----------------------------------------------------------- Halima Cissé knew she was expecting an extraordinary delivery. Doctors believed the 25-year-old mother from Mali was carrying seven babies, and the pregnancy became so dangerous that she was transferred to Morocco for specialized medical care.
After weeks of bed rest, a huge medical team prepared for an emergency C-section and seven extremely premature newborns. Everything seemed to match the ultrasounds—until doctors delivered the seventh baby and realized the procedure wasn't over.
What they discovered next transformed an already remarkable pregnancy into a historic birth, followed by an intense fight to keep Halima and her tiny newborns alive.
Halima Cissé, a woman from Mali, made history by giving birth to nonuplets—nine babies—in Morocco. Originally expecting septuplets, the delivery surprised medical teams who discovered two additional infants. Despite extreme prematurity and life-threatening complications for both mother and children, all nine babies survived, setting a Guinness World Record.
By the time the doctors reached the seventh baby, everyone inside the operating room believed they
were approaching the end of a delivery they had spent weeks preparing for. More than 30 medical
professionals had been assembled, equipment had been positioned for seven premature newborns,
and every movement had been planned around a pregnancy so rare that even experienced specialists
knew there was almost no room for error. One tiny baby came out, then another, then another,
until the count reached seven, the exact number every ultrasound had shown.
But the procedure wasn't finished. A doctor suddenly noticed something that made the team
look again. There was another baby. The count became eight. For a moment, confusion swept
across the room because eight had never appeared on any scan in Mali or Morocco.
Then, before anyone could fully understand what had happened, they discovered another. Nine.
The room that had prepared for seven newborns was suddenly receiving nine,
and for 25-year-old Halima Sisay, what had begun as an extraordinary pregnancy was becoming
something no mother in recorded history had ever experienced with the same outcome.
But before that operating room could become part of history,
Halima and every one of those tiny babies would first have to survive it.
Halima came from Timbuktu, the ancient Malian city near the edge of the Sahara,
and long before anyone knew her name outside her community,
she had imagined a future filled with children. She had grown up as an only child, without brothers
or sisters filling the house around her, and perhaps because of that, the family she pictured
for herself looked completely different. She wanted noise, siblings growing up together,
crowded meals, and the kind of home where silence was unusual. While still a young woman building
her life, she married Abdelkader Arbi, known as Kader, a 35-year-old officer in the Malian
military whose quiet faith would later become especially important to both of them.
Their first child, a daughter named Suda, gave Halima her first experience of motherhood,
and although the little family of three was happy, her old dream of giving her daughter
siblings never disappeared. She simply had no reason to imagine that the next pregnancy would
fulfill that wish in a way neither she nor her husband could possibly have prepared for.
In early 2021, Halima traveled for medical care in Bamako already knowing she was pregnant.
She expected the familiar experience of an ultrasound and perhaps the first clear glimpse
of the new baby. Instead, the examination began taking longer than expected. The doctor kept
studying the screen, moving carefully, and counting what appeared to be separate heartbeats.
One baby would have been expected. Twins would have been surprising,
but eventually the number they believed they could see was seven. Halima was carrying septuplets.
The news escaped the walls of the clinic almost as quickly as anyone could process it.
A young woman from Timbuktu carrying seven babies was extraordinary enough to become
a national story, and soon people across Mali were hearing about Halima on television,
radio, and through conversations that spread from one community to another.
Yet behind the excitement was a much more frightening reality.
Carrying seven babies placed enormous strain on Halima's body,
while every child faced the dangers associated with extreme prematurity.
This wasn't simply a remarkable pregnancy waiting for a remarkable birth.
It was a medical emergency developing slowly, day after day, and the doctors caring for Halima
knew that if the pregnancy suddenly deteriorated, the specialist resources needed to protect her
and all seven babies were limited. Eventually the situation reached the highest levels of
government. Mali's president at the time, Ban Daw, authorized Halima to be transferred abroad
for specialist treatment, with the government funding her medical evacuation to Morocco.
On the 30th of March 2021, cameras watched as she left Mali for Casablanca,
where she would be admitted to the Ain Borja clinic. She was approximately 25 weeks pregnant
when she arrived, already carrying a physical burden few people could imagine, but the journey
came with another painful sacrifice. Kader could not simply abandon everything and follow her.
Their daughter Suda still needed a parent at home in Timbuktu, leaving husband and wife
separated by thousands of kilometers at precisely the moment they most needed one another.
From then on, their relationship was maintained largely through phone calls.
Kader stayed close to his phone while caring for Suda, and Halima remained in Morocco under
strict medical supervision, accompanied by a Malian doctor but far from the family she knew.
She was placed on bed rest and told to move as little as possible. The objective was brutally
simple, keep the pregnancy going. Every additional day inside the womb could mean stronger lungs,
more development and a slightly better chance for the babies once they entered the world.
