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Orc pregnancies only lasted a year, while elf pregnancies lasted three. Doctors usually waited until the pregnancy was two years along before they considered it safe to induce labor.
The elf just admitted to the hospital was at 31 months, nearly the entire term of an elf pregnancy.
When the doctor entered the room, he was yelling through gritted teeth, barely able to answer the nurse's intake questions. His belly was huge, red and angry in front of him, it was visibly contracting, the half orc-half elf baby inside him visible through tight skin.
Next to him, his wife held his hand and offered encouragement to her husband, while answering the questions the elf couldn't. The elf had been in labor for five days. He was delirious in pain, moaning, holding his belly weakly, begging his wife that they don't need a hospital, that he could still birth naturally. His contractions were back-to-back and his belly was taut and painful.
Elves were partial natural births, their bodies took days for labor to progress, and home-births were common; however, orc babies weren't made to endure such long labors, being born quickly, typically within half a day and and an increased chance of large bodies left more room for medical complications. The fact that the elf was still protesting laboring in the hospital told the doctor volumes about what the couple must have endured at home, long days of struggling and wrecked efforts, only to have to come here in the end
Once the nurse was done with intake, the doctor checked his progress. His cunt was still tightly closed, lips pressed together and no sign of crowning yet. Five days of labor and he hadn't reached the second phase of labor yet?
The doctor told him she's now going to feel how dilated he is. The elf weakly protested, whimpering out a pathetic no, but his wife told him the doctor has to check, he has to give her room to work. The elf cried and spread his legs, jumping at the doctor's touch. She narrated her steps and managed to fit four fingers into his cunt, reaching for his cervix. His cunt crushed her hand with his contractions, a constant force pushing things out of his body, it was a struggle to work her hand into his tight pussy.
The elf jerked back and moaned that it hurt! It hurt so much! Her hand was too big, it couldn't fit. She felt his cervix. When she pushed her fingers into the sore hole, he wailed against his wife's arm, gasping when the doctor pushed each finger into him.
Soon the doctor removed her hand and told him he's only half way dilated.
He pleaded with her to let him go back home, he just needs to wait and dilate more, he can do that from home, he doesn't want to be here. The doctor explained that the fifth day of labor was typically a dangerous milestone, he didn't have any more time to wait, they needed to progress his labor quickly, or else risk complications.
He sobbed in the arms of his wife, telling her he's scared of the hospital magic. His orc wife tried to soothe him, reminding him of an agreement they made when he got pregnant, if he was unable to give birth at home within five days, they had to go to the hospital. She smiled at him, telling to look at the positive, this way they can see their baby sooner. But the elf continued to cry, holding his massive belly, letting tears fall, telling her he wasn't ready.
The doctor tells the couple she will try to use the most natural methods available, but her priority is getting the baby out. She asks the elf if they can work together to help her get the baby out.
The elf sobs and agrees to her help, clenching his rigid belly through massive contractions.
She then instructs the elf to lie down so they can put his legs into stirrups. The doctor and nurse each take a leg and place it on the metal stirrups, holding his knees and caves in place high above his body. They then racked the stirrups back, forcefully spreading his hips open and wide.
When the elf laid back and his belly shifted and the weight of his giant belly was pushed towards his spine. He bawled giant tears, hands moving to cover his eyes, as his belly shook with every cry. But when they moved the stirrups into place, he clawed at the bed sheets and screamed that his crotch hurt! He hated being spread open like this! Ironically, his pussy was still sealed tight, his legs open and hips nearly displaced, but the baby was still behind his cervix, too far away to even create a bulge at his cunt. His contractions continued, deforming his belly, so they could nearly see the outline of the baby through his skin.
The nurse retrieved a bag of saline and hung it on the IV stand. It was much larger than a regular bag at four liters big. The doctor then lubed a double-ballooned plug and worked it slowly into the elf's ass. He howled when she put it in and told her he hated this, he never used that hole.
She stroked his leg, and told him she knows it's uncomfortable, but this is a natural and common way to progressing labor, especially in half-orcs. She continued her work, inflating both balloons so they formed a snug plug around his hole. He buried his face in his wife's arms and cried that his hole hurt, the balloons were too big!
