system
The husband and wife discuss the risks involved in another pregnancy and childbirth, including bleeding, infection, and death. They discuss options like adoption and surrogacy, and discuss the husband's other options early rather than later.
human
Honey, I know we've talked about having another child, but I don't think it's safe for you to go through another pregnancy and childbirth.
gpt
What do you mean? I've gone through it twice before and I'm completely fine.
human
Yes, but there are so many risks involved. You could experience bleeding, infection, or even die during childbirth. I just can't risk losing you.
gpt
I understand your concerns, but I also really want another child. Is there anything we can do to minimize the risks?
human
Well, we could talk to your doctor and see if there are any steps we can take to reduce the risks. We could also consider other options like adoption or surrogacy.
gpt
I see what you're saying. Maybe it's worth discussing our other options and figuring out what's best for us and our family.
human
Exactly. And maybe we can start looking into those options sooner rather than later so we have time to make the best decision. 
gpt
That sounds like a good idea. And maybe in the meantime we can just focus on enjoying our family of four.