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The Duggars are never shy about pregnancies and births — but they don’t usually televise prolonged, painful deliveries.

That changed on this week’s episode of Counting On.

Back in May, Jessa Duggar gave birth to her third child, a girl named Ivy.

Jessa’s comments have vaguely indicated that the delivery was her most difficult yet — and now that fact has been confirmed in, um … very memorable fashion.

In other words, if you’re the squeamish type, you may want to steer clear of this week’s Counting On recap.

For the rest of you, keep scrolling … but don’t say we didn’t warn you: