Trans couple Ahanu and Petrona face discrimination while pregnant. Mother and daughter, Thrisha and Jezelle, navigate pregnancy at the same time. Teens Maddie and Randal break their pregnancy news to Randal's mom, and discuss the realities of raising a biracial child in America.

Dominique and Angelo risk paying a large sum of money or prematurely implanting their last embryo, as they await the results of one final test. Ahanu and Petrona create a birth plan. Pregnant couple Kimberly and Darian discuss if they want to have a second child using the frozen sperm of Kimberly's deceased husband.