This is supposedly taken place before “The Many Loves of Pinkie Pie” by HamGravy although not cannon.
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It was another wonderful day in Ponyville general hospital. Dr. Stable was unenthusiastically looking over the vital signs for a patient, Pinkie Pie. He rubbed his hoof systematically along her enlarged abdomen, feeling for the position of the fetus as well as the interval of contractions. Pinkie felt as if she was putty under his strong yet gentle hooves. She had always loved this about him and was not shy of it.
 
“Hey Doc do you think you can give me a full physical examination in private after this?” She says in a pitiful attempt to lead him on, then winces as another contractions starts.
 
“Fuck off Pinkie, besides I’ve already tasted that.” He says to the obstreperous mare with smite in his voice.
 
 “Why can’t this slut keep her legs closed for once.” He thought. Looking up from the charts and to Pinkie, he thinks back to the time he had copulated with her. It’s a damn wonder he hasn’t caught some STD. Hopefully she will learn after the painful experience of birthing a foal and never do something like this again. Of course the key word here was hopefully.
 
“Come on Doctor don’t be like that.” She says forcing a smile.
 
Soon the time between contractions was becoming lessened and pinkie was in obvious pain.
 
“NURSE REDHEART.” He calls.
 
She comes pushing a tray of different drugs and medications and hooks up Oxytoxin to Pinkie Pie via Intravenous.
 
“Alright Redheart I trust you have everything under control here?” says the doctor, eager to leave the room.
 
“W-wait” interrupts pinkie. “Doctor do you think you could do the delivery?” She would do anything to feel those amazing hooves on her mareoriface even if just for a short while. He give a exasperated sigh and complies.
 
The nurse notices Pinkie is struggling due to this being her first birth. She seems to be giving lots of weak short pushes as opposed to less stronger long ones. She was a bit peeved and knew pinkie wouldn’t be able to handle the responsibility of taking care of a foal, but as a patient advocate she has to push that aside and tend to the pink party patient before her.
 
“Alright Pinkie” she says, “I need you to take a breather for a second, and after I want you to give me a REALLY long push.”
 
The pink pony looks up to Redheart and gives an understanding nod. She takes one big breath, as if she had seen a new pony walking around Ponyville, and gives the biggest push she can muster. She starts defecating due to the push, which signals to nurse Readheart that she is in fact now pushing correctly, as the same muscles used for birthing are ones used for expelling fecal matter.
 
“It’s quite the surprise that she is not shitting pure frosting and sprinkles from her overly sweet diet.” Nurse Redheart thinks to herself stifling a chuckle. She was a master at keeping a stern demeanor in times like these.
 
“Come on Pinkie it’s almost there!” Doctor stable says.
 
“Ummm Doctor?” Nurse Redheart says “I don’t think we should go through with this, Pinkie looks like she-”
 
“Nonsense Redheart it’s already crowning.” Stable interrupts.
 
Pinkie is straining with all her might and screaming trying to push her first foal out. She is in so much pain she thinks she might just die. Stable takes surgical scissors and cuts the marehoodal opening wider to make room for the foal whom seems to be stuck. Pinkie barely notices it due to the pain her unborn foal is putting her under.
 
Redheart contemplates giving her anesthetics but decides against it as it could cause respiratory depression of the unborn foal, whom is already having a hard time. All she can do for now is hold Pinkies hoof and encourage her. Soon the head pops out. Doctor stable gives it a delicate tug but finds that the rest of the foal won’t follow, so not thinking clearly his reaction was to pull with more force.
 
There was a faint cracking noise followed by a pop. Nurse Redheart turned and saw the horrific scene before her.
 
“Damn it Stable, are you crazy?” Nurse Redheart says, completely overwhelmed.
 
Doctor Stable had accidentally pulled off the foals head clean off the shoulders. Holding the small fragile head in his hooves he starts shaking and panicking.
 
Pinkie was still in too much pain to realize what exactly was going on but she did feel something small coming out, still judging by the catastrophic amount of pain and the size of her belly that couldn’t have been the baby so why did they stop? They were taking her to the operating room in plans of taking the rest of the baby out in cesarean section. Pinkie was just looking around in confusion. “What’s going on? Where’s my foal?” she thought to herself. She could probably formulate exactly what was going on in that crazed head of hers but she denied the fact that something should happen to her foal.
 
Nurse Redheart does the skin prepping and Doctor Stable is the one to perform the procedure. The foal was whopping 12 pounds as they weighed it. This was probably due to all the sweets she consumed during pregnancy. Usually mares lose their appetite the last few months of pregnancy which was normal behavior and it made for an easier delivery of the foal. Not for Pinkie Pie though, then again she was always an odd one and she undoubtedly loved her sweets.
 
Doctor stable sewed her abdomen up while Nurse Redheart worked on the marehood. Doctor stable had cut a few minutes prior and put her in the recovery room where Nurse Redheart broke the news. Pinkie may not have been responsible and she probably wouldn’t have taken care of that foal to the greatest extent, hell she didn’t even know who the father was. She was going to name it Nimbos after a Cloudsdaleian hoofballer. It was her foal and she was hurting so bad… so devastated.
 
 
And that’s how Doctor Stable lost his medical license.