She was born following Michelle 's preeclampsia diagnosis at a mere 25 weeks , weighing only 1lb. , 6 oz . Josie 's medical drama -- and Michelle 's own fight for survival -- was documented throughout their TV series . Josie will turn 2 in December and is developing normally , without any longterm effects from her premature birth . `` It is a miracle . Josie is the most energetic , busy little almost-2-year-old , '' says Michelle . `` She is short , and yet she can keep up with the big girls and she thinks she is just as big as they are . We are amazed at what she can do . '' Questions About the Pregnancy Following Josie 's life-threatening arrival into the world , the Duggars understand that some might question their latest pregnancy . `` Michelle is probably in better health now than she was 10 years ago , '' says Jim Bob , 46 . `` She has been getting on an elliptical for about an hour a day and is very careful of what she eats . '' Michelle , who is under the care of a high-risk pregnancy doctor
-LRB- PEOPLE.com -RRB- -- They 're going for an even 20 ! Michelle and Jim Bob Duggar , stars of TLC 's `` 19 Kids and Counting , '' are expecting their 20th child this spring . `` We are so excited , '' says Michelle , 45 , who is now about three-and-a-half months into her pregnancy and due in April . `` I feel good . I am past the sickness stage now . '' The Tontitown , Ark. , couple , who are parents to children Joshua , 23 -LRB- who is married to Anna , 23 and has two children , Mackynzie , 2 and Michael , 4 months -RRB- , twins Jana and John-David , 21 ; Jill , 20 ; Jessa , 19 ; Jinger , 17 ; Joseph , 16 ; Josiah , 15 ; Joy-Anna , 14 ; twins Jedidiah and Jeremiah , 12 ; Jason , 11 ; James , 10 ; Justin , 8 ; Jackson , 7 ; Johanna , 6 ; Jennifer , 4 ; and Jordyn , 3 , weathered the medical emergency of their youngest daughter , Josie 's birth on Dec. 10 , 2009 .