I think the proper framework for considering morality of those choices should take into account the history of childbirth and child rearing. Right now we are m

I think the proper framework for considering morality of those choices should take into account the history of childbirth and child rearing. Right now we are mostly insulated from concerns of childhood mortality; there is an extensive network of medical care and parental aides that made the subject all but disappear [1]. In the present day a child dying is a freak accident, something that happened years ago to a friend-of-a-friend-of-a-friend. Even concerns of major birth defects aren't all that common. However we the humans have biologically evolved, and our civilizations have culturally evolved, in environment where childhood mortality was high, and parents had only limited means of providing safety. Granted, the family planning back then was also of lower availability and reliability back then [3], to some extent muddying the waters here. At any rate, I believe our moral choices should be informed by our (humanity's) origins, and the way we have successfully overcame various problems in the past. That includes considerations of bringing children to the world when we know they could end up experiencing hardships and misfortunes, or even that they could possibly die one day. -- [1] aside of miscarriage, which is a prevalent problem, but due to various factors it appears somewhat less impactful. [2] herbal and mechanical anticonception was a thing for millenia now https://en.wikipedia.org/wiki/History_of_birth_control https://en.wikipedia.org/wiki/History_of_birth_control