Cool na Doukyuusei no ◯◯ Nengo… - Ch. 118

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How is that even humanly possible given her age in the 20s? They start having child when she was 16 or what?
Did you not read the blurb? She's given birth 5 total times. If she started having kids at 20 and she's 29 now, she could easily have had 8 kids in that time (with time to recover), given that 3 of the deliveries were twins.
 

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