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Since Pepper seems to be quite the crunchy individual, it wouldn’t surprise me if she didn’t receive routine prenatal care/scans.

Yeah I wanted to sperg about this but I worried you'd think that I'm a bitch or something. It's very hard to decide when you should give up on a...

This is a very interesting article about the ethics and survivability of being born premature. It's from 2012 but absolutely fascinating.