It looks like she’s having a c-sec while fully awake and uncurtained. Is that what you were going for? I do like the dawning horror that she can see inside herself.
Gotta say, I love the oddly phallic flower arrangement.
To me im not sure what kind of punishment this fluffy has taken. It looks between a mix of decomposing and minor blunt force trauma to its face. The reason I think its decomposing is because of the all the flowers around. The expression also looks like she’s happy which isn’t necessarily a bad thing but does make it look a little bit off, other people find it disturbing but I think its slightly distracting when she looks smug as if she doesn’t care that shes broken which is generally not how must fluffies act. Overall I feel as if these three details should be more interconnected to tell a story without words if you want some improvement but it already looks decent if you wanna colour it and call it a day. .