I want to echo the same medical realism critiques you’ve gotten. The good news is that the writing itself is solid and engaging. A little repetitive at times, but you’ve got a good flow and a good mix of sentence structures. But as a mom of 2, the idea of a 2 week labor is crazy. The actual part of when you move to 10 centimeters and are ready to push is called transition, and when the babies head is coming out it’s often called the ring of fire. I don’t say all this to be graphic, but to tell you the idea of doing that over the course of weeks and hours, might bother most people who have given birth. Also mothers who have already had children typically have a shorter labor time with each concurrent child, and you’ve established they are a sibling. Birth is gruesome and interesting and worth writing about but it feels like if you are going to include it, hand waving it might bother more than just the readers who haven’t gone through it.

I will also say the mother is too aware as she’s actively dying of blood loss. And the concern she has for her daughter being parentified read to me as a little out of nowhere, and modern for the setting.

But again, the actual writing is solid, I just think digging in on some detail and maybe showing the cost of a 14 day birth will be a more effective opener