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PAPP a Rss

I'm 39 yo and have just had recent blood tests. My HCG was fine and my nuchal fold test was normal as well. Of concern were my PAPP A results, the norm is 1 and I was .24. This has increased my risk of down syndrome. My doctor has advised an amniocentisis. I was wondering if anyone has had similar results. Does anyone know what else low PAPP A results could be indicative of.
I'm worried about what this all could mean.
I realize this was posted a while ago, but it is the same situation that I am in and I was wondering what the outcome may have been?

Nikki, Brissie, mum of 3,

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