Why does our species reproduce in the way it does?

Why is sex pleasurable but birth painful, often resulting in the mothers death without medical attention. Why would a species have this physiology? Why has it evolved this way?

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Doomflower · 36-40, M

Because it is good enough. Enough humans survive the process and become adults it is not a detriment to the species as a whole. Evolution is all about "good enough" because it is a blind process. If something works it works.