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Gosiame Thamara Sithole's husband says they were astonished by decuplets after scans only showed eight in the womb.
"It's seven boys and three girls. I am happy. I am emotional. I can't talk much," her husband Teboho Tsotetsi told Pretoria News after the birth on Monday night.
Ms Sithole, 37, previously gave birth to twins, who are now six years old.
She is said to be in good health after delivering by caesarean section 29 weeks into her pregnancy in Pretoria on Monday evening.
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