Her abdomen alone had become extraordinarily heavy, reportedly weighing around 65 pounds,
and even resting meant enduring constant pressure while seven developing babies
competed for increasingly limited space. Five weeks passed this way. Against the odds,
doctors managed to extend the pregnancy from approximately 25 weeks to 30 weeks,
buying the babies precious time while another operation unfolded quietly around Halima.
The clinic began preparing for the delivery long before labor started.
This couldn't be handled by one obstetrician and a few nurses. More than 30 medical personnel
were organized, including around 10 doctors and 25 paramedics and other specialists,
with neonatal teams preparing to receive multiple extremely premature infants simultaneously.
Equipment had to be ready for each child, responsibilities had to be divided in advance,
and everyone had to understand exactly where to move once the C-section began.
There would be no opportunity to improvise if several babies required resuscitation at the
moment. The predictions were terrifying. Halima and Cater were warned that the babies faced an
extremely high risk of not surviving. Yet Cater responded with the faith that had carried him
through the weeks of separation, telling reporters that God had given them these children and that
ultimately their fate was in his hands. From Timbuktu, he waited. In Casablanca,
Halima remained in bed while doctors watched every change, trying to gain another day,
and then another. Until May 4, Halima began having contractions. The medical team moved
immediately. At only around 30 weeks, she was taken for an emergency C-section,
and the enormous team that had rehearsed for this moment gathered around her.
Seven neonatal stations were prepared because seven babies were what everyone believed they
were about to deliver. Then the first newborn arrived. The doctors continued,
2, 3, 4, 5, 6, 7, exactly as expected. But something was wrong with the count.
The surgery wasn't over. There was still another baby inside Halima. An eighth newborn was
delivered, instantly forcing the medical team to adjust to something none of their preparations
had accounted for. Somehow, despite repeated ultrasounds, another child had remained hidden
among the others. And then came the discovery that made even eight seem incomplete. There was
one more. A ninth baby was still waiting to be born. In a matter of minutes, a delivery planned
around seven premature infants had become a delivery of nine, five girls and four boys,
and the medical team had barely enough time to process the impossible surprise before an even
more immediate danger appeared. Because as the ninth baby entered the world, Halima began to
bleed. The bleeding became severe almost immediately. While one part of the medical
team rushed the nine newborns toward neonatal care, another remained around Halima, trying to
control a hemorrhage that was now threatening her life. She required emergency treatment,
additional surgery and a blood transfusion, turning what should have been the relief of
finally delivering the babies into another fight for survival. Halima barely had time to understand
that she had given birth to nine children before doctors were working to keep her alive.
While only rooms away, nurses and neonatal specialists were confronting an equally
overwhelming challenge. The babies were extraordinarily small, weighing between roughly
1.1 and 2.2 pounds. Five required ventilators almost immediately because their premature
lungs weren't strong enough to work independently, and even three days later, several remained
intubated. Each child was placed inside an incubator, surrounded by wires, monitors and
medical staff watching every breath. Halima had imagined meeting seven babies. Instead,
she was recovering from major surgery while trying to process the fact that she was now
the mother of nine newborns at once. Thousands of kilometers away in Timbuktu,
Kater's phone began ringing almost continuously. Family members called, friends called, Malian
officials called to congratulate him, and even the president reached out. Kater could hardly
explain his own disbelief. He had spent weeks preparing himself to become the father of seven
new children, something already almost impossible to imagine, and now he had been told there were
nine. As he later put it, if someone had once told him that he would become the father of nine
babies at the same time, he never would have believed them. The days that followed became
an extraordinary routine inside the Moroccan clinic. Caring for nine premature newborns
required enormous effort. Approximately 100 diapers could disappear in a single day.
Several liters of milk were needed, and feeding, changing, monitoring and treating the babies
became a continuous cycle shared among the medical staff. Nurses grew attached to them,
caring for the children through their most fragile weeks as though they were members of their own
families. Halima and Kater eventually named the four boys Mohamed, Omar, Elhaji and Ba,
while the five girls were named Khadidia, Fatuma, Hawa, Adama and Omu. Some of those names carried
special meaning, honoring people and a country that had helped make the extraordinary medical
effort possible. But the greatest surprise wasn't simply that nine babies had been discovered
instead of seven. It was what happened afterward. One by one, the children survived. For weeks,
then months, they continued growing under medical supervision, accomplishing something no documented
set of non-uplets had ever achieved before them. Halima Cissé's five daughters and four sons
became recognized by Guinness World Records as the first known non-uplets to survive birth.
Halima had spent her childhood wishing that one day her own children would never know what it
felt like to grow up without siblings. She had imagined a noisy house and a large family. She
simply never imagined that almost the entire family would arrive on the same day. As Kater
later summarized their extraordinary journey, they had prepared themselves for seven. God,
he believed, had blessed them with nine.