What happens to Padme in Anakin's recurring nightmares?

In Anakin’s recurring nightmares, Padmé dies during childbirth. In Star Wars: Episode III – Revenge of the Sith, Anakin becomes haunted by visions of his pregnant wife dying as she gives birth, echoing his earlier visions of his mother, Shmi Skywalker, suffering before her death.

These nightmares drive Anakin’s fear of losing Padmé and make him vulnerable to Chancellor Palpatine, who promises that Sith power can prevent death. Anakin’s attempt to save her ultimately helps him become Darth Vader, though his actions directly contribute to the tragedy he is trying to avoid.

Padmé does give birth to twins, Luke and Leia, at the medical facility on Polis Massa. She then dies shortly afterward, having lost the will to live. The film presents this as occurring around childbirth, so “she dies during childbirth” is the canonical answer a fair quizmaster would accept.

A common mix-up is blaming Obi-Wan or assuming Anakin’s vision shows Padmé being killed by someone else. Anakin later force-chokes her during their confrontation on Mustafar, but Padmé survives that encounter and dies after delivering the twins.