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They can die in child birth, so can their mothers though.
Not for me because I reload.
And I have never seen a 4-child who survived birthing as OP describes die. They go off somewhere and presumably are raised by nannies or ♥♥♥♥♥♥♥ or whatever until they turn 18.
It's got to be his mod.
Yes, was just saying, they can die, just in child birth. (unless you reload ;p)