21 Sims 4 Pregnancy Mods: Ultrasound, Birth & More

Are you interested in a more life-like pregnancy experience for your sims?

We’ve compiled a great list of sims 4 pregnancy mods that will add some beautiful touches to your gameplay.

sims 4 pregnancy mods collage

Let’s face we all love sims 4, but the pregnancies could do with a little revamp (or a lot 😉 ).

But since there are such great modders, we can bring the missing pieces together by using their sims 4 pregnancy mods.

They’ve created helpful mods from pregnancy moodlets and traits to labor puddles.

We’ve curated a mixed list of some of the best pregnancy mods for you to peruse until you find your newest favorites.

Just a tiny reminder to read the mod’s pages for compatibility issues before combining pregnancy mods.

Sims 4 Pregnancy Mods

Below, you will find a mix of pregnancy mods that cover everything from stretch marks to realistic deliveries.

1. Relationship & Pregnancy Overhaul Mod (WooHoo Wellness) by Lumpinou

pregnancy overhaul mod options

This mod is the one to beat when it comes to sims 4 pregnancy mods.

From pregnancy preferences, paternity testing, and alternative pregnancies to adoption, there are 10 different modules.

And if that wasn’t enough, you can grab some add-ons (with more to come) to bring even more challenges to your sims pregnancies.

There is so much to cover, but if you had to pick just one pregnancy mod, I’d give this one a try!


2. Baby Shower Event by KiaraSims4Mods

baby shower planning event options

Nothing beats a party, even when the tiny guest honor can’t make an appearance outside the womb.

Baby showers are fun-loving events, and this pregnancy mod makes it just as fun for your pregnant sim.

Some fun goals include;

  • Playing games
  • Telling jokes
  • Having a sim feel the baby
  • Taking a selfie

All the standard good stuff friends and family do at baby showers.

And no baby shower is complete without gifts; your sim can win a cash reward and a much-needed bassinet.


3. Sims 4 Pregnancy Stretch Marks by Katybug273

female sims in CAS with body stretch marks
Rose Gold CAS Background by Lovable Lucy

Stretch marks are a reality for many people, especially during those long pregnancy months.

Some women shy away from showing their marks, while others take pride in displaying them as a badge of strength and have coined the term tiger stripes.

So if your female sims are ready to display their stripes, you can pick from various locations to put them.

While this mod is just for females, I have included another option further down this post for both genders.


4. MC Command Center by Deaderpool

screenshot of MC pregnancy mod options

The MC Command Center has to be one of the most versatile and popular mods in the sims 4 community (if not the most).

You can use this fantastic game extension for various mods, and game cheats in one convenient spot.

When it comes to pregnancy, you can change your sims pregnancy phase, invoke labor, and decide on the number of offspring.

You can also get a specific add-on (MC Woohoo) to enable the option of teen pregnancy if that’s of interest.


5. Realistic Child Birth Mod by PandaSama

female sims with labor options

This mod requires the Get to Work EP

This pregnancy mod brings realism to the sims 4 birthing experience.

If you want, you can opt for one of the different birthing options;

  • Nevermind
  • Surgery machine
  • Natural delivery
  • Cesarean section
  • Home birth

Depending on your selection, the birthing experience will be different, but you can also select other options for each experience.

You can also opt for a birthing partner, provided you have the required romance or friendship points.

Have your sim try early labor activities such as;

  • Going for a walk
  • Using a yoga ball
  • Taking a bath
  • Swaying with a partner
  • Cuddling with a partner in a birthing pool

There are so many possibilities to try out with this creative pregnancy mod.


6. Sims 4 Pregnancy Time Mod by Havem

pregnant female sims walking around home

This pregnancy mod allows for flexibility on the length of pregnancy terms.

Some players like to fast forward the whole pregnancy event, while others prefer a more life-like experience.

You can choose between 1 of 15 flavors with the pregnancy time mod.

The shortest possible length is 1 day (8 hours per trimester).

