>>117400265Sugar never elaborated on the details. Ian described Gem reproduction, fans extrapolated it with other things into the full explanation.
Whether it’s necessary every time is not detailed. But fans have taken to the idea based on how Pearl was aware removing his Gem as a baby would have killed him, and how he acts in CYM when separated as well as how he seems to be doing in the movie when the Gem side as at baby strength to mean Steven has a congenital heart defect of some kind.
If true, then Rose gave up her form to prevent a miscarriage or him dying before out of the toddler ages.