I completely understand the worry, low PAPP-A can feel quite overwhelming when you first hear it, especially since you've already done all the right screening and everything else looks good. The good news is that a lot of mums I know who've been in your shoes ended up having straightforward pregnancies; the low marker doesn't mean it will happen, just that you need closer watching. My neighbour's sister had the same result and went on to deliver a healthy baby, she did end up with more frequent scans and check-ups, which honestly felt like a trade-off between peace of mind and the extra appointments, but she was monitored really well and caught everything early.
The aspirin is a solid first step your gynaecae is taking to help protect the placenta, and staying on top of your blood pressure (which is already looking great) really matters. Most mums who are flagged early like you are tend to sail through without pre-eclampsia at all, and the babies grow fine, it's really the monitoring that makes the difference. That said, definitely check in with your own specialist about what warning signs to watch for and how often they want to see you going forward, because every case is a bit different and they know your full picture best.
Anonymous