The woman represents an aspect of your conscious thinking. Her pregnancy symbolizes an idea or behavior that you are developing, based on this part of your thinking. The focus on the eyes and the stare, indicate identity and vision. This part of your dream shows that a part of you that you may still be unfamiliar with, is working up a new idea or activity that has a lot of emotional importance to it.
The fear, anxiety, pain, that you feel trying to rid yourself of what's inside shows the impact of a negative event in your life. Look over your life and see the signs where you may have been carrying around a burden; something that you didn't realize had affected or is still affecting you today. See how it is building to the point where you feel that you can no longer keep it in.
I hope this helps in some way and that by talking it through with someone can help. God bless!