Hopefully This Is Us goes the more optimistic route and this turns into a net positive for Toby and Kate, although one would think there isn’t much to smile about unless she’s going into early labor.
Kate hasn’t even had her baby shower yet, so we’re assuming she’s not at the nine-month mark just yet.
With so much of the present story arcs drawing connections to the flash-foward scenes, it wouldn’t be surprising to learn this event actually connects to the past in some way.