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Pregnancy Rules

W
hen you copulate with someone of your same Third-Trimester Effects
species (exceptions listed below), roll a d%. If If you roll less than a 10 on any Strength or Constitution
the result is 3 or lower (15 or lower if the check, you suffer 1 level of exhaustion.
female is a human or half-elf), the female in You automatically fail Strength, Dexterity, and
the couple conceives. Also, for divination Constitution saving throws.
purposes, at this time roll a d%. On a roll of 1–
49, the child is female. On a roll of 50–99, the Baby’s Health
child is male. On a roll of 100, she conceives twins. Reroll Starting at 2nd trimester, the baby becomes vulnerable to
twice to determine the sex of each child. outside effects and may be endangered by them. An unborn
Humans can mate with other humans, elves, half-elves, baby has 3 death saving throws. After 3 failures due to the
tieflings, and aasimar. The child’s race (for stat and ability effects below, you miscarry at the end of your next long rest,
purposes—cosmetically they may share the appearance of unless a raise dead or similar spell is cast on the baby before
both parents) is randomly determined (50% either race), then. A failure can be removed if you spend an entire
except in the case of elf and human, in which case the trimester without suffering another death saving throw, or
resulting child is always a half-elf. with one magical healing spell, which must target the baby
and has no effect on the mother. The following effects can
Pregnancy Effects cause you to miscarry:
One month after conceiving, you will begin suffering the If you are brought to 0 hit points, the baby fails a death
effects of first-trimester pregnancy, as listed below. The first saving throw. If you fail a death saving throw while at 0 hit
trimester's duration is 2 months. Each following trimester’s points, the baby fails one as well.
symptoms are cumulative, and occur 3 months after the If you take an amount of damage greater than half of your
previous trimester begins. hit point maximum, the baby fails a death saving throw.
First-Trimester Effects If you take poison damage or falling damage, or if you are
You have disadvantage on Constitution saving throws subject to the poisoned condition or fall prone, make a
You have advantage on Perception checks related to smell Constitution check. On a result of 9 or lower, the baby fails
(this is not negated by exhaustion levels) a death saving throw.
You can only travel for up to 4 hours a day; any faster is Delivery
treated as a forced march.
You require a 10-hour long rest to get rid of a level of After 8 months of pregnancy, the DM rolls a d4 to determine
exhaustion instead of 8. the number of weeks until delivery will take place. At a
random time that week, you go into labor. While in labor, your
movement speed is halved, your hit point maximum is halved,
and you have disadvantage on all attack rolls and saving
throws.
Each hour, you must make a Strength check. When the
total amount rolled equals or exceeds 30, you give birth.
At this point, in order to deliver the baby, another creature
(or you, with disadvantage) must make two Medicine checks
with a DC of 8 + 2 for each death saving throw failures the
child has.
On two successes, the baby is delivered safely without
complications.
On one success, the baby is delivered, but you are brought
to 0 hit points in the process.
On two failures, both the baby and you are brought to 0 hit
points.
After delivery, you gain two levels of exhaustion, and all the
effects of childbirth fade from you after 1d12 hours.
Credits
Homebrew by Abelhawk
Image source: Lee Bogle
Second-Trimester Effects
Your movement speed is reduced by 10 feet.
You have disadvantage on Dexterity checks and saving
throws.

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