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if it's not showing in that menu at all then something has gone wrong.
as a last resort you can get the book through the console with the command "add_artifact midwifes_book"
are you having trouble getting the book or is the book not reducing fertility?
the only problem is that your fertility doesn't change instantly. if the game is already paused on an event that would normally result in pregnancy, unequipping the book before clicking the popup will not work. you would have had to remove the book before the event happened.
also any translations would be very welcome, thank you
AND I would like to translate this mod into german, are you interested?