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My sims even still when giving birth I wasn't given the option to go to the hospital. So I ended up having an at home birth
@AlexisBaynes can you travel to the hospital in the Doctor career to test if it's working as it should?
When your Sim is in Labour you have to click on them yourself and I think it says something like "give birth at hospital", if I remember correctly there was no pop up and it's not automatic. But another player might be able to confirm if my memory is accurate, I last did this after adding Growing Together so it's been a few months.
I'd add a Sim to the doctor career and travel with them to work to test if the hospital is working as it should to put your mind at rest as that's the only way to fully test the hospital because it's a rabbit hole, like the police station and science lab.
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