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The pregnancy was apparently very delicate and two o the girls had twin-to-twin transfusion, so yeah, I would think they'd quit after this while they're still somewhat ahead of the game.
Four newborns plus a one-year-old and a three-year-old is just madness. You'd be lucky if the three-year-old was somewhat toilet trained.

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Before you criticize a man, walk a mile in his shoes. That way, when you criticize him, you're a mile away and you have his shoes!
Steve Martin