hi ladies. I shall start at the beginning. My combined screening came back as 1 in 3000 which is low risk( although significantly higher than the 1 in 100, 000 i had two years ago. ) After my appointment with midwife i looked in to my results further and noticed that my PAPP score in particular was low at 0.51. it is on the very low side whilst still being just within normal range. i wasnt too worried about that on its own however during anomaly scan, sonograoher said she saw some additional fluid around babys heart. she said to come back in a week. additional fluid around baby's heart can indicate possible heart defect and /or chromosomal.abnormalities like downs syndrome. when i returned a week later a different sonographer did see some fluid but said that it was within normal range in her opinion. i was relieved but still worry why first sonographer thought it was outside normal range and i dont think anyone has combined this possible marker for downs with my low papp score. should they have readjusted my risk calculation? despite having two things which may or not be there but are possible markers for downs etc, i decided to put it to the back of my mind. anyway today i had my 24 week appointment and my fundal height was measured. I knew i was looking big and have done throughout pregnancy, however baby was measurring a little behind at anomaly scan so thiught it may have been my shape etc making me look bigger. anyway today when she measured me , the midwife seemed surprised at how far up my torso my womb was. she measured me and i meausred 27cm, confirning that i have got a huge bump! she said that at this stage i didnt need to get it checked out. when i ask what would make my womb so big, she said a possible big baby( baby would be measuring 3 weeks in front to make my womb as big as it it) . i cant see how my baby wouldve gone from being a bit smaller on dates 4 weeks ago to being to huge now. or she said it could be excess water in womb. ive just looked up extra water and the possible reasons/causes, and it states that one of the main causes for excdss water is down syndrome or heart defect. so now three seperate things have shown up for downs/heart defect. i feel that there has been no consideration that three things have shown up together. for example, sonographer was not aware of low papp score, midwife today isnt aware that they picked up ossible fluid on babys heart previosuly or low papp score. am i being crazy? i feel like if i bring ot up to midwife they will fob me off as being an overly anxious expectant mother who googles too much. however i cant shake off thenfeeling that something is wrong with three seperate markers indicating possible downs/heart defect. i would really aprreciate your thoughts.