The doctor instructed the nurse to began the enema. Within minutes a quarter of the enema had quickly flowed into the elf, which made moan and wiggle on the bed. He asked for his legs to be released from the stirrups, to please let him move. But the doctor told him the stirrups will make sure his hips are aligned so the enema can flow in the correct position, without them, the water might fill him unevenly and halt the progress of the baby
The elf broke down, weeping and blubbering, holding onto his wife's arm as the enema filled him. His huge belly was heavy and painful and he squirmed on the bed, trying to get comfortable, rattling the stirrups. But the nurse held his legs down when they moved too much and his strong wife hugged him to the bed and stroked his massive belly, trying to give him comfort. The orc told him he was doing such a good job, letting himself be filled with saline. The elf hiccuped and whimpered.
When the doctor told him he still had half of the bag to go and he wailed into his wife's arms, belly shaking with his sobs. His belly grew in front of him. The pressure of the contractions and the extra volume of the enema made him moan. The doctor watched his poor little body grow even larger, but belly a dense ball. The elf was gasping, unable to take deep breaths. His pussy was still tightly closed, still no visible progress.
When the enema finished, the doctor pushed her hand inside him again, feeling for his cervix. The elf clenched back, gritting his teeth through the pain. He had barely dilated another centimeter. She informed the couple that unfortunately the one bag was not proving much progress, so he would need another bag of saline.
The elf bawled, trying to move his hips away from the IV pole, but the nurse simply switched the bags and the saline continued to flow into the elf. He pleaded for them to stop, he was too full. His belly trembled with the extra volume, skin red and angry from being forced to stretch while trying to contract smaller.
The doctor pressed her hand into his cunt again. The elf arched his back and screamed in pain. She moved her hand in deeper, trying to get a feel for his cervix through all the additional pressure of the saline. He had barely opened anymore.
She left her hand in his cervix and put the other on the top of his huge belly and told him she wanted to see how well he was stretching internally, he needed to push as hard as he could.
He whimpered and tensed, but nothing happened. He tried to push again, but his cervix barely moved. He flung his head back in pain and yelled that he couldn't push anymore, everything hurt too much!
The doctor looked to his wife and asked if she could help assist the nurse in re-positioning the elf. She nodded and put her arms around her tiny husband. The doctor told her they needed to lift his shoulders so he could curl forward, it would be difficult for him to push with his back arched like it was.
The orc nuzzled her husband's head and put an arm behind his shoulder blades, lifting him off the hospital bed. He pleaded with her to not move him, it hurt so much to move! But she shushed him and stroked his trembling belly and told him he was doing a great job laboring, they were going to see their baby soon.
The orc and the nurse curled the elf forward, letting the saline enema slosh downwards. The elf threw his head back and cried out, eyes rolling in his head at the increased pressure.
The orc then moved to sit behind her husband, letting his back fall against her chest and circling her arms around his chest and belly. He grabbed both arms and blubbered about how much his belly hurt, this position was even worse, his tummy was too cramped!
The doctor and nurse moved the stirrups, lowering them to accommodate the deeper tilt of the elf's hips, but also widening them, pulling his legs even further apart. They secured his legs in the stirrups, pulling straps tight against his knees and calves, guaranteeing he wouldn't kick his legs out.
The elf sobbed in his new position, repeating over and over that his belly was too full and everything hurt, it hurt so much.
The doctor let the rest of the enema fill the elf, watching the way his belly grew, forcing his belly outwards from his body. The elf was massive now, his wife had to help lift his belly so it was out of the doctor's way. He squirmed when he could, barely able to move from all the extra weight he was carrying.
When the enema was over, he desperately pleaded with the doctor to not fill him with another bag of saline, he was going to burst. He hung his head and let his tears fall on his belly and pleaded with the doctor to use magic instead, as long as he wasn't given another enema.
While the doctor did wish the elf agreed to use magic earlier, she told him there were some light-magic use methods they could use instead of another enema. But she needed to check his progress to see their next steps. When the doctor inserted her fingers into his cunt again, the elf let out a broken moan, crying that the pressure in his pussy was too much, to please let him release some of the saline. The doctor told him to wait to see if the pressure got better. The saline enema was no doubt wreaking havoc in his belly, putting immense pressure against the baby, but that was the intention, if they released the saline, it would decrease his minuscule progress.
She pushed her hand into his cunt and fingered his cervix. His wife held him down so he didn't jerk and hurt himself on her hand. He was fully dilated for an elf birth. The poor boy, he still had to dilate twice that size for an orc baby.