On the flip side, the longest is 147 days (49 days or 7 weeks per trimester).


7. Cherished Moments Pregnancy Mod by YourFalseHop

young female sim with pregnancy glow

Who doesn’t need more pregnancy moodlets for their gameplay?

This pregnancy mod comes with over 15 moodlets and various pregnancy-related social interactions.

Whether your sims need to grumble about morning sickness or discuss their postpartum depression during a phone therapy session, it’s available.

Plus, don’t forget to check out the linked page; you can grab even more related mods.

My favorite is the Cherished Moments -Toddler since you get a moodlet for your teething vampire tots.


8. Instant Morning Sickness Pregnancy Mod by PolarBearSims

pregnancy sim throwing up in the toilet

Who loves puking? Not me, and sometimes we are left wondering why we’re suddenly face-deep in the toilet bowl.

But unlike in real life, our sims showing a morning sickness buff for hours tend to let the cat out of the bag.

If you prefer a little mystery to your gameplay, you’ll enjoy this sims 4 pregnancy mod.

So say goodbye to that pesky sickness buff and find out about your sims pregnancy later down the line.


9. Pregnancy Ultrasound Scan by LittleMsSam

sims 4 pregnancy scan pictures on wall

This mod has to be one of my favorite sims 4 pregnancy mods currently available.

I never thought I’d be so excited to visit a gynecologist, but this mod adds a nice touch of realism to a sim’s 2nd or 3rd trimester.

A visit to the doctor will provide some fun information and options;

  • The number of babies
  • The gender of the babies
  • Pictures from the ultrasound scan
  • The ability to hang framed pictures on the wall
  • Gift copies to loved ones

And since healthcare is never really free, you can expect a nice fee of $75 for your visit and $25 for each scanned image you gift to friends and family.


10. Sims 4 Pregnancy Overhaul Mod by LittleMsSam

pregnant sim with smaller belly

This nifty sims 4 pregnancy mod bring some great modifications to the game.

If you want to change your sims belly size, you can reduce the standard EA belly or even scale it up.

Do you dislike the way your pregnant sim waddles around? Why not disable the walkstyle?

Plus, your sims can also enjoy more daily activities during their first and second trimester, like jogging, swimming, and many other options.


11. Wonderful Whims Mod by Turbodriver

wonderful whims cover image

This mod is multifaceted; it covers so many areas, from managing your sim’s menstrual cycle to donating unborn babies to science.

Your sim’s menstrual cycles can cause variable fertility, or you can opt for them to get pregnant through a single woohoo interaction.

You can modify pregnancy basics with this mod, like changing a pregnancy’s duration.


12. Quadruplets+ Pregnancy Mod by Pekesims & Claudia Sharon

five sims babies in bassinets

Whether you dream of your sims having a ton of babies or simply like a challenge, we’ve got the perfect mod in mind.

This pregnancy mod is all about babies; you can increase your sims giving birth to quadruplets, quintuplets, or sextuplets.

While Pekesims originally created this mod, it’s been kindly updated by Claudia Sharon so we can thank them both.


13. Ghosts Can Have Babies Pregnancy Mod by PolarBearSims

pregnant sim female ghost

While I don’t generally play with ghosts, I’m always happy to see mods created to allow players more options.

This pregnancy mod enables your ghost’s ability to try for a baby.

Here are the ghost reproductive possibilities;

  • Your male ghost can impregnate your female ghost
  • Your male ghost can impregnate a female human
  • Your human male can impregnate a female ghost

Remember that while your female ghost or human may get pregnant, their babies will be alive.


14. Labor Puddles Sims 4 Pregnancy Mod by PolarBearSims

female sim surrounded by labor puddle

This is another of my favorite sims 4 pregnancy mods because who doesn’t love realistic labor?

Once that pregnancy water breaks, you know your little sim baby is on the way.

But why not kick it up a notch and have a puddle for each contraction?

You can select the option you prefer for your pregnant female sims and your pregnant male sims and pets, too!


