The couple proceeded down "a really hard road," with Joy-Anna forced to deliver baby Annabell at 20 weeks. "That was extremely hard, having to go through the whole delivery process," she said.

Related: Is Joy-Anna Duggar 'Done' Having Kids After Welcoming Baby No. 3? Earlier this month, Joy-Anna marked what would have been Annabell’s 6th birthday with an emotional Instagram tribute.

The couple proceeded down "a really hard road," with Joy-Anna forced to deliver baby Annabell at 20 weeks. "That was extremely hard, having to go through the whole delivery process," she said.