Mariam Nabatanzi, the "world's most fertile woman", suffers from a rare genetic condition and by the age of 36 had already given birth to 44 children.
The 40-year-old, from Uganda, was left to raise her massive family alone after her husband walked out on her almost four years ago.
The mum has three sets of quadruplets, four sets of triplets, six sets of twins and manages to care and feed them all on her own.
Now doctors are taking action to stop Mariam having more children after it emerged her dad had 45 children with several different women.
- World's most fertile woman ever? Single mum, 39, has given birth to 44 kids
Mariam was 12 when she got married to her husband, 40, who was 28 years older than her.
A year later after they tied the knot, she gave birth to her first set of twins.
Now she and her children have no choice to live in cramped conditions in just four tiny homes made from cement bricks and a corrugated iron roof.
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A doctor warned the mum that birth control, like the pill, could cause her problems because she had unusually large ovaries.
So after her first set of twins, the babies just kept coming.
By the age of 23, Mariam had 25 children and desperately begged her doctor for help to stop her having any more.
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But three years ago when she gave birth to her sixth set of twins, Mariam's final pregnancy ended in tragedy.
One of the babies died while she was in labour and then her husband left her for good.
Mariam said: "I have grown up in tears, my man has passed me through a lot of suffering. All the time has been spent looking after my children and working to earn some money."
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After this birth, the mum got the medical help she needed to stop her having more children.
Dr Charles Kiggundu, a gynaecologist at Mulago Hospital Kampala, in Uganda, said: "Her case is genetic predisposition to her hyper-ovulate, which is releasing multiple eggs in one cycle, which significantly increases the chance of having multiples; it is always genetic."
Mariam confirmed that doctors had taken action to remove the risk of her falling pregnant again.
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In a bid to provide her family with everything, Mariam, a hairdresser and an event decorator, brews her own local gin to sell.
But despite her best efforts, one of her children, Ivan Kibuka had to quit school to help raise the family.
The 23-year-old said: "Mum is overwhelmed, the work is crushing her, we help where we can, like in cooking and washing, but she still carries the whole burden for her family. I feel for her."
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