Kayako is covered in blood in the majority of the film.
R violence type: blood and graphic.
Disturbing violence.
The heroine's fiance hits a cat with his car. He gets out to look at it (there's no blood or gore).
A ghost child causes the heroine and her fiance to wreck their car, causing her to have a miscarriage (implied when blood trickles down her leg) and putting him into a coma.
There is a birth scene with no nudity--the mother's knees are draped with a sheet. There is blood from the birth shown.