Michelle Duggar has suffered a miscarriage with her 20th child, according to a report from People.com

The “19 Kids and Counting” star, 45, and her husband Jim Bob Duggar learned the sad news while at a routine doctor’s appointment to learn the sex of the baby.

“We had just been talking about baby names last night and they were getting excited about naming a boy or a girl. It has been a real sad disappointment,” she told People.

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The Duggar’s plan to select a name for the baby before having a funeral service.

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"I feel like my heart broke telling my children," she said. "They have all been so excited about this baby and looking forward to April coming around and having a new little one in our arms. That was the most difficult. The Lord is the giver of life and he can choose when that life is ready to go on and be with Him."

This was the couple’s second miscarriage. They previously lost a baby during her second pregnancy while she was taking birth control. The couple cites it as a reason they decided to leave the number of children they have “up to God.”