By Holly Lebowitz Rossi
November 07, 2011

Michelle and Jim Bob Duggar, the Arkansas couple whose life with their 19 children and 2 grandchildren is chronicled on the TLC show 19 Kids and Counting, have announced that they are expecting number 20.

Michelle had suffered from gall bladder problems the blood pressure condition called preeclampsia with her 19th child, Josie.  That baby had to be delivered three and a half months prematurely in order to save Michelle's life--now Josie is a healthy almost 2-year-old.  So far, Michelle has been in good health with this new pregnancy.

The Duggars do not use birth control, because of their belief that their family planning decisions are ultimately up to God.

Their 19 children's names are Joshua, Jana, John-David, Jill, Jessa, Jinger, Joseph, Josiah, Joy-Anna, Jedidiah, Jeremiah, Jason, James, Justin, Jackson, Johannah, Jennifer, Jordyn-Grace, and Josie.

(image via: http://starcasm.net/)

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