We don't have contact with our older son's BM. For our little guy last year we sent her flowers. I am trying to find one of those cute edible arrangement fruit/chocolate things for this year but none of the big places will deliver to her town so I'm still looking
Last year I included a note thanking her for making us a family/me a mother.
I think it depends on your relationship. We send gifts to each other for birthdays, Christmas. I send her photos every week over text and For others a card or photos would make more sense,
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