Rhonda, and her husband, James, have two other children: Justin, 9 and Gavin, 3. Doctors had to induce labor in both cases, and giving birth took four hours for each of them.

It puts a very necessary spotlight on the alarming rates of girls and young women, mostly in developing countries, who continue to give birth to children while they are still children themselves.

An Apple Valley, California woman’s four children all share the same birthday — but they’re not quadruplets. Nauzhae Drake, 26, gave birth to her fourth child on July 7th of this year.