Hey, For the benefit of those reading, PAPP-A stands for Pregnancy‐associated plasma protein A. I understand you’re concerned but stress and worry aren’t good for you either. May I suggest trying to distract yourself and just take care of yourself? At the end of the day, pregnancy is an unpredictable physiological process. Know that some things are just forced of nature at work and they are beyond our control. Be gentle with yourself and remember that although it’s difficult, no one is to blame.