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Claire has a horribly realistic nightmare about her new baby being harmed or kidnapped. Flashbacks reveal Claire's backstory: the former boyfriend who got her pregnant, then abandoned her, and the psychic who convinced her to take the ill-fated flight that landed her on the island. Hurley is shocked and confused when he discovers that Ethan Rom, another plane crash survivor, does not appear on the flight manifest.
A Claire-centric episode.
Charlie: (trying to collect himself as Claire has labor pains) Okay, we've got to time the contractions... one sugarplum fairy, two sugarplum fairy...
Charlie: ...deep breaths, that's it, you've gotta take deep breaths... (Charlie demonstrates and gets light-headed) Oh, bloody hell...
Charlie: (trying to calm Claire) I might not know what I'm doing, but I'll figure it out. If I can kick drugs I can deliver a baby.
(Claire stares at him with a "what?!" expression on her face)
Charlie: Hold on... let me explain. I'm a drug addict. I-I was a drug addict. I'm clean now!