The applicant was pregnant at the time of submitting her spousal sponsorship application, so we updated her medical examination report after her delivery. Nevertheless, it took 4.5 months to be approved. We're also a little bit worried if the relationship between sponsor and applicant could be seen as not genuine, because the relationship began by the time the sponsor became a permanent resident in Canada. However, we knew their relationship is genuine and there's nothing to hide. We handed in all the necessary documents to prove their genuine relationship. When we sent the ready for PR visa email and asked her to prepare for 2 photos, she still didn't think it means her PR visa is about to be issued.