The same results were obtained by Marleen et al. in 2014, reporting significantly lower PAPP-A levels in pregnancies resulting in intrauterine fetal death (0.25 MoM, interquartile range (IQR) 0.20 - 0.31; p 0.009) and by Kaijomaa et al. in 2017, where nine (0.9%) stillbirths were recorded among patients with low PAPP-A levels while none were recorded in the control group [21-22]. The gene discussed is PAPPA; the disease is Stillbirth.