Here’s probably what happened, because it fits Trump and is incredibly dark:

He had sex with a pregnant 13 yo that was being sex trafficked - he accidentally shock induced birth through rough sex (which is actually common) - and then expected another person to handle it (which was her “uncle” + Epstein).

Sounds plausible and very likely given that Epstein was into enabling these horrors to gain influence over these people. He’d likely be complicit in the worst crimes imaginable if it meant gaining an advantage over his clientele.