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It may not look like there's a theme at some points, but there is. After I rolled for the number of kids, I realised that there were 50 of them. So each child shares their initials with a US state abbreviation. Some pregnancies have some extra themes too

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DH: Anthony William West
DW: Josephine Georgia West

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Pregnancy 1 - *First non-New England states to join the union*
DS: Daniel Edward West
DD: Pippa Amelia West
DD: Grace Alexandria West

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-Pregnancy 2
DS: William Vincent West
DS: Walter Isaac West
DD: Scarlett Chloe West
DD: Sofia Danielle West

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-Pregnancy 3 - *New England*
DS: Matthew Arthur West
DS: Noah Harrison West
DS: Victor Thomas West
DD: Chiara Teagan West
DD: Maisie Emily West
DD: Rhiannon Isis West

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-Pregnancy 4
DD: Thalia Xara West
DD: Tiffany Natalia West

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-Pregnancy 5
DS: Alister Robert West
DD: Alice Lucie West
DD: Amelia Karen West

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-Pregnancy 6
DS: Moss Damien West
DS: Mark Tyson West
DD: Maria Sadie West
DD: Maeve Olivia West
DD: Mia Iris West

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-Pregnancy 7 - *Western region*
DS: Ulysses Tomasz West
DS: Wilbur Anthony West
DD: Aluna Zara West
DD: Chloe Anna West
DD: Caitlin Olympia West
DD: Hana Ingred West
DD: Imogen Delilah West
DD: Margot Nadia West
DD: Wren Yana West

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-Pregnancy 8
DS: Kai Samuel West
DS: Kian Yannick West
DD: Ilinca Aimee West
DD: Ilsa Natalie West
DD: Isabella Lara West

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Pregnancy 9
DS: Luke Abarham West
DD: Felicity Liese West
DD: Vanessa Anabel West

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-Pregnancy 10
DS: Oscar Horatio West
DS: Otis Kevin West
DS: Oliver Remus West
DD: Natalie Victoria West
DD: Nicola Melissa West
DD: Naomi Dana West
DD: Nina Esmee West
DD: Nadia Yoanna West
DD: Natalia Chantel West
DD: Nicole Julia West