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thread: Low PAPP-A Results after Nuchal Translucency Scan

  1. #19
    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.

  2. #20
    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

  3. #21
    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

  4. #22
    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..........

  5. #23
    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.

  6. #24
    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

  7. #25
    Registered User

    Sep 2006
    Melbourne
    379

    Further update - had a detailed growth scan yesterday and the baby is growing well, still small but consistent growth, we actually shot up to the 18th% from the 15th a fortnight ago. She is still breech and now I have had 3 people tell me she won't turn. Been seeing a Chiro and she said everything is now positioned well there is no reason from her perspective why the baby can't turn, she says the cord must be short or wrapped around the neck preventing her turning, the Dr doing the ultrasound said she won't turn coz of not enough fluid (fluid levels are ok but he said not enough to help her turn) and my OB said last week he didn't think she would turn.

    So c-sect is definitely on the cards however, OB now doesn't know when to do it, last week he said 37wks just to play it safe but now since she is doing so well inside he doesn't want to deliver her too early. He normally does c-sec at 39wks but its still a wait and see game. The longer she stays inside the better.

    The weight estimate was 2kg which is great, we actually think she is going to be about the same weight as DD1, she was born at 37wks weighing 2.6kg. We also think this is just a small baby and the SUA and low papp-a is playing no part but it better to be closely monitored and be sure than the other options.

    Stellasmum - hope everything is still going well for you.

  8. #26
    Registered User

    Feb 2009
    75

    Bridee,
    I must say, I breathe a sigh of relief when I read these good emails! So glad she is doing well, 2kg is great. How did your ceasar go last time? I'm just starting to think about the birth now, the way I look at it, the ceasar seems to be pretty much risk free for the baby? What are your thoughts on the matter?
    Well my little bub must be growing I suppose, my stomach has ballooned over the past 4 days! She has been lying transverse, but on the weekend I felt this huge movement and she must have gone feet down, but has since moved back to transverse. I cant wait to have the scan next week, fingers very tightly crossed that everything is going well.
    Keep me updated on the progress, its getting so close for you now!
    Emma

  9. #27
    Registered User
    Add helle on Facebook

    Sep 2008
    Bunbury, Western Australia
    3,963

    To answer the original Q my mum had a risk of 1:50 with my brother who is here and perfectly healthy and "normal"... Well, as normal as 18 year old boys can be! So although the numbers may be low sometimes they are just that, low numbers and nothing more.

    Ryders Mum, it's all very well to say take the chance, but I think these things need to be looked into and research carefully, and Mummy of bub needs to be comlpetely 100% sure of her choice and comfortable with it. At the end of the day it is possible to misscarry a perfectly healthy baby from an amnio, and it's not a "chance" that should be taken lightly.

  10. #28
    Registered User

    Sep 2006
    Melbourne
    379

    Stellasmum- c-section isn't risk free for the baby complications can occur but if bub is breech the majority of Dr will do a c-sect. I would prefer to have a natural birth but I think my body has decided breech is the way to go. My c-sect went really well last time I recovered really quickly - the midwives in hosp were insisting on take pain meds when I really didn't need them. So hopefully the same occurs this time. But the major downfall with c-sect is the recovery time, you really aren't meant to do much for 6 wks which is difficult with a baby, particularly when I have another as well. My DH is great and takes at least a month off work to help but with a natural birth the recovery just isn't that long.

    Good luck for scan next week, I'll be looking forward to hear how it goes.

  11. #29
    Registered User

    Sep 2006
    Melbourne
    379

    Stellas mum - how are you, how did you scan go? Well my news the baby will be arriving on Monday. Had a growth scan yesterday and the results suggest the baby hasn't grown in the 2 weeks since the prior growth scan and signs the placenta isn't functioning as it should, then went for monitoring which we have been doing weeks for the past month and it took 1.5 hours to get her to move around and her heart beat was on the low side so with all this combined it was decided baby needs to be delivered. At one stage it could have been today but thankfully she moved a bit and that was enough for Dr to say Monday is ok. I have to go in on Saturday for further monitoring so hoping that is ok for us to last till Monday.

