Challenges of pregnancy.
“In my mind, I immediately started going through the worst-case scenarios,” Luke said.
Lung infections, low-weight, gestational diabetes, and a myriad of other complications could strike Mindy.
"Generally, people with CF struggle a lot more," Mindy said. "My doctor actually tells young women with CF not to get pregnant because of all of the risks that happen."
But after 23 weeks, Mindy says she is healthier than ever.
Many of the medications Mindy was taking before she can still take during pregnancy. She even runs every day to help with her lung function.
"Mindy's not a wuss," Luke said. "She'll take stuff on. I think most people in her situation would be like, 'I can't move a muscle,' . . . but she's out running errands like, 'Are you even pregnant?'"
The two still have a while to go. Their baby, a boy, is due in September. But what comes after is still uncertain.
Adoption is still a future option for the couple. The money raised for it is still untouched and waiting for them, should they decide to try adoption again.
More biological children could be an option as well. But any child would be a "blessing from our Heavenly Father," the Catmulls say.
There is also the fact that Mindy, now 22, is about half-way through the projected life expectancy of someone with CF. While a cure could surface in the future, there is still the grim chance that Mindy could die before most mothers do.
The two remain optimistic, though, as they look at the future through a lens of faith.
“We know what the most important thing is, and that is family,” Mindy said. “And the whole goal is to make it back to Heavenly Father and become eternal families and be sealed with our families forever. I think it’s awesome that we have that knowledge because other people don’t have the opportunity to know that. I think people decide what’s most important in their life, and it’s the people in our lives."