High maternal mortality meant that having more than about 7 children per woman was rare. Total fertility rate was about 4.5 to 7 in the pre modern era. Population growth was low due to infant and early childhood mortality though.

If you start having children at age 12, you can have a child every year and reach 7 children by age 20. Without contraceptives, people weren’t having such large multi-year gaps between children like we do now.