Tbh, I don't think it would be that much of a big deal assuming you had a base like Alexandria/Hilltop etc. Somewhere safe, warm, out of the elements. Of course if there were complications that required a C section or something, then I would be concerned. I guess hold off procreating until you had some kind of medical person in your squad.
Lots of women want to go drug free for the birth so that shouldn't be an issue. Plus, as the US Army found out, pretty much 90% of the drugs out there are good for 15 years past their use by date. So assuming an uncomplicated birth, the most you would have to do would be to deal with the umbilical cord which I guess you could read how to do in a book.
As for the baby dying and tearing it's way out, I feel it would be a struggle for a baby to do that. That is assuming we're dealing with Romero rules as in TWD in which everyone is already infected. Which as much as I'm a fan of Romero, I think is a dumb concept.
Now if you were a Whisperer and you're wandering around with a baby, that is incredibly stupid and can't be sanitary at all. I guess they thought it would be worth the risk of it attracting walkers so they could use it as a Human shield.
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