Ugandan girl Myriam Nabatanzi was 13 when she gave birth to her first twin. When she was 36, she had given birth to 42 children, and she alone raised them, after her husband deserted her.

Myriam is now at the age of 41 and the doctors have told her that she has a rare genetic condition, which caused her to have more than one child in every pregnancy, and she requested doctors to help her when she was still 23 years old.

Myriam has three groups of four twins each, four groups of three twins, and six groups of each of twins, and it is strange that she takes care of these large numbers of children alone and feed them.

She was the most fertile woman in the world at the age of 12 when she married a 40-year-old man. A year after their marriage, she gave birth to the first twins. One of the doctors had warned Miriam that using birth control pills would cause her health problems, because she had unusually large ovaries, and so she continued to have twins.

Ugandan families are somewhat large, with an average family population in this country of about 5.6 children, which is the highest birth rate in Africa, but even at this rate, the Miriam family is very large.

When I was 23, Myriam had 25 children, and had always sought medical help, but to no avail. Myriam stopped giving birth three years ago following a catastrophe, after she gave birth to the sixth group of twins, one of whom died in labor, and then her husband deserted her leaving behind a huge family. She says: “I spent all my life caring for my children and working to make a living for my family.”

- when Miriam three sets of each four twins, and four sets of each three twins, and six sets of twins each.

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