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Why? How would she magically know she had a baby in her stomach if no one ever told her? You're forgetting that she grew up completely isolated from the world except for the people Kinzo permitted to take care of her. She thought she was a witch. An actual honest-to-god witch.
What you people are suggesting is that people are born ~*magically*~ understanding how pregnancy works, and that being pregnant ~*magically*~ confers a maturity that is visible to the naked eye.
Sorry, it doesn't work like that.
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Biology disagrees. Women usually know they're pregnant without being told or even educated about the idea. It's literally instinctual.
@Beatrice-2 not knowing about preggers: I like to think she was drugged up the whole time because holy shit Kinzo.
Also it explains why Yasu is so fucked up. She's an incest baby AND a drug baby. "Hey, Kinzo, you think these sedatives will mess up the child?" "Shut up, Nanjo."