1) Yes. Clergy and midwives usually assist at births, as well as mothers, aunts, and grandmothers. Their familiarity with "sword-births" (as they're called on Toril) varies widely, as does their comfort level attempting them. However, having priests on hand who can... #realmslore
@TheEdVerse Hi Ed, do c-sections exist in the Forgotten Realms? Like if a mother is having a life-threatening birth, or having to push out a really big baby? And what's the survival rate for both mother and child?

Jan 18, 2026 · 7:09 AM UTC

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2) ...use spells to bloodquench and heal makes for far less hesitation and trepidation. The Realms does understand cleanliness and why it's needed. The survival rate varies with conditions (hard winter? out in the wilds? in wartime?) and the health of the mother... #realmslore
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3) ...at and during pregnancy, but there's likely about a 35% mortality rate for mothers and 15% for newborns without access to timely priestly healing, down to about 7% and 4% with healing right away. Aftercare matters a lot, too, in the first 3 weeks, especially. #realmslore
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Now that I think of it, what do the Realms have in terms of contraceptives? And are infants any different in terms of magic? As in, do spells, items, and concoctions affect them differently, do highly skilled mage mothers have involuntary magical outbursts, are there births with-
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Petition to change the term C-Section to Sword-Birth
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