“life is so miserable” and yet “so many children” was basically most of human history
The sci-fi dystopias about overpopulation never really come up with a mechanism by which the birth rate remains high despite low infant and child mortality and low economic need for human labor. It always seems to boil down to "people are controlled by irrational instincts".
There are multiple grave markers listing children that died under the age of 10. Like a family had a 4 year old die, then had a baby 2 years later and then 3 years later buried that baby in the same grave as their older sibling.