Newly uncovered state records have revealed another heartbreaking chapter in the lives of the Ohio family now at the center of the nation’s attention after authorities rescued 16 children from what investigators have described as a “house of horrors.”

According to official vital statistics obtained by local media, Elizabeth Siders, the 33-year-old mother facing multiple child endangerment charges, gave birth to conjoined twin daughters in 2022. The babies survived only a few hours after their premature birth before dying from complications associated with their rare medical condition.

The records have emerged as investigators continue examining the circumstances surrounding one of the most disturbing child neglect cases Ohio authorities say they have ever encountered.

State records show Elizabeth Siders delivered twin girls, Bailey Lee Siders and Faith Lee Siders, at Riverside Methodist Hospital in Columbus on Nov. 20, 2022.

The babies were born at just 24 weeks’ gestation, making them extremely premature even before doctors confronted the challenges posed by their condition.

Medical records indicate the twins suffered from thoracopagus, the most common form of conjoined twins. In thoracopagus cases, babies are joined at the chest and frequently share major organs, including the heart or liver, significantly reducing the chances of survival depending on the severity of the fusion.

According to the state records, both infants died naturally later that same day.

Officials have not suggested that the twins’ deaths were suspicious or connected to the criminal investigation currently facing the Siders family.

Instead, the discovery provides additional background as prosecutors continue building their case against four adults accused of exposing 16 surviving children to years of severe neglect.

Elizabeth Siders, her husband Gary Siders Jr., his father Gary Siders Sr., and his mother Christina “Lynn” Siders were all arrested after investigators entered the family’s rural Vinton County property late last month.

Inside, authorities say they discovered conditions unlike anything many veteran investigators had previously witnessed.

According to officials, the children—ranging in age from approximately 18 months to 18 years—had spent much of the past four years confined inside a cramped room measuring roughly 12 feet by 12 feet.

Investigators allege the room was filled with human waste, garbage and filth, while the children had little contact with the outside world.

Ohio Attorney General Andy Wilson later described the conditions as “third-world,” saying local farm animals often lived in cleaner environments than the children.

The rescue operation immediately became a statewide emergency.

Medical teams evaluated each child after they were removed from the home, discovering significant physical and developmental concerns.

Authorities confirmed several children required hospitalization immediately following the rescue.

Seven were transported to hospitals for treatment, while two others were flown by helicopter to trauma centers because of the seriousness of their conditions.

At least one child reportedly required intubation.

Investigators have since revealed additional details that paint a troubling picture of the children’s upbringing.

Officials say none of the children had ever been formally enrolled in school.

Many reportedly struggled to communicate with first responders, while some were unable to speak at all.

The oldest child, now 18 years old, was described by investigators as developmentally disabled and reportedly unable to write her own name.

Authorities continue working with physicians, psychologists, therapists and child welfare specialists to evaluate each child’s medical and educational needs.

Questions also remain regarding the children’s parentage.

While Elizabeth Siders’ attorney has publicly stated that all 16 children are biologically hers, investigators have not confirmed whether Gary Siders Jr. is the biological father of every child.

Attorney General Wilson previously referred to the investigation as an “intra-family case,” a phrase that has generated widespread speculation.

Officials have not elaborated publicly on exactly what that description means, and no additional criminal allegations relating to family relationships have been announced.

As investigators continue examining evidence, extended family members say they remain stunned by everything that has emerged.

Ronnie Fletcher, who is married to one of Gary Siders Sr. and Christina Siders’ adult daughters, recently said relatives had no idea the family included 16 children.

According to Fletcher, he and his wife believed Gary Jr. and Elizabeth had approximately 10 children.

The shocking truth only became clear after news reports identified all 16 children following the arrests.

Fletcher described the revelation as devastating.

He said the extended family immediately became worried about the children’s wellbeing after learning about the allegations.

According to Fletcher, relatives had gradually lost regular contact with Gary Jr. and Elizabeth over the years.

Although family members occasionally sent money when asked to help pay bills or other expenses, they rarely visited the property and did not know where the family was living for long periods of time.

He insisted relatives would have stepped in immediately had they realized the conditions investigators later described.

Fletcher also discussed Elizabeth’s background, explaining that she entered adulthood under unusual circumstances.

Court records show Elizabeth married Gary Siders Jr. in March 2008 when she was only 15 years old.

Gary Jr. was 18.

The marriage reportedly took place with parental consent, which was legally permitted under applicable laws at the time.

Only two months later, the couple welcomed their first child.

Court documents indicate the family’s children eventually ranged in age from 18 years old down to toddlers.

The family included children aged 18, 16, 15, 14, 13, 11, 10, eight, six and five years old, along with multiple sets of twins, including four-year-old twins, two-year-old twins and one-year-old twins.

The conjoined twins who died shortly after birth in 2022 were not among the children found inside the home.

Meanwhile, the criminal case against the four adults continues moving through the Ohio court system.

Each defendant has pleaded not guilty to 16 counts of child endangerment.

A judge previously set bond at $300,000 for each defendant.

All four have since waived their preliminary hearings, allowing prosecutors to move forward with the next phase of the case.

If convicted on every count currently filed, each defendant could face a maximum sentence totaling 192 years in prison.

Investigators continue processing evidence collected from the home while interviewing witnesses and reviewing records spanning several years.

Authorities have indicated the investigation remains active and additional evidence continues to be evaluated.

For the children, however, the focus has shifted toward recovery.

They remain under the care of child protection authorities while receiving medical treatment, psychological support and educational assessments designed to address years of alleged neglect.

Officials say helping the children rebuild their lives remains the highest priority as prosecutors work to determine how such conditions were able to persist for so long without outside intervention.

The newly revealed records concerning the conjoined twins add another tragic element to an already heartbreaking case, one that continues to raise difficult questions about isolation, family dynamics and the failures that allowed 16 children to remain hidden from public view for years.