In a new clip from 19 Kids and Counting, Michelle and Jim Bob Duggar sit down with an OB-GYN to discuss the risks of adding to their already massive family.
As she's stated before, Michelle Duggar hopes to have a twentieth child before she turns 50, but as Dr. Paul Wendell tells the couple during their appointment, there are some serious risks involved.
First, the doctor informs the Duggars that they'll likely experience some difficulty with conception.
"We do occasionally see pregnancies in women who are 47, 48, 49, even 50 but they are very unusual," says Dr. Wendell.
"Your chance of getting pregnant when egg and sperm meet naturally begins to drop...Around mid-40s, certainly at the age we're at, it's around 5 percent."
The outlook gets more grim as the doctor informs the Duggars of the risks they face if they do manage to conceive:
"The rates of Down Syndrome in moms varies with age. As a rough rule, at age 20, the risk of having a baby with Down Syndrome is about one in two thousand."
"At 40 it's one in a hundred. At 45 it's about one in ten to fifteen. And at age 47-48 it's maybe as high as one in four or five."
The couple already managed to conceive for a twentieth time on one occasion. Sadly, Michelle Duggar suffered a miscarriage in 2011, and most assumed that would be the Duggars last attempt at having another child.
They assumed wrong, apparently. In a recent interview, the Duggars answered the question of why they chose to have so many kids.
Turns out, Michelle and Jim Bob swore off birth control following a miscarriage early in their marriage and then made the decision to "let God decide" how many children they would raise.