When Mariam Nabatanzi from Uganda gave birth to her first set of twins at just 13 years old, she had no idea her life would become one of the most extraordinary stories in modern medical history. Over the next two decades, she gave birth to 44 children through a remarkable series of multiple pregnancies, including six sets of twins, four sets of triplets and three sets of quadruplets. Her story earned global attention, with many media outlets dubbing her the world's most fertile woman. Behind the astonishing numbers, however, lies a deeply human story of child marriage, a rare medical condition, poverty and a mother's determination to raise one of the world's largest documented families.