She told him he still needed to dilate more and he cried at the news, telling her he was ready, please get the baby out.
The left side of the labor room was filled with cabinets. The doctor asked the nurse to retrieve a curse from one of the many drawers.
The elf flinched at the mention of magic and asked what kind of curse she was going to use.
The doctor simply responded it was a low-grade muscle relaxant. This was a natural curse developed from the aphrodisiac of a love-plant. Only the muscle-relaxant properties have been extracted and distilled into a liquid. It was no longer air-borne and would only be effective through skin absorption.
The nurse handed a bottle of ink to the doctor, who used it to draw a simple birthing curse symbol on the underside of the elf's taut tummy, directly over his lower womb and cervix, where he still needed to stretch to get this baby out.
The curse worked immediately. The elf screamed that it was working and he could feel the baby moving.
The elf's wails were getting louder and more frantic, so the doctor thought that was probably a good indicator that he was right and things were progressing. The doctor started to push her hand into his pussy again, when a trickle of saline was released from his asshole, dripping onto the bed.
The elf gasped, mortified that he released the saline all over.
The doctor moved to inflate the balloons more to create a bigger seal and the nurse changed the birthing pad under the elf. When the elf finally got over his embarrassment, he told the doctor to stop inflating the balloons, they hurt too much! The doctor stopped and the elf shook with the effort to hold the massive amount of saline inside him, making his belly shake as he worked against body. He gasped out that she could use magical methods to hold him shut.
Without being asked, the nurse retrieved a magical seal, already prepared for this outcome. She and the doctor worked together to replace the balloons. The nurse pressed the seal to his hole, chanting a spell to allow the passage of the balloon plug, while the doctor worked to deflate the balloons and remove them from the elf.
When the plug was removed, the elf let his head fall back and moaned, he cried that he wanted a natural birth and he hated everything that was happening. His wife cradled him in her arms, letting him cry against her body.
The doctor pushed her hand into the elf and it nearly slipped directly into his cervix. He was nearly entirely dilated. He moaned, but didn't scream at the intrusion, also a positive sign. She pushed her hand inside, up to her wrist and felt the baby's head.
She told the elf she wanted him to give a push again, so she could gauge his labor.
When he tried to push, the baby barely moved and he wailed in pain. He looked ravaged in his wife's arms, hair wild, eyes huge, belly heaving with every breath.
The doctor was concerned. He didn't have any strength left to help birth this massive baby, even if he was stretching nicely. She asked the elf if he could handle one more magical intervention. They could agitate the enema and help him deliver the baby.
The elf looked at her with tearful eyes, crying that it hurt right now, he didn't know if he could do this anymore. The doctor told him he could choose their next steps, but they had to move to get the baby out. He looked to his wife, then the doctor and agreed to the enema agitation.
The nurse retrieved an aquamarine crystal and placed it into the wall just above the elf's hospital bed.
Once it was above him, he started squirming, his belly rippling with the saline. He jerked in against his wife, his wails increasing in volume until he was outright yelling with the undulations of his belly. Ripples moved across his belly, violent swirls of saline visible through his belly, pushing against his organs, against his baby.
The doctor moved her hand inside the elf again, feeling the way the enema was moving the baby towards the exit. The elf's body was working to contract and move the baby down his birthing canal while the muscle relaxant curse held him open enough for the baby to pass.
The elf howled in his bonds, his wife easily holding him down so he wouldn't move and hurt himself or the baby. She tried to comfort him, but it was clear he wasn't processing her words, completely overcome with the pain of childbirth.
The enema worked his belly downwards, pushing the baby towards the exit. Medically, the doctor was fascinated with the process, always in awe at the way the saline would work with the patient's body to help them labor and never against it. The elf sobbed and shook on the bed, spread open and unable to stop the baby from progressing to his little cunt. This is where the doctor was nervous. His cunt was so small and she didn't know how he would have stretched without the help of the muscle-relaxant.
The baby bulged his crotch, forcing the skin to stretch and round. The elf's screams changed to frenzied shriek as the baby pushed against the inside of his crotch. He screamed that he was being torn open, but his pussy hadn't even opened yet.
When the baby started to crown, the entire floor knew what was happening. The elf yelled and screamed as his cunt lips were spread open.
The elf threw his head back and moaned, his neck muscles tensed and hands clawed at his wife's arms. The enema rocked his belly with a constant downward motion, like it was fucking his belly from the inside and pushing the baby out. The baby moved and the elf cried that he wanted the baby out already.
