnio done

    Has anyone had one of these done before. Can u tell me what u felt etc etc

    Im rather nervous, Ive got no idea why, just I hate this waiting

    Im currently nearly 14 weeks pregnant

    I know I cant do this test for a min of another 2 weeks, but ohh the waiting game

    thanks for listening

    cheers

  9. #9
    Registered User

    Sep 2006
    Melbourne
    379

    Just letting you know Holly arrived home on Monday. She is doing well with weight gain and at this stage just sleeps and eats. I have to wake her for all her feeds but I'm assured she will wake up to the world in the next couple of weeks. She is acting like a typical 37wk baby that is small.

  10. #10
    Registered User

    Feb 2009
    75

    It must be great to have her home! I'm so glad she is doing well. Maybe a good thing she is sleeping often, so you can recover from the operation too!

  11. #11
    Registered User

    Sep 2008
    hervey bay
    15

    Thumbs up test

    hey..... at my 12 weeks scan for the nuchal translucency the folds on the back of my babys neck showed that i was in a 1:94 chance of bubs having any abnormalities!!!!
    i had to undergo amniocentesis at 16 weeks and got the results back 3 weeks later that everything was completly normal!! and that my bub was a girl.. mind u im only 20 yrs old and having an amnio at that age is very risky... but i thought i have to do what i have to do right??? well im glad i made the perfect decision because i would of gone through hell not knowing whether bub had any abnormalities!!!
    i say take the chance..........

  12. #12
    Registered User

    Nov 2008
    22

    I had an amnio due to an increased risk of both edwards syndrome and downs syndrome (around 1:200). I was completely petrified of having it done, it was the worst week of my life waiting for the appointment. But I had a great OB doing the amnio, she explained exactly what she was doing, what it would feel like and didn't mind at all that I basically sobbed through the whole thing. I was too much of a chicken to watch the actual amnio being done, but managed to dry my tears up when they were finished to catch a good look at my bubs, who seemed oblivious to all the action going on around her. The only thing I felt was the injection for the local, and some slight pressure when they were doing the amnio. I didnt have any cramping or anything afterwards. I just enjoyed spending the rest of the day on the couch watching my fav DVDs as a reward for a job well done and because you are supposed to rest afterwards. In the end, after the two week wait, our results came back all clear.

  13. #13
    Registered User

    Feb 2009
    75

    Sezza, glad to hear that the amnio went well, it is truly stressful!

    Bridee, I went for a growth scan today (I am 23w 1d) which was performed by my OB which was good. The baby is measuring just about on target so size is looking good. He measured the flow in the umbilical artery (SUA), however this was difficult because the baby was moving so much! Anyway he said everything looked okay. Well when i got home I looked at the report and it said that the umbilical artery PI and RI were way below average, but just above the 5th percentile. Do you know what this means? Im worried this means there is some sort of restriction in cord flow? Can you let me know how you found out you had a restriction?

    Stella'sMum