Article from 2018 - maybe we saw it then, but I can't remember - Obama kids are test tube babies, which is why there are no pictures of Manchelle being pregnant
https://www.cnbc.com/2018/12/07/progyny-is-working-to-expand-access-to-fertility-benefits.html
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"This health-care start-up is working to expand and improve access to fertility benefits"
(excerpt)
>Michelle Obama recently revealed that in her 30s, she underwent in vitro fertilization to conceive daughters Sasha and Malia.
>“It turns out that even two committed go-getters with a deep love and robust work ethic can’t will themselves into being pregnant,” Obama writes in her memoir, “Becoming.”
(continued)