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I'm doing a tribe run with it and Psychology installed and I have a lecher colonist who had affairs with 3 ladies by now, the first one got pregnant and miscarried, the second one had his baby when he moved on and slept with the third... Would be tones of drama in RL, but did not influence the game much as far as moods are concerned.
I would love it if more traditional colonists felt obliged to marry the mothers of their children, for example :)
Seeing the babies grow and develop would be great as well - it gives you something to get interested and invested in while they grow up, if would be fantastic if their personality and talents depended on how well cared for they have been and general events of their lives. Whit a mod that is as long term as Children and Pregnancy adding some excitement to growing up process would multiply the value of both mods I think :)
That and I'm a bit fed up with toddlers crawling out of the house to attend elections and a meeting with a mayor I'm sure they bring up some valid points at 1 year of age :D
Children, School and Learning adds pregnancy and children to the game, though it has no mechanisms for young children and default mod settings have children being born at 14 years old and ready to begin working immediately. Some consider the school and learning systems overpowered (I don't myself - schooling requires a prospective teacher to have a high skill in whatever stat they're trying to teach and a decent Intellectual besides, and they can't teach students a higher level than their own, meaning to get a student up to 20 in a skill off school alone will require a teacher with 20 in both Intellectual and whatever skill they're trying to teach and several years worth of classes unless the student has double flames for the skill), but they can be disabled using the mod settings by having the minimum age to begin school being a ridiculously high number.
Combining CSL and B&C (and editing the appropriate Mod Settings so they work together) results in a fuller but more long-term experience where newborns will require years of safeguarding and schooling before they're capable of contributing to the colony, but with dedicated investment into education they can indeed become highly skilled. Which seems fair and balanced to me.
Without CSL the only mod that I know of that lets B&C work is RJW, a porn mod based around sex and pregnancy. Most of its more infamous portions can be disabled through mod settings, but it is not available on the Steam Workshop, the Ludeon forums, or even the Rimworld Nexus and has a very bad reputation.
Edit: When using CSL and B&C one might also look into The Birds and the Bees. This doesn't add pregnancy or children at all, but does allow for impotence due to age or injury to the reproductive organs and some basic bionic replacements for them.