Rainbow Dash is suffering from complications during the birth of her second child. She is going through extreme amounts of pain, and her body threatens to shut itself down. A nurse came up to Twilight and Soarin' and told them both that she is probably going to die, and Scootaloo happened to listen in. Now with a time limit on Rainbow Dash's head, Twilight rushes to find some way of saving Rainbow Dash while Soarin' attempts to help his wife as much as he can. But Twilight must hurry before it is too late.

Meanwhile with the prospect of Rainbow Dash's death over her head, Scootaloo ends up rethinking just what the ponies that are close to her truly mean in her life.