15. Subtle Sims 4 Stretch Marks by Marigolde

male and female sims with subtle stretch marks

This custom content is available for your male and female sims as promised.

While there are a couple of darker swatches, most of these stretch marks are subtle in color.

There are swatches for the belly, arms, outer thighs, and front and back thighs.

There are 2 available thumbnails found in the tattoo category.


16. Sims 4 Baby Maker Trait by Kialauna

male sims excited to make a baby

This trait is all about baby-making.

If your sims lack the necessary libido to get things going, then this is the trait for them!

Your sims will have baby-making on their mind (a lot) and the charisma to secure the goods.

You can expect your sims to be constantly flirtatious, and they don’t need to be married to begin wooing partners.


17. Advanced Birth Certificate Mod by LittleMsSam

baby sim with birth certificates hanging on wall

Requires Get to Work Expansion Pack

Birth certificates are essential, so it’s always nice when we can customize our gameplay a little more.

With the advanced birth certificate pregnancy mod, you can snag a birth certificate for babies born at the hospital.

You can also rename your baby’s birth certificate, and your vampire, mermaid, and witch babies can get special certificates, too.


18. Realistic Pregnancy Symptoms by WICKED PIXXEL

female sim with back ache

To add realism to your sims’ pregnancy, this mod adds the Pregnancy Symptoms CAS trait.

After assigning the trait to your sims, they will feel random symptoms every few hours throughout their whole pregnancy.

Your sims will get afflicted with buffs along with their respective animations.

Symptoms your sims will experience are the following:

  • Anemia
  • Extreme Low Energy
  • Feeling on Edge
  • Frequent Urination
  • Heart Burn
  • More Gas Than Usual
  • Nosebleed, which requires a CC
  • Pelvic Cramping
  • Shortness of Breath

These symptoms also work on male sims abducted by aliens.


19. Pregnant Aging & Death by PolarBearSims

sim blowing out birthday cake candles

The game is made in a way that prevents children, toddlers, and pregnant sims from dying.

This mod adds realism to the game by removing that exception so everyone can die under certain circumstances.

Now, pregnant sims can meet the same fate and die from:

  • Urban Myth
  • Old Age
  • Meteorite
  • Embarrassment
  • Laughter
  • And many more

For some extra spice, toddlers, children, and pregnant sims will die if they are not on a residential or community lot.

This mod does require certain packs; without a specific pack, the available death options will be reduced.


20. Discover Pregnancy Mod by SimMixD

forbidden sign on female sim

The moment sims becomes pregnant, the game immediately lets us know in obvious ways.

This pregnancy mod keeps us in the dark by removing some in-game elements, like throwing up autonomously and hiding certain pregnancy animations.

The mod also gives sims a couple of optional features, such as:

  • A new animation after trying for babies that changes how they act
  • Improved buffs on male sims pregnancy

These last two behavior changes are linked to the fact that the sims don’t know they are pregnant and act that way.


21. Pregnancy-Related Conditions and Healthcare by A.Deep.Indigo

healthcare redux mod title

This sims 4 pregnancy mod requires The Sims 4: Get to Work EP.

For added realism, your pregnant sim can get afflicted with pregnancy-related complications, such as:

  • Anemia
  • Diabetes
  • Blood Pressure Issues

Your sims will be able to take Prenatal Vitamins and reduce the odds of these complications.

These conditions can cause labor issues, like:

  • Triggering Labor Induction
  • Requiring a C-Section
  • Cause Postpartum Hemorrhaging (Rare)

If that wasn’t enough, for new sim parents, there’s also a possibility of getting a tough case of Baby Blues or Postpartum Depression.

Sims 4 Pregnancy Mods: Final Thoughts

With so many exciting sims 4 pregnancy mods available, your sims will get the realistic pregnancy they deserve.

Pick the mods that will give your sims the pregnancy experience you envision.

Please let us know if you find any other pregnancy mods we should check out.

You can always leave us a message below or reach out to us on our Tumblr.

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