did you watch the rest of the movie?...
well, if you didn't, aviva never died. what happened was that the doctor had to perform a hysterectomy on aviva due to complications (i.e. the doctor had to remove aviva's uterus/womb). so it wasn't a dream, it's just that the drugs were probably wearing off and she was slipping in and out of consciousness as the doctor and parents were talking. everyone was upset b/c they knew they just forced her to abort their only chance of a biological grandchild and basically ruined their daughter's desire to ever have babies again.
Hollywood films = how we want the world to be.
Independent films = how the world really is.
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