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Can I have a ppp- 2nd pregnancy, I took the down syndrome test to be prepared, …

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Can I have a ppp- 2nd pregnancy, I took the down syndrome test to be prepared, it came back low however it raised concern of low Papp-a possible small baby? I have posterior placenta so movements aren’t very strong i thi this is what makes me worry, so basically I’m just wondering if anyone has had this before? Experiences?Thank you
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