However, extensive evidence suggests that first, about 60% of antepartum stillbirths are observed in association with placental dysfunction [17], and second, more than half of such stillbirths can be effectively identified in the first trimester based on screening by a combination of maternal characteristics, maternal serum PAPP-A, the uterine artery pulsatility index (UtA-PI), and the ductus venosus pulsatility index [18,19]. Here, PAPPA is linked to Stillbirth.