Which Genres Explore Mpreg Birth With Realistic Medical Details?

One pattern I've noticed is that authors often treat the biological reality as a flexible narrative device rather than a medical textbook. The 'complications' become less about accurate physiology and more about externalizing the story's core conflicts or the characters' internal struggles. Like, in a lot of fantasy omegaverse stuff, a difficult birth might coincide with a political coup or a betrayal, making the physical danger a manifestation of the couple's vulnerable position in the world. The pain and risk become symbolic. Sometimes it's about heightening the alpha's (or other partner's) protective instincts to a breaking point, forcing them into impossible choices—save the mate or the child, use forbidden magic, make a deal with a villain. The complication is a crucible for the relationship's established dynamics. Is the alpha who's always in control rendered helpless? Does the usually stoic omega break down? It tests the bond in the most visceral way possible. I find the variation in tone really telling. Some stories go full-on body horror with graphic, almost monstrous descriptions to underscore the unnaturalness of the situation. Others soften it into a mystical trial, where love and willpower literally become the healing force. The chosen approach says a lot about whether the author wants the reader to feel dread or awe, or a messy mix of both. My suspension of disbelief hinges on internal consistency more than realism. If the world has healing potions, then yeah, use them, but don't introduce a sudden, mundane hemorrhage just for cheap drama if it contradicts the established magic system.