After more than a decade of infertilty, Kateka and Stu attempt their last round of IVF. Charisse, who lives with Cerebral Palsy, makes a big announcement with husband David, while Patrishia and Don face pregnancy complications after miscarriage.

Identical twins Tiesha & Dienesha discover that they really are meant to do everything together. Kateka and Stu pray for a positive pregnancy test, and a startling diagnosis complicates Alexa and Jon's plan to start a family.

Rebekah and Micah confront his lifethreatening illness while preparing for parenthood. Patrishia worries about Don's reaction when her doctor bans them from having sex. Charisse falls while pregnant.

An unplanned pregnancy complicates life for little person Caylea. Kateka and Stu face heartbreaking news. Charisse must learn to adjust to a new way of walking.

After a miscarriage, Jocelyn struggles to balance her high risk job and new pregnancy. Rebekah visits her doctor hoping to feel her baby kick. Don longs to restore his relationship with his first daughter.

Firefighter Jocelyn worries about miscarrying again. Caylea and D'Quan face the reality that their child might have dwarfism. Alexa's surrogate Merrill takes a pregnancy test.

Tensions arise between Alexa and her surrogate Merrill. Kateka and Stu go through egg testing, while Patrishia and Don attempt to reduce their stress levels.

Patrishia is rushed to the ER. Recently divorced Missy embarks on her pregnancy journey alone. Caleb struggles with Jocelyn's unwillingness to slow down.

Rebekah and Micah spend a night out before his first cancer surgery. Alexa and Jon come to terms with a decision Merrill has made. Missy makes a life changing decision. Patrishia and Don receive an update on their baby's health.

Jocelyn and Caleb share their pregnancy and the baby's gender with family and friends. Caylea finds out if her baby will be born with dwarfism. Rebekah and Micah experience a pregnancy milestone.

Candace and Tim from Season One consider another harrowing round of IVF. Kateka and Stu finally resign to using an egg donor. Caylea informs D’Quan that their baby is little.

Deployed dad Jon returns home and meets his baby for the first time. Charisse challenges David to step up as her advocate. Patrishia becomes concerned when her water breaks early at just 34 weeks.

Patrishia experiences life-threatening complications while giving birth. Jocelyn makes a tough career decision to protect her baby, and Dienesha delivers news that shatters her twin, Tiesha.

After a difficult delivery and three blood transfusions, Patrishia finally holds her baby. Charisse suffers from unforeseen symptoms. Candace comes to an important decision.

Charisse worries she will be forced to have a vacuum delivery. Kateka and Stu finally receive news about their egg donor’s retrieval. Alexa and Jon fear they may lose their baby.

Candace finds out if her body can handle another round of IVF, while Kateka takes multiple pregnancy tests. Caylea and D’Quan prepare to become parents to a child with dwarfism, and Jon and Alexa’s surrogate makes a surprising confession.

Tiesha's blood pressure dangerously spikes as she goes into labor. Patrishia struggles through postpartum. Triplet Missy becomes a solo mother of two.

In the face of Covid-19, Dienesha faces the dilemma of giving birth without her identical twin by her side. Rebekah and Micah must make a difficult decision that could mean life or death. Candace and Tim receive some upsetting news. A confession from Alexa's surrogate, Merrill, sends Jon and Alexa reeling.

Rebekah fears the effects of a spinal block on her fragile spine. Kateka is forced to experience a major milestone without Stu by her side. Alexa rushes to Nashville to check in on her surrogate, while Missy struggles through quarantine with her newborn twins.

In this season finale, Alexa and Jon’s surrogate gives birth to their baby. Candace and Tim receive some happy news despite COVID-19 challenges. Kateka and Stu find out the gender of their baby after 11 years of trying, and we hear how the rest of our families' adventures into parenthood are shaping up.