    I did actually make a midnight trip into the hospital last night coz I hadn't felt movements for nearly 12hours, they were so lovely at the hospital. Turns out everything was fine and in fact the monitoring was far better than in the afternoon, the hearbeat had returned to around 150-160 and apparently I was having some 'tighenings'.

    So anyway looks like low papp-a has caught up with us, it was only last week we were saying it looks like this is just a small baby but now there seems to be evidence it is the low papp-a that is causing the smallness. The weight estimate is 2kg so hopefully she does surpass this estimate. On Monday I will be 37weeks so technically she will be full term but the size of about a 34weeker. But maturity wise she should be fine.

    Hope all is going well for you Stellasmum.

  12. #30
    Registered User

    Feb 2009
    75

    Oh my goodness! When I hadn't heard from you for a while I was starting to think you'd had the baby already! Well, that is exciting, Monday it is! A new addition to the family. 37 weeks is fantastic, I hope I get that far! Make sure you take it easy over the weekend. Is the baby still breech? Will you be having the c-section? I will be thinking of you on Monday, and Im sure everything will go well.
    Did the doctor comment on the flow in the artery? Just wondering if that is playing a part. Bloody low PAPP-A, wish that would disappear!
    Well my scan last friday went well, growth is on target, still a little behind the 50th percentile, but growth is keeping up. He measured the cord flow for a while, and didn't mention anything was wrong so Im assuming thats ok. Will be seeing him again on Monday for a visit and then on the 16th for another scan. Im really wishing everything keeps going well.

  13. #31
    Registered User

    Sep 2006
    Melbourne
    379

    The flow through the cord is at thevery upper end of acceptable which was one of the signs the baby has to come out.

    Baby is still very much breech so will be a c-sect.

    Really hope you can maintain around the 50th%, this bub has slipped to the 2nd%

  14. #32
    Registered User

    Sep 2006
    Melbourne
    379

    Well I'm home from hosp, we have a beautiful baby girl Holly Matilda she weighed 2.4kg which was a pleasant surprise given we thought she was going to be smaller.

    Everything at birth went well and she performed wonderfully, however, over the coming days she got weaker and weaker, she just didn't have the energy to feed, so while I am home Holly has remained in special care to working on her feeding. The problem has been her size and Dr say some 37weekers do start well then just start to fall in a heap. We abandom BF (for the moment) because it was taking too much effort but even bottle feeding EBM was taking over an hour to get the required or less into her. So that is when she went into special care.

    Anyway she will be fine just needs to the strength to endure feeds but obviously a vicious cycle needs food to gain strength but it is the feeding that makes her so weak, all she does is sleep. It wasn't until day 5 we heard her cry for food before that she just slept and had to be woken for feeds of which she never opened her eyes.

    Anyway they think a week in care and she will be ready to come home.

    Stellasmum hope everything is going well with you, look forward to continuing hear your story.

  15. #33
    Registered User

    Feb 2009
    75

    I have been anxiously awaiting to hear how things went!

    Congratulations! She sounds beautiful! Can't believe her name is Holly - we have pretty much decided to call our daughter that!

    2.4kgs sounds like a great weight. I hope she eats well and continues to grow over the next week and beyond.

    Did you end up having the cesarean? How are you feeling now?

    I am still plugging along, feeling a bit of breathlessness now which I hate! Am glad I'm on the 10 week countdown now.

    Keep me updated with how she goes this week. Congratulations again to you and your family.

    Emma

  16. #34
    Registered User

    Sep 2006
    Melbourne
    379

    Yes I did have c-sect which I am recovering well from still have a little pain but nothing too bad. It is just annoying I can't drive it would make it so much easier if I was able to drive myself to hospital to see Holly.

    I can't believe you have decided on Holly as a name, great minds think a like.

    I called the hospital this morning and she had a really good night, feeding really well, they are going to let me try breastfeeding her today which I am very excited by. The nurse said she thought she might have turned the corner so hopefully we will have her home within the next couple of days.

    I hope the last 10 weeks goes well for you, I know they went really quickly for me but that was largely because it always seemed she might be coming in a few weeks, at one stage she was going to be arriving at around 30wks then 34wks, then 36wks so it always seemed close.

  17. #35
    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.

  18. #36
    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!

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