You’re most likely right. Though, she is holding twins in the picture I think. Depending on genetics, it’s possible that a few of the other siblings are also twins. But that’s still a hell of a lot of pregnancies, and twin pregnancies are generally harder and riskier than singles, so… yeah that’s not really any consolation.
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Supposedly it’s that he stands that way to make himself look less fat, but your version is just as plausible.