I've seen this movie about a million times and in my opinion there is no way he was going to break up with izzy in this scene. Just the way he is when the nurse puts the scanner on izzys tummy and he asks if it's going to hurt her, u can see he really cares for her here.
My opinion is he was going to apologise for his behaviour and explain the pressure he's under with his job and the unique circumstances he finds himself in with all these new experiences (marriage, baby on the way)
Maybe I'm missing the point but this is my interpretation of these scenes
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