Best quality, masterpiece, highres, solo, {oumae_kumiko_soundeuphonium

best quality, masterpiece, highres, solo, {oumae_kumiko_soundeuphonium:1.15}, brown_hair, short_hair, brown_eyes, blush, serafuku, bangs, closed_mouth, 1girl, blue_sky, blurry, cloud, kitauji_high_school_uniform, looking_at_viewer, outdoors, sailor_collar, school_uniform, shirt, sky, white_shirt, tree, day, neckerchief, short_sleeves, blue_sailor_collar, blurry_background, pink_neckerchief, she is having contractions, bend over and holding her belly trying to endure the pain ,Pregnant Belly, Pregnant belly, holding belly, in pain face, labor contractions sweating, in pain, very bend down, open mouth, >oo<, pain face, giving birth, Child Birth

{worst quality, low quality:1.40}, {zombie, sketch, interlocked fingers, comic:1.10}, {full body:1.10}, lowres, bad anatomy, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, username, blurry, white border, {english text, chinese text:1.05}