thread: Low PAPP-A Results after Nuchal Translucency Scan

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  1. #1
    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.

  2. #2
    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.

  3. #3
    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

  4. #4
    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

  5. #5
    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.

  6. #6
    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!

  7. #7
    Registered User

    Feb 2009
    75

    Hi bridee,

    How is Holly doing? Hope you are all well.

    Just an update from my side. I had another ultrasound today to check on the growth. I am 31 weeks now. The baby's head is measuring at 32 weeks and tbe legs and abdomen are measuring small at 29 weeks! What does this mean? I hope they catch up. The doctor wasn't concerned and is not scanning me for another 4 weeks. The cord flow is still good so hopefully that continues. He estimated the weight to be a little over 1.5kg. Did you ever have a discrepancy like this? The head seems to measure in the 80th percentile and the rest measures in the 30th percentile.

    Emma

  8. #8
    Registered User

    Jun 2008
    3

    Big Hugs! I went through all this during my pregnancy to dd. As my obstetrician explained it, a low PAPP-A is associated of slow growth but this doesn't always happen. I ended up getting an amnio, and in the counseling prior to the procedure the nurse said some women get a low papp-a for no identifiable reason. Everything ended up being fine and dd was delivered a week early (her choice not mine) weighing in at 2.956kg. Its hard not to worry, but a low papp-a sometimes means nothing.

  9. #9
    Registered User

    Sep 2006
    Melbourne
    379

    Stellasmum - We are all doing very well. Holly is putting on some good weight now which is a great relief. I'm now fully breast feeding her - with the help of a nipple shield coz she still won't open her mouth for feeds but the nipple shield means I can get the nipple into her mouth and then she will suck. She is still very sleepy so I'm waking her every 4hrs for feeds - she would just continue to sleep. So at the moment it is all quite cruisey - I feed her put her back in her bassinette where she falls asleep herself and then I don't hear from her until I wake her for the next feed. I'm sure things will change at some point and she will get demanding.

    Pleased to hear you are now at 31 wks. From what my OB told me a larger head measurement than the body meant it was a sign the placenta was not functioning as it should. If growth is being restricted in any way the body will direct growth to the brain (very untechnical but something like that, brain gets priority over all other body parts), hence the head being bigger. But if you are not having another scan for 4wks everything else must be looking good. Are you seeing your Dr before 4wks? My Dr sometimes didn't order a scan but I saw him and then if he had concerns would order another scan.

    It wasn't until the last week where we had a discrepency with the measurements - generally she was just small all over. She sat at the 10th% most of pregnancy (from 24wks). The last scan she was in the 2nd%.

  10. #10
    Registered User

    Aug 2009
    2

    Bad results

    I have been reading through your posts and have some hope...I just received my results last night. I don't know my exact #, but the doctor said I was in the 1% and not too clear about what it means- he just said we'll monitor you with more ultrasounds and this could indicate low birt weight, but he was not too clear. He also said not to worry, but how can you not when you have lower #s than 99% of the population. Obviously something is not right! After reading your stories I have more information and I thank you! I have to hope for the best. My 1st son was born with a cancerous tumor so I thought I had paid my dues- I guess this is test #2!

  11. #11
    Registered User

    Feb 2009
    75

    All the best Jackie. Holly is on the small side but is otherwise in good health . I really hope everything works out well for you and your family. Please feel free to ask any questions.

  12. #12
    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..........

  13. #13
    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.

  14. #14
    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