Wow, Elisabeth Moss totally crushed it.
Cons:
I didn't get the wolf thing. Was it hunting her? Or was it meant to be some sort of symbol of hope or something? It felt random, like an added threat in an episode already filled with enough threats. I liked the way the episode tilted into the horror genre in certain ways, and I thought that almost every decision worked. But the wolf felt out of place to me.
Pros:
That is a total nitpick though. This episode was almost entirely focused on June, alone and scared and about to give birth. Let's start, however, with the flashback material.
As June prepares to give birth for the second time, she thinks back on her pregnancy with Hannah. There weren't any particularly big revelations or new plot information provided here, it was just a chance for us to see June, Luke, and Moira together, preparing for the addition of a new life. We see June in labor, we see her mother showing up, a bit late but there nonetheless, we see a scene of June leaving a crying Hannah behind at school, in a heartbreaking parallel to their goodbye in last week's episode. I love seeing these flashback scenes, not just in this episode, but throughout the show. It helps to emphasize the extreme difference between past and present. Obviously Gilead is a surreal nightmare for June, and this becomes even more clear when we see what her life once was.