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"**I can agree with abstaining before marriage. I can agree that abortion is wrong, but shouldn't the Church recognize some method by which a couple can decide when they have enough children, especially when having another child will possibly kill the mom, the child or both? Shouldn't the Church recognize a method that will not remove sex totally from marriage?**"

The church recognizes NFP. It recognized it in Humanae Vitae. NFP, when learned properly, is as effective as the Pill and more effective than all barrier methods. I know couples who are long time users of NFP and have no children, one child or two children. Actually the Church teaches that both procreative and unitive aspects of sex are important. And they realize that without sex, a marriage is not a sacrament/reality because it is not consummated.

Actually the Church teaches that both procreative and unitive aspects of sex are important

So what if I am done with the procreative side? NFP is the only recognized answer? And what happens if while practicing NFP, my wife gets pregnant? Doctors have already told her, "Do NOT get pregnant again. Your body cannot handle it." Since abortion is not an option, does she try to have the baby and risk the life of both of them? The likely outcome is a miscarriage which carries its own physical and emotional issues. But all of this can be avoided through direct sterilization. What do you do?