Looking after a small energetic child can be exhausting, even for those in the prime of their life.
Spare a thought then for Omkali Singh, 80, who lives in Uttar Pradesh in northern India with husband Charan, 89 - and their six-year-old son Amritwani.
In 2008 Omkali became the world's oldest mother of twins after giving birth to Amritwani and Barsaat at the age of 74.
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The birth made headlines around the world, with Omkali receiving a barrage of criticism both online and from her local community for having a child so late in life.
The female twin Barsaat tragically passed away at the age of four, but her son Amritwani continues to thrive.
Despite her advanced years, Omkali is continuing to relish motherhood - although she admits that people sometimes mistake her for Amritwani's grandmother.
"Many people ask me, ‘Is he your grandson’? I tell them 'No. He is my son'," Omkali said.
"I am very happy that I am a mother of a six-year-old son. It is an unexplainable feeling."
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Like any six year old, Amritwani is full of life, and Omkali sometimes struggles to keep up – especially when it comes to getting Amriwani ready for school.
She said: "I am not able to bath him properly. I have problems getting him dressed. It is hard to run around and feed him. Old age is like this."
And while Omkali stands out from the other mothers in her village, she is getting their understanding and support.
Veermati, who lives in her area, said: "It is good Omkali gave birth to a child at this age.
"According to me they took a correct decision. They have love among each other so it is good."
Already parents to two daughters and grandparents to five, the couple were desperate to have a boy - eventually succeeding when their eldest daughter Kamla was 50 years old.
Omkali said: "I thought if I will give birth to a boy, I will become like other mothers. Without a son, there was no life for me. Because, who would own this house if I had no sons?"
While Omkali adores her son, she knows that age is not on her side - but hopes to live long enough to see Amritwani getting married.
She said: "I am not worried. After my death my daughter will take care of my son.
"I wish my son gets married very quickly and we both can be present at his wedding."
Until that time comes Omkali and Charan plan to make the most of their time with their son.