The new Census estimates say Puerto Rico is smaller again, and the reason sits in the birth column. Between July 2024 and July 2025, the island lost 17,686 people, down to 3.2 million, a drop of 0.6% from the year before.^[3] I have argued in this series that migration is draining us. This week I want to argue the other loss, the quieter one, the one that starts in the maternity ward.