All of what everyone has said, and more. This card creeps me. There are so many interpretations of what's going on in it, and none of them are bode well for the figures in it. (Excellent card, excellent deck, don't get me wrong! This card is doing its job.)
Has anyone noticed what the dull-eyed baby is wearing? A long robe, as long as a christening gown (they were fitted to a child's body but adult length, symbolizing the hope that the child would prosper and live to adulthood) BUT they were white. This is black. Does the woman have a death wish for the children, as being a burden to her? Both children are in black. Is the little girl cold, or clutching a pain? If so, what is the cause of the pain? The woman looks to be in a trance, and I'll go with that, because...look closely at the stonework to the right of the door. Yes, I know it's photoshopped in, but with all the stonework examples to choose from, the creators have chosen a wall that appears to be off-level. No, there is no corner and the wall is not receding into the distance directly away from us. In this image, the courses are askew. The woman is askew. And what sort of woman wanders the streets immodestly hatless in a scarlet dress at night? Not even a kerchief? Is she a prostitute? Are the children inconvenient by-products of her assignations? She is thick around the middle. Is there another on the way? Has she had other children, and if so, where are they now? Is she in the trade to feed an addiction, and addicted to cover a hurt?