A woman in Mali, who has given birth to two sets of triplets, has just had quadruplets.
The woman gave birth to three girls and a boy in a hospital, 300 miles from the capital, Bamako.
Habi Sima, aged 40, and her four babies are doing well, medical sources say.
The same sources say Habi, from Niamiga village, already has two sets of triplets.
The chief medical officer at Kayes health centre, Dr Oumar Dembele, has appealed to authorities to help the babies' parents.