Hiya - first time poster! Got lots of useful advice from other threads here but didn't find one on my specific situation so thought I'd give it a go :) Recently had 20 week anomaly scan and told baby was small (<5th percentile) - but otherwise healthy. I am also low papp-a. Went for follow up scan at foetal clinic and they identified a notch (unilateral I think) on my placenta, which could be restricting blood flow. I also have a very small fibroid on the side of my uterus. The doctor gave three possibilities: 1) We are the 1 in 100,000 or whatever that might still have chromosomal genetic disorder despite test results saying otherwise (we had NIPT and came back low risk on everything). 2) or baby is being starved, they'd need to keep monitoring growth and movements and possibly induce as early as possible 3) or it'll just be a small baby and everything will be fine FYI baby otherwise is healthy - moving really well, everything in proportion, brain organs etc all fine... I am keeping pretty positive - doctor said we could have amnio to rule out the genetic disorder, which I'm not against but want to see how the growth scans progress first. If she stays small but along the right growth trajectory, then that's still really good. I guess I am after positive stories from women who have had layers of issues (papp-a plus something else for example) - I see lots on here on one or the other but just after a bit of reassurance really from those who have been through a few different hurdles like this. Thanks everyone :)