I met with a genetic counselor last week and she assured me that anything they do is a precaution and I should not worry. She said that a low Papp-a could be a flag but in her 19 years she had never seen any real correlation between the low score and major problems. It made me feel a little bit better. I have to go on Tuesday for 16 week blood work which adds to the nuchal for even more accuracy. It is so scary this time. I am so apprehensive to tell people that I'm even pregnant. I go back to work on Tuesday (I'm a teacher) and I don't even want to tell anyone there just in case. It's such a shame that such a happy thing should be so clouded!