The doctor helped stretch his cunt lips wider, making room for the baby's head. The elf screamed and cried that it was too much, his pussy hurt, it hurt, it hurt, it hurt.
The doctor moved to press against the baby's head as it spread the elf open wider, letting his opening stretch so the baby could exit. The elf tried to move, but his wife held him down. He pleaded with the doctor to get the baby out, it hurts so bad.
The doctor felt sorry for the little elf, the ring of fire was often the worst part of birth and it was only amplified by such a large baby. She monitored the way his lips quivered and clenched with his constant contractions and the stretch of the baby. The enema in his belly rocked his belly, rhythmically pushing the baby towards the elf's pussy, only to be held up by the doctor.
Once the doctor saw that the elf's cunt had stretched to an adequate limit, she removed her hand and let the enema work in the elf's body. The enema rocked against the baby, building pressure in his womb and slowly pushing the baby forward. The elf howled as his pussy was stretched open even more to make room for the baby's head. His eyes were wide and red from crying, days worth of tears dried on his face. He screamed that he was going to tear.
The baby was pushed out of his cunt, holding him open at a crown, slowly moving. The elf screamed, tired and in constant pain, gasping as the baby shifted inside him. The enema drove through his belly, rocking his body with its movements.
Finally, with a guttural wail, the baby's head was pushed out of the elf's cunt. He took ragged breaths, sobbing on the air.
His cunt was still spread so wide on the baby's neck! The enema worked his insides with fervor. He moaned for it to stop, he couldn't take anymore, but it rippled throughout his body, pushing the baby forward.
The doctor was waiting to catch the baby when it was also forced out of the elf's cunt with a strangled scream, opening him wider, then finally letting his sore pussy close again. The doctor and nurse worked to quickly cut the umbilical cord and cast a diagnostic spell over the baby. The baby seemed to be unaffected by the long labor, the baby was a healthy 23 pounds. They released the elf's legs from the stirrups and let him finally close his legs.
The elf sobbed in his wife's arms, happy for that entire ordeal to finally be over. He reached out his arms for his baby, crying when the baby boy was placed in his arms. Tearfully, the elf curled around his baby, resting against his wife's chest. His hips were on fire from being stretched so wide for so long and his cunt throbbed in pain.
The doctor still worked between his legs. Even though the baby was out, the elf still had to release the afterbirth and enema. The nurse removed the aquamarine crystal from the head of the bed and the elf's stomach settled inside him. He still looked absolutely massive, with eight liters of saline inside his stomach.
The doctor asked if the elf wanted any more magical interventions now that the birth was over or if they should continue naturally. The elf whispered that he wanted to switch back to natural methods now that his son was born and it wasn't urgent anymore.
The doctor told the elf she was going to remove the afterbirth and reached a hand into his cunt one more time. He flinched at the contact, burying his face into his baby. The doctor felt the massive and gently tugged it out of the elf's sore pussy. He shook with her efforts, legs tensed as the afterbirth slid out of him. The nurse changed the birthing pad under him one more time so he was lying on a fresh bed again.
The double-balloon plug was back as the doctor worked it into the elf's asshole and inflated both sides to massive proportions. She explained that the muscle relaxant had made him stretchy, so the balloons needed to be inflated extra wide, asking the elf to breathe through the discomfort.
The elf tensed and gritted his teeth instead of yelling with his baby in his arms. The doctor attached the other end of the plugged tube to a disposal device and turned it on. The saline was removed from the elf's stomach as he moaned throughout the process. His belly visibly deflated in front of him and he cried tears of relief to feel himself finally release all the pressure inside him.
He placed his infant son against his stomach, which increased the flow of saline and made him release even faster. Soon all eight liters left his belly, leaving him feeling hollow and empty. His insides were ravaged and sore, wrung out from days and hours of intense labor. He tearfully looked up at the doctor and thanked her for helping with his labor.
The doctor smiled and told him she was happy to see he and his baby were doing well. He just had one of the largest half-orc pregnancies she'd ever seen. The orc smiled at her little husband and cradled her husband and child, telling him he did so well today.
The doctor left the couple in the room with their baby and went into her office. She rested for a few minutes, eating a small snack, barely making it halfway into her notes, when she got a call for another birth, this time a minotaur with triplets. She got up. Back to work.