An Arkansas couple featured on the reality TV show "18 Kids and Counting" now has 19.
Cable network TLC says 43-year-old Michelle Duggar gave birth to a 1-pound, 6-ounce daughter Thursday night during an emergency cesarean section . She'd been due March 18.
TLC says the child is in stable condition at the University of Arkansas for Medical Sciences in Little Rock.
The network airs the show starring Duggar, her 44-year-old husband and their brood. It says the Duggars named their 19th child and ninth daughter Josie Brooklyn. The Duggars' first grandchild was born Oct. 8, The Associated Press reports.
TLC said that "Michelle is resting comfortably" while Josie Brooklyn stays at the neonatal intensive care unit.
The new baby arrived just two months after Jim Bob and Michelle became grandparents for the first time.
The couple are devout Baptists who have been married for over 25 years. Though they initially practiced birth control they later came to believe that they should allow God to decide how many children they would have.
All their children's names begin with the letter J., Hindustan Times informs.
Dr. Manny Alvarez, chairman of the Department of Obstetrics and Gynecology and Reproductive Science at Hackensack University Medical Center in New Jersey, told FoxNews.com that a baby of Josie's size could face many challenges.
"Some of these challenges could include cerebral palsy, deafness, blindness, chronic respiratory problems, chronic gastrointestinal problems and bleeding in the brain," said Alvarez, who is also managing health editor of FoxNews.com. "Everything really depends on the first 30 days of life."
Alvarez said Josie would most likely stay in the neonatal intensive-care unit for up to four months, FOX News reports.