Low PAPP-A Results after Nuchal Translucency Scan

[Inanna]

I just want to add - a low PAPP-A is thought to occur when implantation of the placenta is a bit iffy... Most often the placental position etc appears fine - but remembering that the formation of the placenta - just like that of the fetus is an intricate miracle!

A bit lke building a house - if the foundations are not strong it can make the house a little less stable. One house may be fine and stand 200 years - another may need extra fortification so that it stays strong. REally that is what the low PAPP-A is saying... You might need a little help here, then again you might not!

This is the business of babies - most of the time all goes well - but it's all an unknown - Faith in the outcome and strength in the process is important...

[Inanna]

I remember now about your Diabetes... Sorry my love...

Did you do the prednisolone as well? If so how did that go with your diabetes?

[melbel]

Yup have been on 25mgs pred...am weaning off now...down to 15 at the moment....in a strange twist of irony the prednisone has balanced out the first trimester lows that most type 1's get so the net increase in insulin dose has been zero....which is awesome...At the moment with me weaning off the pred and still being in that window of hypos I am actually taking less than pre pregnancy insulin doses.....this will swing the other way in the next month or so...but so far so good!!!

[squidipa]

thanks mel, you been a good help.


unfortunately i think that when your a public patient and cant afford private it really does matter

[Inanna]

Squid you will still get a rebate from Medicare - many many many people without private health access a private fetal medicine specialist. Also if you are on a low income and once your expenses exceed $500 you will get 85% of your out of pocket expenses back.

It is worth one appointment that you will get a rebate for - the more knowledge you have the better informed decisions you can make...

[melbel]

Hun, even as a public patient you can request a referral to the fetal medicine unit at the closest large hospital to you.......they are all medicare funded........

[squidipa]

Hun, even as a public patient you can request a referral to the fetal medicine unit at the closest large hospital to you.......they are all medicare funded........

i got one to Royal brisbane but have to wait till 18 week scan as i refused to do the other two tests due to risks.

[Inanna]

If you have a health care card you may get a more discounted rate also my love. It truly is worth looking into for your peace of mind.
Think of how you can not of how you can't - I do know that in the public system if you have refused their recommended treatment it can be harder - my support to you honey...

[HollyC]

This is very interesting. Thanks Mel! So far no one has suggested any treatment for low papp-a.

I suppose I should talk to my OB before starting aspirin? I have a feeling it isn't usually recommended in pregnancy.....

It is just that I would love to start straight away. It would feel so good to actually be doing something rather than just waiting.

[melbel]

as the doc today said normal dose aspirin is not good in pregnancy but low dose can beneficial....they also use it to help prevent pre eclampsia in women who have a past history of it......low dose are those tablets they give to old farts to help prevent heart issues....lol...my mum and dad take low dose aspirin for that reason!

[Inanna]

It sounds like it's a hard spot to be in darling woman - but look into it - make some enquiries and tell them you are on a health care card. I am sure that doors will open...

Holly - asprin is used regularly in high risk pregnancies - however I wouldn't recommend not consulting with your care provider first. I believe it is the regime of both asprin and heparin that is most effective. This is because they work a little differently. Talk to your doctor - wishing you luck...

[Inanna]

It sounds like it's a hard spot to be in darling woman - but look into it - make some enquiries and tell them you are on a health care card. I am sure that doors will open...

Holly - asprin is used regularly in high risk pregnancies - however I wouldn't recommend not consulting with your care provider first. I believe it is the regime of both asprin and heparin that is most effective. This is because they work a little differently. Talk to your doctor - wishing you luck...