upper body,masterpiece, best quality,(photorealistic:1.4), highres, long brown hair, jewelry hairpin,super big breast,in the hospital,pregnant outfit,long white nurse outfit, ((very loose ))big long white nurse outfit, ((very loose ))big long white nurse outfit, see-through, Bare shoulders, cleavage, sexy, (nsfw:1.5),big and beautiful soft nipple,his mouth is covered with a black mask,sitting on a bed,and girl open vaginal,vaginal wet open,vaginal cum blood,girl ahegao,girl pregnant,girl give birth baby,vaginal blood

(semi-realistic, cgi, 3d, render, sketch, cartoon, drawing, anime:1.4),(camel:1. 5), (camel:1.75 5), ((((camel)))), (fat, ugly face:0.8), cross-eyed, (worst quality, low quality, normal quality:2), ((monochrome)), ((grayscale)), skin spots, acnes, skin blemishes, bad anatomy,facing away, tilted head, {Multiple people}, lowres, bad hands, text, error, missing fingers, extra digit, fewer digits, cropped, worstquality, jpegartifacts, signature, watermark, username, blurry, bad feet, cropped, poorly drawn hands, poorly drawn face, mutation, deformed, worst quality, low quality, normal quality, jpeg artifacts, signature, watermark, extra fingers, fewer digits, extra limbs, extra arms,extra legs, malformed limbs, fused fingers, too many fingers, long neck, cross-eyed,mutated hands, polar lowres, bad body, bad proportions, gross proportions, text, error, missing fingers, missing arms, missing legs, extra digit, extra arms, extra leg, extra foot, ((repeating hair))