Low PAPP-A Results after Nuchal Translucency Scan

[BloominRoses]

bloominroses: thanks for the advice. i am now in my 20th week and have just had my scan. all looked good on the scan (baby size was spot on) and as you said no mention of my initial score.
i may keep this in mind and bring it up with the OB in my next appointments just so it isnt 'forgotten' about.

At your 20 week scan was everything fine? it is a bit concerning that they didnt mention the low results i got at the 12 week scan.

At my 20 week scan, the only things that were mentioned was that the Dr/Ultrasound Specialist noticed a teeny white dot on DS' heart and that he was measuring small. She then went on to emphasise though that she wouldn't have mentioned either of these issues in a normal situation but because I was so concerned about the possibility of a genetic abnormality after my Low Papp-A score, she thought it best to tell me since the little dot could have been another marker although the chances were slight.

No mention of my Low Papp-A score or the fact that my baby was measuring small BECAUSE of that. Instead I ended up with a lot of blood loss during my 4 hour labour/birth experience and a son who had to remain in SCN for 6 weeks until he reached 2kgs and could suck feed on his own.

Sorry if I sound a bit bitter/harsh etc... I just found out the link between Low Papp-A and DS' premature birth and low birthweight after 2 other BB members who are much more knowledgeable than me with all of this stuff, explained what my birth report actually meant. There was some really scary, not-so-pleasant stuff on there that could all be traced back to the low score which I won't get into in this thread as it may be disturbing to some so again: Please just ensure that you are comfortable that you are receiving the best preventative care possible throughout your pregnancy and that your care providers take any of your concerns seriously.

S xo

[alexsandra]

bloominroses: thanks for the reply. My OB was the one who mentioned the chance that i will have a low birth weight baby, but again he didnt seem to be concerned about this, it wasnt until i looked this up on BB that i found more people with the same thing all saying that their little ones were born smaller than average.

i am now, after reading the threads, going to ask my OB for a growth scan (as he hasnt mentioned this is something that will be done) and hopefully he takes my concerns seriously and not brush them off. He has been a great OB so far and i have no doubt he will be ok with me going for the scan.
I would rather be prepared and ready for anything that may happen if i have the knowledge up front.

kaib: thank you for your post im sorry to hear about your difficult pregnancy but happy to hear that your little one is doing fine. Your post has encouraged me to get a growth scan done to make sure my little one is growing on track. I just wish Ob's and midwifes were more proactive about things like this and not brush them off.

i will post back to let everyone know how i go with the growth scan

thanks again to all who have posted on this thread

[ozlem]

Thank you all, especially Bridee and StellasMum.

I am now 30 weeks and 4 days pregnant. My papp-a level was 0.30 at the 12th week. In the detailed ultrasonography at the 20th week, I was told that my little girl also had SUA. At that time, her growth was OK though I concerned about her AC which was 1 week behind. At the 24th scan, the AC was almost 2 weeks behind, but FL was 2 weeks ahead and HC is in accordance with the gestational age. At the 28th week, AC fell 2 weeks and 4 days behind, that's why my OB asked me to come every two weeks for US and every week for NST. But, still FL was 2 weeks ahead. At the 30th week, AC fell 3 weeks and 1 days behind! But FL is still 2 weeks ahead and HC is in accordance with the gestational age. My OB says that, the growth is still in acceptable ranges.

Bridee, my little girl is also in breech position as her brother who is 4,5 years old now. It seems that I will have a c-sect, too.

I hope that my little daughter and all our children will be OK.

Cheers

Ozlem

[Emma01]

Hi all,

I am looking for Bridee, I used to be under the name 'Stella's Mum', but I can't remember my password etc, so here I am as Emma01!

Just wanting to see how your little Holly is going? I hope it has all been smooth sailing for you!

Just an update on my Holly's progress, she is now 2 years old.

She is so cute and clever, I am just loving her to bits. Besides that, we found out a few months ago that Holly has congenital scoliosis caused by a misshapen vertebrae in her lower spine. Lots of other investigations were done because heart and kidneys can also have probelms because they are all format the same time, but luckily for her they are both ok. She will likely have surgery to correct the scoliosis as she gets older, but for now, it is not causing her any problems. Anyway, I just wanted to make sure all was good at your end. I am on the congenital scoliosis support group and it turns out that a lot of the children with congenital scoliosis also had a single umbilical artery, which was something I was not aware of in our pregnancy.

Anyway, i hope all is well, just thought i'd touch base with you all again. Other than that, Holly is a smart, healthy and adorable little girl and we have been very blessed.

Emma