She [Mariam Nabatanzi] was married off at 12 years of age after surviving death; allegedly at her stepmother’s hands who apparently pounded glass and mixed it in the food she gave Nabatanzi and her four siblings. Her husband is an absentee father & husband so she supports her children by doing odd jobs.
At 39, Nabatanzi has 38 children whom she has delivered from home except the last born who is four months old. She was delivered by caesarean section. Among her children are six sets of twins, four sets of triplets, three sets of quadruples and single births. Ten of these are girls and the rest are boys. The oldest is 23 years old while the youngest four months.
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Married off
Nabatanzi breaks down when she recalls what she went through upon getting married. In 1993, she was married off to a 40-year-old man.
“I did not know I was being married off. People came home and brought things for my father. When time came for them to leave, I thought I was escorting my aunt but when I got there, she gave me away to the man.”
Starting a family
Her father-in-law gave them a piece of land to start their family, a family for which she planned to have six children.
In 1994, when she was 13, Nabatanzi gave birth to twins. Two years later, she gave birth to triplets and a year and seven months after that added a set of quadruplets. This, she says was nothing strange to her because she had seen it before in her lineage. “My father gave birth to 45 children with different women and these all came in quintuplets, quadruples, twins and triplets,” she says.
Indeed, Dr Charles Kiggundu, a gynecologist at Mulago Hospital and President of gynaecologists and obstetricians, says it is very possible for Nabatanzi to have taken after her father. “Her case is genetic predisposition to hyper-ovulate (releasing multiple eggs in one cycle), which significantly increases the chance of having multiples; it is always genetic,” he explains.
By her sixth delivery, Nabatanzi had had 18 children and wanted to stop, so, she went to see a doctor at Namaliili Hospital.
The problem
The doctor told Nabatanzi that she could not be stopped then because she had a high ovary count which would eventually kill her if she stopped.
“Having these unfertilised eggs accumulate poses not only a threat to destroy the reproductive system but can also make the woman lose their lives,” Dr Ahmed Kikomeko from Kawempe General Hospital explains.
“I was advised to keep producing since putting this on hold would mean death. I tried using the Inter Uterine Device (IUD) but I got sick and vomited a lot, to the point of near death. I went into a coma for a month,” she explains.
At the age of 23 with now 25 children, she went back to hospital to try and stop. “I was checked in at Mulago Hospital and advised to continue producing since the ovary count was still high.”
No way to stop?
Kiggundu explains that women’s ovaries are at times suppressed and stopped from ovulating. “The suppressed eggs later pile up and are released at once and here, the higher the chances of fertilizing many eggs, the higher the chances of all of them dying, Nabatanzi was lucky,” he says. “She must have been super ovulating, releasing many eggs in a cycle.” He adds that Nabatanzi could have been helped if she had really wanted to stop producing, but some people are not well informed.
At the birth of her four-month-old child who was delivered by C-section in December last year, she says; “I asked the doctor to stop me from more births and he said he had ‘cut my uterus from inside’. This was my only Cesarean delivery because I was still weak from the sickness I suffered when I tried to use an IUD.”
Nabatanzi’s 25 years in marriage has been characterised by humiliation and torture. “I have been tortured countless times by my husband; he beats to the pulp when I try to reason with him over any issue, especially when he gets home drank. He does not provide for basic needs and welfare of the family; the children hardly know who he is since he is an absent father who gives his children names over the phone and not physically,” she says.
Charles Musisi, 23, her eldest son says their father disappeared and they have grown up only with their mother’s love.
“I can comfortably tell you that our siblings do not know what father looks like. I last saw him when I was 13 years old and only briefly in the night because he rushed off again,” he says, adding that they do not know the happiness of living with a father and they only rely on their mother as their both mother and father.
Nabatanzi says her husband spends close to a year without coming home and when he does, he just sneaks into the house late in the night and leaves very early in the morning.
“I carry these humiliations because my aunt advised me to always endure in marriage and have my children as the center of focus. She advised me not to produce children from different men.”
The education challenge
Nabatanzi is optimistic about seeing her children through school, something her father could not do for her. Despite being a Primary Two dropout, she has managed to educate her children.
One of her first born twins has a certificate in nursing and the other in building although they have not found jobs yet.
Nabatanzi’s five-year-old son who was diagnosed with a heart problem early this year worries her as she has to spend Shs120, 000 a week to buy him medicine. “In January, the doctors at Mulago Hospital advised me to raise Shs35m in nine months to have him taken to India for an operation. Since I do not have this money yet, I buy him medicine to help him cope in the meantime,” she says.
Nabatanzi finds solace in her children as the family she never had while growing up. “I wish I could get a helping hand to help me with my children’s schooling, which is my major concern. I stopped looking to my husband for anything. I’m only focusing on raising my children and I am determined to do,” she explains.
Home care
The older children help with their siblings and the general home administration. “I enjoy taking care of my children myself though. My children are my joy and I pride caring for them. I cook, wash and bathe them with ease. Children grow better under a mother’s love and care,” she says.
Health
Nabatanzi says she delivers her children naturally and she has always felt fine after each delivery until her recent C-section birth after which she started to develop backache after doing some home chores.
“My daughter who studied nursing used to take care of me during pregnancy. Eventually, I learnt how to do this, so I have not had any difficulties or complications with my pregnancies,” she explains.
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