Surprise pregnancies turn three couples' lives upside down, Krystal and Jarrel argue over their baby's paternity until Krystal goes into labour, and Aly and Josh uproot their lives. Meanwhile, Doug and Mars remain volatile two years after their baby's birth.
Jarrel won't talk custody with Krystal without a DNA test. Aly's allergic reaction during labour makes her high-risk pregnancy more dangerous. The quads are back and busting out of their house, and wrestler Brooke is terrified of giving birth.
As Aly and Josh's surrogate goes into labour, they worry she'll have difficulty giving up the baby. Jarrel does a paternity test in Boston without telling Krystal, Brooke goes into labour three weeks early and Mars gives Doug an ultimatum.
Aly and Josh get difficult news from the birth mum of the baby they're adopting; Jarrel gets results of the DNA test; Brooke has a scare with the baby when she brings him home from the hospital; Tyson is left alone with the quads for the first time.
Aly and Josh pray their birth mum will change her mind. Brooke takes steps to return to pro wrestling after Weston quits his job, while Ashley and Tyson stress as they decide whether to build a house and a shocked Mars thinks she might be pregnant.
The moment of truth arrives for Mars and Doug as the pregnancy test results are revealed. Also, Brooke finds pregnancy has taken a toll on her fitness.
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