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So far, I'm in the 3rd generation family wise. As of now I've had five daughter's die in childbirth out of six. The sixth died by drowning so never got the chance. Extended family hasn't had any daughter live long enough to have kids yet on their end.
With that being said, most die in the first or second time around. I did have one that manage to have four before dying to the 5th. So again could just be bad luck. Or maybe there's a gene that increases the odds that my family just happens to have.
Not game breaking or anything naturally. I personally enjoy the increased death rates this mod overall. Chaos reigns which always helps the game not become dull!