The premiere season ofHouse of the Dragonbegan and ended with a grisly, gory, and nightmarish birth scene.

Aemma spells this fight out plainly in the first episode of the season.

Despite this, the maester performs the procedure with Viserys approval.

house of the dragon

Image via HBO

Our introduction to an older Rhaenyra is in the midst of her giving birth.

The sequence also depicts the enduring effects that come after birth.

While Aemma did not see the maester and Viserys converse, Laena watches intently as the maester approaches Daemon.

house-of-the-dragon-paddy-considine-sian-brooks-hbo

Image via HBO

The men plot around the table, defying Rhaenyras request to make no decisions without her.

As they strategize, Rhaenyras moans and screams echo in the background.

The moment echoes the way her mother died screaming at birth and her determination to avoid the same fate.

Nanna Blondell as Laena Velaryon and Matt Smith as Daemon Targaryen in ‘House of the Dragon’

Image via HBO

As men plot for war outside, she is at war with her own body in her chambers.

Emma D’Arcy as Rhaenyra Targaryen in House of the Dragon

Image via HBO

House of the Dragon