A statistically significant difference was not observed in the first trimester levels of PAPP-A, first trimester and mid-pregnancy mean UtA Doppler PI, EFW centile, and prevalence of SGA fetuses between patients presenting with OE and healthy women; moreover, no statistically significant difference was found in the prevalence of preeclampsia, SGA infants, and five-minute Apgar score between these two groups (Table 1). Here, PAPPA is linked to preeclampsia.