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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I think that she should consider not having the 20th baby for her health. She needs to consider the fact that if something were to happen to her, how would the other children cope with it.

Patricia rathbun

I know they are a nice family, and it really doesn't matter about the carbon footprint, but they are being irresponsible parents, Josie still needs care, and if God forbid something happens to the Mother because of this pregnancy they want to try for, WHO is going to care for all those children, can you imagine the resentment those kids will feel.

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Very funny randyjacksonsbutt!! These folks need to stop procreating!! PERIOD

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Soon every human on the planet will have a little Duggar in them. Which basically means that we will all be lame, boring hillbillys with the sense of humor of a rock.

The Duggar Family Quotes

Be available. 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

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