For the most part, home births go smoothly and without error. But in the rare chance that things go awry, it can get quickly scary. Reality star Jessa Duggar recently welcomed her third child, daughter Ivy Jane, several weeks ago. But the star only recently opened up about the delivery complications that sent her to the hospital immediately after giving birth.

Counting On just released a new online special in which Duggar and her husband Been Seewald opened up about the traumatic delivery. From the sounds of it, nothing went as planned. First of all, Duggar’s water broke three weeks before her due date (while she was making a smoothie in her kitchen, to be exact). On top of that, her midwife had just gone out of town that same day and the birthing suite in the hospital she was planning to use wasn’t available at the time.

So, the couple had to quickly make other arrangements. Duggar and Seewald decided to deliver their baby with the help of a different midwife in their own living room- on their couch, specifically. After three hours of labour, Ivy was eventually born. “Those first few moments, right after the baby is born are the absolute sweetest moment of your life. Looking at that sweet baby, I always cry,” the mom-of-three said to the cameras.

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However, this is when things suddenly took a scary turn. The midwife wasn’t able to stop Duggar’s bleeding, which led her husband to call 911. When paramedics arrived, they had to give Duggar a dose of Pitocin to control the bleeding before taking her to the hospital. Luckily, the tired mama didn’t lose enough blood to require a blood transfusion. At the hospital, she told the cameras she felt “great” and was even up to having her two old children- sons 3-year old Spurgeon and 2-year old Henry- come visit her and their new little sister.

Given how many kids her family is known for having, we doubt this will be Duggar’s final child. However, it could be her last pregnancy, and we’re not just saying that because of how difficult this delivery was. Duggar and Seewald have expressed their interest in adopting in the future, so perhaps baby no. 4 will b. adopted.

For instance, in May 2018, a source told In Touch the couple were seriously thinking of starting the adoption process. “They’ve been talking about adoption since the beginning and I think they understand that it will be easier to do now with only two children than later when they have however many more,” the source explained. Previously, in 2016, Duggar told Us Weekly about what an incredible experience she believes adoption is: “We have many friends who have walked this road, so we have seen firsthand the amazing power of adoption.”