Projections - S2-E3
Other mistake: At the beginning of the episode, as B'Elanna is working her way out through the doors, the Doctor cowers and tries to hide behind things. There is no reason for him to be afraid. He can't be hurt under normal conditions - this proves to be the case later when he feels pain and says he is not programmed to feel pain, and we learned earlier in "Phage" that he can change whether or not things pass through him.
Suggested correction: It's also possible that it's simply required of Ocampan women to give birth the first time they go through it, and can then experience it again.
Greg Dwyer
Nothing in the dialogue suggest Ocampa's can have additional children. While we can speculate about fictitious species, it's still a plot hole due to writing. Kes states she's going through the "elogium" which is a time of change where her body prepares for fertilization. She then explicit states the "elogium" only occurs once. While the doctor compares it to puberty, the elogium is both sexual maturity and "heat", that is, the time a female is ready for fertilization.
Bishop73
But it doesn't ever state the normalcy of birthing for Ocompans. Perhaps sextuplets is the norm?
Kes frequently used the word "child." If it was normal to give birth to more than one, she would know this and should say "children."
Bishop73
Do not forget that this is all done through the universal translator. For all you know the Ocompan word for child and children is the same so the translator cannot tell the difference.