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Pregnancy & Birth

Pregnancy

Pregnancy has three trimesters, each defaulting to 10 in-game days (30 days total).

Trimester Default Visual Changes
First (State 4) 10 days Slight belly growth
Second (State 5) 10 days Noticeable belly and breast growth
Third (State 6) 10 days Full belly, maximum scaling

Baby Health

The unborn baby has a health value (0--100, starting at 100). It is reduced by combat damage taken by the mother while pregnant. If health drops too low and the miscarriage system is enabled, a miscarriage may occur.

Restoring baby health: drink a Restore Health potion (stronger = more healing), sleep, or sit/rest in furniture; health also regenerates slowly on its own over time (faster in later trimesters). Drinking a harmful/poison potion hurts the baby instead. Note: once a miscarriage has actually started, healing no longer works -- act before health gets critically low.

Miscarriage

When enabled (MCM toggle), low baby health can trigger miscarriage at any point during pregnancy. The chance increases as health decreases. Miscarriage ends the pregnancy and returns the mother to the normal cycle.

Post-miscarriage complications (player only). After a miscarriage or abortion, the game rolls for aftermath conditions whose likelihood depends on the type of loss (an incomplete abortion is the most dangerous, at roughly a 60% infection chance):

  • Infection -- an escalating affliction that deals steadily increasing health damage to the mother every game-hour until treated. Drink any healing potion to cure it. It also clears on its own at the next cycle, or if she becomes pregnant again.
  • Fever -- a companion affliction rolled the same way.

These damage the mother after the pregnancy has ended -- they are not a cause of unborn baby health loss. Higher difficulty increases the damage; on the Painless difficulty there is none.

Birth

When the third trimester ends, labor begins (State 7). Birth is a multi-stage process:

  1. Early contractions -- mild pain
  2. Opening contractions -- increasing pain and damage
  3. Pushing -- strongest pain, each baby is delivered one at a time
  4. Afterpains -- final stage before recovery

For each child, a health check determines if the birth is successful:

  • Live birth -- a child actor is spawned in the world
  • Stillbirth -- the child is not spawned (only if miscarriage system is enabled)

Baby Spawn Modes

Mode Player Default Description
None (0) -- No child spawned
Actor (1) Yes A child NPC is placed near the mother
Item/Actor (2) -- Items for creatures, actors for humanoids
Gem (3) -- A soul gem item is given

NPCs have their own spawn mode setting.

After Birth

After all children are delivered, the mother enters the Replenish phase (State 8, default 30 days) before returning to the normal menstrual cycle.


Born a child? See how they grow up in Children.