Low PAPP-A - but only just

[Orlahoping]

Can someone reassure me that low PAPP-A doesn't mean my pregnancy is doomed?

My PAPP-A result came back 0.4 against my trust's cut off of 0.4125. I was already taking aspirin and am 16 weeks tomorrow. Can I strike it off my things to worry about list? I have stupidly spent too long googling it and am panicking.

I think my issue is more the anxiety rather than any specifically wrong with my pregnancy (my 2nd, after an mmc) at the moment. I feel like I am just existing, almost non functional and not having any positive feelings about the pregnancy, apart from being desperate to get to the end of it with a healthy baby.

I am struggling to get the mental health support I need to get through this pregnancy, and always turn to places like mumsnet while I wait for the next bit of professional support I can find.

Firstly, I feel you. 5 mc between my babies and I was such an anxious mess the entire time.
First baby papp a was same as yours 0.4 not considered low at the time so I was none the wiser. No issues whatsoever baby came at 41 weeks weighing 7lb 10oz.
With my second papp a was properly low, 0.24. Growth tailed but not until 39 weeks, so I had a very straightforward induction and she weighed 6lb 5oz.
So yes, I was possibly impacted with the real low papp a, but baby was born with no issues, just a bit on the small side and at 4 months is actually quite big for her age now!
Many are not affected at all, especially at 0.4.
Stay off Google, research is sketchy on the impact of papp a anyway, hence it's not measure other than as part of the combined screen.
The screening midwife told me her last trust didn't even consider it low unless 0.3 or below.
Take the aspirin, go to the scans, but don't let this put a label on your pregnancy. Papp a is considered a risk factor not a diagnosis and in the likely event that babies growth is good you are not considered high risk.
Wishing you all the best ❤️

@Chasingbaby2 thanks for your reply and sorry for your losses.

I am going to try to stay off Google, it's my absolute worst habit!

I guess if I had refused screening - as some women do - I would have been none the wiser.

I had low papp-a. Took aspirin and had extra growth scans. Thus meant that the reduced growth was caught and I was induced at 37 weeks. DS was 6lb 1 and perfectly healthy. It was nothing to worry about but did need to be monitored. I am gkad I knew as if I hadn't I wouldn't have had the growth scans.