Lilly Carter is born and she's shown naked but her sensitive parts are censored off & there's a somewhat explicit club scene an hour into the movie.

Sarah is ran off of the road off of a cliff but she survives. At the end Virginia shoots and kills Jessica.

At least 7 hells, 13 religious exclamations (7 omgs, 4- thank Gods, 1- my God, 1- oh God), 1-ass