OutDaughtered is an American reality TV show on TLC starring Adam and Danielle Busby, the parents of the only recorded five American girls. The series debuted on May 10, 2016, and its eighth season premiered on February 23, 2021. The Busby family consists of Adam and Danielle Busby, who have been married since 2006; Blake’s eldest daughter Louise; and quintuplets Ava Lane, Olivia Marie, Hazel Grace, Riley Paige and Parker Kate.

Adam and Daniella struggled with infertility, and both times they became pregnant as a result of intrauterine insemination. Danielle gave birth to quintuplets by caesarean section at 28 weeks pregnant. Heart murmurs were found in all five girls shortly after birth; it was treated with medication. The Quints spent the first eight to twelve weeks of their lives in the neonatal intensive care unit of the Texas Women’s Hospital before being allowed to go home between June and July 2015.

Hazel’s eye condition, congenital nystagmus, was described on the show. Because of this condition, Hazel moves her eyes uncontrollably and holds her head at an unusual angle to compensate for her lack of clear vision. In 2016, Hazel underwent eye surgery to improve her condition. In 2017, Hazel was diagnosed with astigmatism in her left eye, which may ultimately be the reason why it sometimes turns into the result of underdevelopment. She was prescribed glasses to help with farsightedness in her left eye, in the hope that her vision would improve as the eye developed. Adam has spoken publicly and privately about his struggles with postpartum depression.