Or her uterus. Either/or. But some people are saying that this miscarriage is indeed a sign from God that the Duggars should stop having babies. No matter whether you agree or disagree with the way the Duggar family has chosen to live its quiverfull life, we can all agree that suffering a miscarriage is simply horrifying. And when Michelle Duggar lost what would have been her 20th baby this week, most of us feel for this mom of many. Whether it's your first, or 21st, a miscarriage is incredibly painful and not something I would wish on my worst enemy.

At the same time, I couldn't help but wonder what Michelle's physician was telling her at this time. She is 45 years old and has given birth to 19 children, one of whom was born dangerously premature. Is s/he advising Michelle and Jim Bob to put a halt to the Duggar family business? Should s/he be? And more importantly (to the Duggar family, anyway), what does God think about all of this?

Do you know the real reason you love to watch the Duggars and Kate Plus Eight? It's because you miss The Waltons! That's right, your reality TV obsession is actually a desperate attempt to cling to a staple of your youth -- the big family TV show with all the drama, love, and chaos we all wished we had at home (not to mention the cute brothers) without all that weird reality TV scariness. This morning, the seven Walton kids and Ma Walton reunited on the Today show to celebrate the 40th anniversary of the TV show (skip right over how old that makes you feel), and it was a touching look back at the lovable family. The Waltons always managed to make the best out of the worst. Sigh. If only my house were more like that.

Of course, they weren't the only ones! In that era of television, there were also the Bradfords, the Bradys, and the Partridges. But which big TV family show did it best?

Michelle Duggar is having baby number 20. The show IS called 19 Kids and Counting so why anyone is surprised is beyond me. The woman is 45 -- that's advance maternal age, y'all. And as a woman who had my own advanced maternal age pregnancy, I applaud her. She gives hope to those nearing 35 and wanting to be a first-time (or 20th-time) mom. She clearly wants 20 kids -- who am I to say she shouldn't be making sweet love to Jim Bob and carrying on their sugary legacy of volunteerism and the true meaning of family? Heck, I'm impressed they have time for some nookie because I have two kids and have trouble fitting it in!

They have a reality show, yes. But let's take a look at how non-dysfunctional their reality show is compared to oh say The Real Housewives, Jersey Shore, or any of those mindless (yet so addicting) shows out there. Michelle Duggar doesn't need reality TV; reality TV NEEDS Michelle Duggar. She's a role model.

It's an inspiring story: Michelle Duggar makes the ultimate sacrifice for her family. She gets knocked up for the 20th time so the family show can go on. What a champ! Thanks, Mom. We know your last pregnancy was life-threatening, and that just adds to the drama, so we're super excited to see how this pans out. Maybe you could arrange for a third round of pre-eclampsia as well? Or at least another preemie? The studio will pay for Pitocin.

What, you think that's cynical? America is pretty divided over the Duggar family. You either love them or you're totally repulsed. But there's one thing I think we can all agree on: everyone loves a television pregnancy. Baby #20 is ratings gold for TLC.

Yes, it's true, the Duggar family who brought 19 children into the world is expecting another addition to their family -- only it's a second grandchild this time for Michelle and Jim Bob. Their son Josh and his wife Anna are due June 19, and on the most recent episode of 19 Kids & Counting, the baby's sex was revealed to the family via skywriting.

Interesting approach, but anyway, it's a BOY. It will be their second child in less than two years (big sister Mackynzie is currently 17 months), which has people wondering if there's going to be another ginormous brood of Duggars.

While most of the world shouts a resounding, please no!, in an interview with People, Josh said maybe.

An eighth child is on the way for former heavyweight champion Mike Tyson. His wife, Lakiha Spicer, is five months pregnant with a baby boy, according to RadarOnline.com.

This news comes just a little more than a year after Tyson lost his daughter, Exodus, 4, in a tragic treadmill accident. She suffocated when the machine's cord wrapped around her neck. He has six other children

While happy news for the family, a new baby will certainly add to the financial troubles the couple is already experiencing.

Michelle & Jim Bob Dugger with JosieIf you listen closely, you can hear Michelle Duggar's uterus screaming for mercy all the way from Arkansas. After 19 kids, reality TV stars Michelle and Jim Bob Duggar aren't quite ready to stop procreating.

Super-mom Michelle told RadarOnline earlier this week:

"That would be wonderful! We would love another person to add to our family. We will wait and see and take it one at a time."

The season premiere of 19 Kids and Counting aired last night on TLC and showed the homecoming of baby number 19, Josie, who was born in late December three months premature.

So, how's Josie doing seven months after her birth?

After six months in the NICU, Josie Duggar, the 19th child of Jim Bob and Michelle Duggar, finally went home with her family.

According to People, she was actually released June 3, but had to stay away from her home because 12 of her siblings had chicken pox.

Josie was born at just 25 weeks after Michelle developed preeclampsia. She now weighs in at 9 pounds, 1 ounce.

"She has a double chin now," Michelle said. "It is so precious."  

Regardless of whether you agree with the Duggars' perpetual procreation, it's good to see them all back together as a family. While I'm sure they're thrilled, I know they have a long road ahead of them.