Unfortunately, the truth is that if you are childless in Philippines, you run the very great risk of having no one to care for you in your old age.
One of Ruby's cousins, who has a facial disfigurement, despairs of finding herself a decent husband. Unfortunately, she has not helped her chances by deliberately becoming pregnant by someone for whom she has no feelings. However, she has taken this step as a form of forward planning - looking towards her old age. Her parents have been encouraging her, very strongly, to have an abortion, but she is resisting.