Jim Bob and Michelle Duggar: Planning Baby #20?

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Arkansans Michelle and Jim Bob Duggar have, obviously, always been open about their intentions to raise children - we're talking about a lot of children.

But the stars of TLC's 19 Kids and Counting faced near tragedy with their 19th child's premature birth, leading many observers to conclude that was it.

The Duggar Family Photo

Not so fast.

The couple, whose baby Josie Duggar was hospitalized for six months with a perforated bowel and rare digestive problems, are considering a 20th child.

"Our family is stronger than ever," Jim Bob Duggar, 45, and Michelle Duggar, 43, tell People in its new cover story. "We made it through the storm."

That's not to say it's an easy call. Born months early after Michelle's pregnancy-induced high blood pressure, Josie's life has been in danger throughout.

"When she first came home, I couldn't sleep at all," Michelle said. "That was the scariest part, the full responsibility of her care on my shoulders."

Similarly daunting are the medical risks Michelle could face with another pregnancy – particularly a return of preeclampsia (high blood pressure), which can lead to a fatal stroke or other awful scenarios. But the pair vow to stick to their beliefs.

"People think we are overpopulating the world," says Jim Bob, a real estate agent and former Arkansas State Legislature member, in response to critics of his large but debt-free family. "We are following our convictions."

Should Jim Bob and Michelle Duggar have a 20th baby?

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Duggar Family Quotes

When you've missed [sex] for seven days, you look forward to it even more! - Michelle Duggar

Anyone can fix him lunch, but only one person can meet that physical need of love that he has, and you always need to be available when he calls. - Michelle Duggar on saying yes (yes, and more yes) to sex