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When a woman or couple takes "barefoot and pregnant" to the next level (usually considered a fantasy fetish due to the high financial cost). In addition to doing all the tasks associated with being barefoot and pregnant (cooking, cleaning, keeping the house in good working [order], providing and raising children for the man of the house, etc.), the woman will be naked any time she is at home, always providing for her husband's viewing pleasure and sexual gratification. She will also insist on always being pregnant and having as many children as possible (until she either reaches a certain age or her eggs dry out). If she isn't currently pregnant, she's trying to get that way.

[Explanations] for taking it that extra step include some combination of the following:
- One or both members of the couple is a [nymphomaniac]
- One or both members of the couple was raised with the breeder mindset
- They have a submissive/dominant [relationship] (woman/man, respectively)

The financial cost of engaging in a “naked and knocked up” [relationship] is that of raising a constantly growing family. Roughly every 10 months, you'd have another mouth to feed/body to clothe. Only certain professions by the breadwinner can support the high demands of such a lifestyle.

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