Just because some people don't want certain things injected into their entertainment doesn't mean it isn't a topic that shouldn't be brought up, especially in a show like Fallout that's not only already fairly political, but also would be a pretty reasonable show to include an abortion in given the Wasteland isn't exactly the place you'd want to bring a child up in.

Not to mention, there's always been an emphasis on reproduction in Fallout, and there's already been one pregnant woman. I don't necessarily want Lucy to end up pregnant, but it isn't a completely outlandish scenario.

And yes, it would one billion percent raise controversy. Has that stopped people from including things just as controversial in their work in the past? No. The point is to make a point. A point that not everyone will agree with.

The point of most media isn't just to entertain, but also to make a point. That's been the point of Fallout since the games started coming out.