The shuttle pilots' ovaries represent your unborn desire to visit space. Since potential space tourists can presently only get to space through buying tickets from the broke and corrupt Russian Space agency (the Dennis Tito route), the Russian mafia here is representing the keen understanding of your subconsious as to the most reasonable way to achieve your dream of space flight.
You are feeling so conflicted about your and Keith's decision to have a child by a surrogate that you subconsciously suspect said surrogate of being a Russian mafiosa. Oh wait, I'm confusing you with David Fisher from 'Six Feet Under'...
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you're about to lose your mind.
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