19th child of Jim Bob and Michelle Duggar

Jim Bob and Michelle Duggar had to take her back to Arkansas Children's Hospital in Little Rock on Thursday at 3 a.m., when her vital signs began to drop.

"Dr. Arrington told us to never trust a preemie," says Duggar Family patriarch Jim Bob, quoting Josie's physician, Dr. Robert Arrington. "That is really true."

Fortifiers to increase her calorie intake and spur growth are the culprit in causing the littlest Duggar constipation after being at home for just a few days.

The constipation led to her vital signs fluctuating. Jim Bob and Michelle Duggarwelcomed their 19th child in December, several months premarturely.

Duggar Family Picture

MAKE THAT 19: Once Josie moves home for good, that is.

The stars of TLC's 19 Kids and Counting say "She's doing fine now," regarding their littlest, and "They will watch her for a few days to make sure she's safe."

Things are more or less going well for the little girl, though. She's already beaten the odds, and as of today Josie weighs in at 4 lbs., 12½ oz., says Jim Bob.

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