Pregnant sims not given hospital option

Two kids and still no option to go to the hospital to give birth. I then removed my sims 4 file to generate a new game. Didn’t add any custom content or change game settings at all. Picked the Landrabbs got Nancy pregnant and still no option to go to the hospital to give birth. Did I miss an update where this is no longer an option? Do sims just stop going to the hospital now? 

You need to have gotten a message that your Sim is in labor before there will be an option when clicking on her to have baby at the hospital. If I recall correctly you need to do this within 30 minutes (sim time) or the birth will happen at home.

@jpkarlsen I get a notification that my sim is in labor, which should generate the pop-up to either join them at the hospital or send them alone. This option is no longer generating. My sim just continues on with her daily on goings and is uncomfortable for three hours then the baby is just there with a bassinet. 

@jpkarlsen OMG! If that’s what it is I’m going to 1. Feel really stupid but 2. I don’t remember having to do that before but I’ve only played with kids a handful of times. My sims are usually single, don’t age, and have no kids. I’m trying again. I’ll let you know if that works.