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The circumstances of their high order multiple birth led to controversy in the field of assisted reproductive technology as well as an investigation by the Medical Board of California of the fertility specialist involved.
The octuplets celebrated their first birthday on January 26, 2010.Suleman rejected suggestions that her decisions have been selfish or that she would not be able to care for her children, stating, "I know I'll be able to afford them when I'm done with my schooling.If I was just sitting down watching TV and not being as determined as I am to succeed and provide a better future for my children, I believe that would be considered, to a certain degree, selfish".Several pictorials followed, focused mainly on her weight loss since delivering the octuplets a year earlier.In April 2010, Suleman was on The Oprah Winfrey Show and Idol Gives Back, in which she denied claims that she had received plastic surgery and stated that she refused to star in pornographic movies.
Suleman began IVF treatments in 1997, when she was 21 years old, In 2001 Suleman gave birth to her first child, a son. Suleman continued IVF treatments which resulted in three further pregnancies (including one set of fraternal twins) for a total of six children (four sons, two daughters).