Michelle Duggar’s pregnancy with her 20th child is not only jaw-dropping; it is also risky, according to experts.

Duggar, who appears with her husband Jim Bob on the reality TV show “19 Kids and Counting,” had a life-threatening experience with her last baby, Josie, who had to be delivered three and a half months early, weighing only 1 lb., 6 oz, according to news reports.

“The more pregnancies one has, the greater the risk of a bad outcome that could leave the children that are already born without a mother,” said Dr. Philip Darney, director of the Bixby Center for Global Reproductive Health at the University of California, San Francisco.

Worldwide, he said, as the number of births per women increase, so does the rate of maternal or neonatal death.

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