Titania went through a lot just to properly govern the archduchy. Reading tons of books was the first step; even though she was pregnant, she didn't make it an excuse to stop learning. Since, as Nina, she already learned about governing a place, it was an easy feat. Everything went quickly, not until the last month of her pregnancy where the struggles of childbirth flashed right into her eyes.
"I-I don't think I can do this."
Astra laughed as the maids brought the imperial physician and Asherah to Titania's room. "It's too late for that. You're going to give birth to that child even if you don't like it." As if taunting, the mage said that with a massive grin on his face.
"Damn you— AAAAH! IT HURTS!"