How can they afford 19 kids'? What gigantic sort of 'castle' do they live in?
Imagine what her 'insides' must be like, after all those births'.
Is there 'something' wrong with people who feel the 'need' to have this many kids?
IMO, this situation is totally beyond the pale.
Don't watch shows like that; find them a tad 'grotesque', in every way.