Kes enters the Ocampa version of puberty.
I'll start positive by saying Jennifer Lien's strong performance carries a lot of the episode and elevates the material. Plus Tim Russ' performance and Tuvok's dialogue is a highlight.
Unfortunately it contains another character assassination of Neelix by the writers, who must have been determined at this point to make the audience dislike him. The jealousy scenes I found almost unwatchable, likewise the friction with the doctor, and struggled with virtually every other scene he was in. Ethan Phillips yet again has material that he cannot save with performance. The screen relationship between Neelix and Kes continues to feel implausible.
Many have pointed out the plot hole in the regarding Ocampa people only being able to have one child, but I do not really take TV shows seriously enough to feel that bothered by it. The most frustrating part is that all the melodrama is rendered pointless by a typically Star Trek 'reset button' ending.
The space creature subplot is silly, but I do not dislike it to the point of annoyance. It would have helped if it had not been dragged out for so long, I guess it gave Tim Russ the build up required to deliver a humorous punchline.