Just thought I'd reiterate to those who stumble across this thread the importance of speaking with your care provider about the potential complications of a Low Papp-A score just so you can be prepared.
I too was told I had a low score at my 12 week scan and the only information that I was provided with was that it could be a marker for Downs. At my 20 week scan, conducted by the same Specialist, nothing out of the ordinary was mentioned nor was I told to be potentially concerned about anything.
My son arrived at 32+6, weighing 1.33 kg and I endured the first 2 1/2 hours of my 4 hour labour at home as I had no clue as to what was going since I was unaware of the possibility of my delivering early.
I am lucky, in many ways, that both of us came out of the process relatively okay, but it was through no help from any special precautions or monitoring throughout my pregnancy. Just a sheer miracle I think.
So my advice would be to be arm yourself with as much information as possible and ensure your care provider(s) take you seriously. And are aware of your score - as once it was determined that my son didn't have any discernible genetic abnormalities, the score was never mentioned again.
Not to freak anyone out, but I felt I had to say something in this thread as I would be devastated if anyone went through what I went through because someone in the medical community dropped the ball like they did with me.
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