I had this same issue with one of my first photoshoots. It is a delicate balance between pleasing your client and doing work you are personally proud of. In this case, I think she might get offended if you send her both versions. If it was me, I would remove her most prominent blemishes but not leave her with baby screen. Still leave some texture and stuff. There’s not much else I can tell you to do since it seems you are pretty deep now.
But do keep this in mind for future clients, especially women. Make sure you write your “boundaries” in your contract, or say them to the clients since the begining. “There will often be some edits done to the pictures in order to enhance the image as a whole, but within reason.” and then go on to explain a little of what you are willing and not willing to do.
Sorry I cant give you a better answer, good luck friend.