Really sleazy and hot! Also very nice pose and often even good artists find this a difficult angle to draw!
Suggestion perhaps she does BDSM for money including when pregnant? Soft, padded equipment to not scar her up but hardcore like a padded neck restraint that inflates so she's slowly choking? A rack to stretch her but keep her legs apart? A wooden horse triangle wedge? Maybe electricity, including to induce abortion/kill the baby so a steaming fried baby drops? Even soft things like spinning her on a wheel would be kinky with her breasts turning!
Just suggestions for later - love your art!