Environmental concerns have caused some to opt-out of reproduction, both to help the planet and to protect their would-be children.
In some countries at least, the “obstetrical dilemma” has been solved by modern medicine.
Caesarean sections have been performed for hundreds of years. Although named for the Roman Emperor, there is no evidence he was actually born this way. Traditionally, the procedure was performed in cases where the mother was dying, in order to save the child’s life. Today, around one-third of US births are C-sections.