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@sociology I say go for it. Your first 3 are close in age and your youngest has a bigger gap, so it would be nice to have two younger ones close in age who could play together, enjoy similar activities, be in a similar life stage throughout their school years, etc. The more, the merrier!

@symphorian Not me, but my mom helped pay for her friend's tubal ligation reversal in the 90s, and her friend went on to have 2 more healthy children in her late 30s (conceived naturally). For what it's worth, my OBGYN told me that nowadays up to 5 C-sections are safe for most women.