Probably not medically accurate. Neither are fluffies.

>Fluffy momma is foaling
>She's on her back, hind legs spread, screaming in pain
>Other herd members hug and nuzzle her
>Water slowly trickles out
>"Fwuffy be momma! New babeeh!"
>Foal starts to come out slowly
>But then it gets stuck, only the head is out
>No matter how hard the momma pushes, the foal doesn't come out
>Other fluffies push and poke her belly, but to no avail
>She screams in pain and huffs
>"Waah! Huwt! No huwt momma! Hewp!"
>Others do their best to keep her calm
>They gently poke the squeaking foal and try to pull it out
>Soft hooves aren't ideal for that task
>Foal squeaks in pain
>"Nuuu! No huwt babeeh!" momma panics
>Smarty friend comes to assess the situation
>Looks like momma's birth canal is too small or wrongly shaped
>Smarty thinks, then pushes the screaming foal back in
>Water starts to trickle out again
>Momma slowly deflates and pushes more
>Foal is stuck again
>Smarty pushes foal back in
>Momma keeps deflating as more and more water comes out
>"Wheve babeeh?" she keeps asking
>After numerous attempts to get the foals out, she has returned to her normal size
>Except the foals are still inside
>She tries to push them out, but they're not coming
>Fluffies can see two bumps in her belly, the foals
>They work for hours, but can't get the foals out
>The womb has deflated and trapped them in
>Everyone cries
>Foals are alive, they just can't get out
>With the amniotic liquid no longer protecting them, the foals are fragile
>Fluffies keep poking her belly
>That and rolling her around slowly crush the foals
>The bumps stop moving
>Foal corpses rot inside
>The infection kills her a few days later