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The Duggar family is no stranger to pregnancies. Michelle and Jim Bob welcomed 19 children throughout their marriage, and now, they’re up to nearly 20 grandchildren. But critics of the show can’t help but show concern over the Duggar pregnancies, suggesting the women don’t take the necessary prenatal steps to have a baby.

Jessa, Jinger, Joy, and Jana Duggar
Jessa, Jinger, Joy, and Jana Duggar | Ida Mae Astute/Walt Disney Television via Getty Images

The Duggar women don’t always have hospital births

The birthing process is a woman’s choice, and not all women choose to give birth in hospitals. Michelle Duggar had a number of home births, though she eventually transitioned to having her kids in a hospital. Jessa Duggar has had all three children at home, though she has ended up in the hospital due to complications after birth. Jill Duggar attempted home births as well, though she ended up giving birth in a hospital due to complications during labor.

The Duggar in-laws, such as Lauren and Kendra Duggar, have chosen to have their kids in hospitals because that’s the way their own mothers chose to do it. Michelle doesn’t seem to have a preference for what her kids do, though; if home births were easy, it’s likely more daughters would choose that option.

Critics are convinced the women don’t take care of their babies during pregnancy

Some of the family’s biggest critics often take to Reddit to discuss the Duggars’ decisions, and recently, critics were up in arms over the way the women take of care of themselves and their babies during pregnancy. Jinger Duggar posted a photo attending a prenatal appointment, and critics accused other Duggars of not taking the same precautions while expecting.

“Most of them get an ultrasound to find out the [gender]. Dunno if it goes much beyond that,” someone replied when a user questioned the Duggars’ prenatal appointments. “I am sorry, but [Jessa] is a dumb a**. No prenatal care and those awful, unsafe home births? Is she hoping to die?” another user asked. “I don’t think Jessa is doing proper appointments. No way a decent midwife is okaying her homebirths,” someone else wrote.

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Other critics suggested the appointments might go undocumented

Though critics didn’t think the women were entirely responsible during pregnancy, some did give them the benefit of the doubt that they simply might not document every trip to the doctor. “Honestly, most appointments are just sort of boring … I’m sure the girls all go, but [Jinger] might be the only one documenting it,” someone suggested. “I’d imagine with the incidents of hard pregnancies, miscarriages, etc. with her immediate family, a few of them probably have more checks than normal,” another person added.

“Joy went, that’s how she noticed that Annabelle wasn’t alive anymore,” but added that they ” can’t believe how irresponsible those people are,” when it comes to other prenatal appointments. It’s unclear how often the Duggars attend prenatal appointments, and it’s only speculation that they don’t take proper care of their bodies while expecting. The Duggars haven’t opened up much about prenatal care in the past, though that doesn’t necessarily mean they don’t take the necessary steps toward a healthy pregnancy.