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I wish the people who claim there is no story would read this post. ;)
At the end of said chapter as we see the image of Gabby in a gurney with blood stains on the lower half of her gown. In, I believe, "Final Discent" we see "younger Gabby" eating the older which to further suggests that their unbornchild was causing her health to deteriorate.
This would mean that the end of "Wayward Dreamer" is either a dream symbolically showing a Thomas worried about his pregnant wife, Thomas showing love for his sister even though he knows that her pregnancy could possibly kill her(if we look at this in an incestous angle since Thomas doesn't really look healthy himself), or it was real and it shows that Gabby has had health problems since childhood(according to TVtropes).
The scene of young Thomas stabbing Gabby in the gut(He and the killer wear clothing with anchors on them) is symbolic of him making the choice to kill his unborn child. Dark Gabby and the Babies then symbolise his guilt of making his decision. The Patiants represent his feelings of being helpless when making the decision or of his depression which then leads to his attempted suicides. And this in the end would lead to his wife leaving him.
Does my theory make any sense at all?