Rica Peralejo, four months pregnant, and Sitti Navarro, mother to two-month-old baby girl, have been candid on social media about their struggles with the autoimmune disorder known as Antiphospholipid Antibody Syndrome or APAS.
According to SmartParenting.com.ph, APAS "occurs when the body makes antibodies that mistakenly attack phospholipids, a type of fat found in the blood.
"This then causes blood clots to form in veins and arteries, which can lead to numerous problems and complications."
This autoimmune disorder can be especially scary for pregnant women since its complications can cause miscarriage or stillbirth.
APAS has five categories, each as troubling as the next.
Miriam Quiambao and Nadine Samonte, both pregnant, have this condition as well.
Sitti chronicled her experience with APAS on her personal blog in August 2018, three months before giving birth to her daughter, Issiah.
The bossa nova singer had heard of APAS before her pregnancy, but did not understand what it was all about—until her diagnosis.
She wrote, "I have heard some stories of a mother's blood attacking the fetus or the sperm, and while shocked at first that situations like that actually occur, I would just sadly empathise, murmur a 'kawawa naman', then move on to my next thought agenda for the day, the couple being talked about shelved, the condition noted yet forgotten.
"Until I found out that I have APAS too."
After undergoing several tests and work ups, Sitti learned that three out of five categories of APAS applied to her: "Category 1 - no blocking antibodies. Category 2 - thrombophilia. Category 5 - elevated natural killer cells."
"No blocking antibodies" referred to the body lacking the blocking antibodies needed "to stop your own immune system from rejecting the baby."
Sitti was prescribed probiotics by her immunologist to manage her condition.
The second category referred to the blood thickening and clotting too fast. This could be problematic because it is through the blood that nutrients are transferred to the baby.
To address this, Sitti was given blood thinners.
She wrote, "This medicine is heparin. I was to inject it on my subcutaneous fat everyday, initial prescription for twenty days.
"When I went to the drugstore to purchase it, I was astounded by the price—it retailed at P478 per piece!—thereafter I called Joey [Ramirez, her husband] and told him that we were going to be spending a lot for the next couple of weeks, but hopefully not for my entire pregnancy."
The fifth category referred to Sitti's "slightly elevated natural killer cells," which could attack the baby in the womb.
Sitti was glad to have her condition checked early. On November 4, she gave birth to her daughter, Issiah.
In one of her Instagram posts, she captioned, "To my fellow PCOS/APAS patients who are having difficulty conceiving or keeping a baby, here is our daughter, to give you hope that nothing is truly impossible with the Lord.
"That everyday He is making miracles, and that every time in every situation, His timing and His Will is perfect.
"My medical history:
"2 years 10 months married before conception
"Both ovaries polycystic
"APAS Cat 1,2 and 5
"Meds taken aside from pre-natal vitamins:
"Aspirin and innohep from second month till 36 weeks
"Duphaston 2x-3x a day
"Metformin 3x a day
"Utrogestan once a day
"15 billion probiotics 2x a day.
"'Is anything too hard for the Lord? At the appointed time I will return to you, about this time next year, and Sarah shall have a son.' Genesis 18:1
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And so here she is, our Lilibubs, Issiah Dañelle. Born Nov 4, 1:03pm, via emergency CS, 36w3d. During surgery it was found that my amniotic fluid was already low and that there were too many twists in her umbilical cord, prompting one of the doctors to say, “Ang swerte ng batang ‘to.”. Indeed, the decision to go for emergency CS was timely and right. Placed in the NICU for 24 hours after delivery for monitoring, it was only Joey who got to see her during this time and the family and I would just look over and over again at the photos and videos he took. The day after that, Nov 5, she was roomed in, and we spent our first sleepless yet amazing day and night with our firstborn ❤️ we are home now, she’s napping, Joey’s playing a game, and i’m putting my feet up because I’m manas from the operation. Tomorrow we will have a week-old baby. I still can’t believe it sometimes. . To my fellow PCOS/APAS patients who are having difficulty conceiving or keeping a baby, here is our daughter, to give you hope that nothing is truly impossible with the Lord. That everyday He is making miracles, and that every time in every situation, His timing and His Will is perfect. . My medical history: 2 years 10 months married before conception Both ovaries polycystic Mild endometriosis APAS Cat 1,2 and 5 . Meds taken aside from pre-natal vitamins: Aspirin and innohep from second month till 36 weeks Duphaston 2x-3x a day Metformin 3x a day Utrogestan once a day 15 billion probiotics 2x a day. . “Is anything too hard for the Lord? At the appointed time I will return to you, about this time next year, and Sarah shall have a son.” Genesis 18:14 💖 . 📷: @pattylaurel . #issiahdañelle
It has been an emotional pregnancy journey so far for Rica Peralejo and husband Pastor Joseph Bonifacio.
They are expecting a baby after two miscarriages.
In her recent YouTube video, Rica revealed that her condition "is quite near to some markers" of APAS.
Her doctors have prescribed a lot of medicine.
She remarked, "Yung medicine ko pa lang, busog na ako. Parang yun nga breakfast ko.
"Actually, it has been trimmed down already.
"In the beginning, I had to be taking seven pills in the morning, five pills at lunch, and three in the evening.
"'Tapos meron pa mga intravaginals, and plus the fact that I have to inject myself every day with Innohep...
"Medyo may pasa-pasa na yung tiyan ko because of the needles."
Innohep is one of the measures to manage blood from thickening and clotting.
Rica continued, "I have to take a lot of medicines. I don't like it, to be honest...
"... but also, at the same time, there is no other solution that I could find.
"And for now, this what I feel is going to give us peace in being able to keep the baby inside of me.
"So far, we've passed the mark. The first miscarriage was at, I think, 12 weeks.
"I found out there was no heartbeat, but the baby was only sized at eight weeks.
"The second one didn’t go past six or seven, pero no heartbeat na talaga yun.
"Now, we are on our 17th week. Actually, almost 18th.
"Probably by the the time you’re watching this, I’m on my 18th or 19th week already."
Toward the end of her vlog, Rica gave a shout-out to new celebrity mom, Sitti.
She said, "One of the people that I was able to talk is Sitti...
"She has been very, very helpful to me.
"She helped me source my medicine, go to the right doctors...
"... teach me about how to put in the needle because I was so scared!
"I was like, 'Wow, do you put in the entire needle?'
"And she was like, 'Yes, you're going to have to in the entire thing!'
"Sitti, thank you so much."