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I don't see, or cannot see how Nagisa truly realized the unfortunate possibilities that may have arisen with giving a child birth in her condition.
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Given all the prenatal classes and checkups that we saw her taking I would like to think that she didn't just dozed up during those, and had sufficient information in her hands to take a decision she would be satisfied with. (which is what all the people I cited in my previous post had in common).