Kinda typical how many people make it seem like most mothers curse when they give birth when an educated one will know to focus on breathing and pushing as screaming is a waste of energy. Midwives/nurses would remind them to breath and push too instead of screaming.
He probably didn’t release 4 chapters because the next 2 are going to be about Lith reaching Bright Violet. Instead of “hate”, now they 3 parts will feel “love” for Elysia.