Q&A for How to Have a Baby in The Sims 4

Usually once or twice. I have never had a Sim fail to get pregnant the second time.

Make sure one Sim can get pregnant and the other Sim can get others pregnant. Check your household size as well; you can only have eight Sims per household, and if you already have eight Sims, you can't have a baby unless someone else dies or moves out. You should also check that the spot for them to WooHoo is accessible, and not blocked off by walls, objects, or locked doors. (If your Sims still can't Try For Baby after you've made sure everything should be working, try with a new save to see if that works, and check that you don't have any outdated or incompatible mods that could be interfering.)

Yes. This will appear in the custom gender options in Create-a-Sim - when you click on the plumbbob icon in the upper left-hand corner (next to the "Hello, my name is..."), the pregnancy options are in the dropdown box labeled "..." under the Male and Female icons. By default, the game will make female Sims able to get pregnant and male Sims able to get other Sims pregnant, so if you didn't edit the custom gender settings and the Sims are in a straight relationship, they should be able to Try For Baby.

You cannot give birth to more than 3 babies. Although, with mods, you can in fact have more than 3 babies.

The kids will never get taken away if your sim leaves the house. They will automatically go to daycare. Although if you are at home, you can go one sim day before your kids get taken away.

In the Sims 4, you can hire a nanny. All you have to do is click on the phone. Then click 'hire a service'. Then, you will need to hire the nanny. If all of the adults in the house are gone, you will get the option to hire a nanny or send them to daycare. Both work fine, but only the latter is free.

Click on your Sim while they're in labor and select "Have Baby at Hospital". If you have Get to Work installed, you'll be asked if you want to go to the hospital with your Sim; click "Join", and select any Sims you want to go with your pregnant Sim. Without Get to Work, your Sim will just disappear off the lot until the baby is born.

The Sim will need a partner. There is no sperm donor in any of The Sims games, but there might be custom content with sperm donor.

Make sure you had your Sim try for a baby first, and they aren't currently pregnant. They also need to be able to give birth. It could also be a bug or a glitch, so try again.

Labor will go on for a few in-game hours. Pregnancy lasts 3-5 days. Be patient.