okita sougo, gintama, monochrome, rule 63, sketch, birth, blush, canon genderswap, clenched teeth, closed eyes, crowning, female, female only, genderswap (mtf), hospital, hospital bed, hospital gown, labor, labor pains, long hair, medium breasts, no bra, no panties, okita souko, on back, on bed, pain, ponytail, pregnant, robe, shirogu, side ponytail, solo, spread legs, tears, uncensored,

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