It’s been more than six months since Samuel Dillard made his real-world debut, but now new details have emerged regarding the little one’s health condition. After dad Derick shared a photo of his youngest son hooked up to a bunch of wires on the day of his birth, Counting On fans began to speculate what may have gone wrong.

“That is a tube to suction fluid out of the lungs,” one fan commented on the series of photos Derick posted in honor of his mother’s birthday. “When babies are born by C-section, the fluid does not get pushed out by contractions. It is normal to have to get this out, not a complication. Happened with both my C-section babies.” Another added, “Omg poor Samuel, feeding tube and oxygen don’t think he was as healthy at birth as you said originally.” A third chimed in, “She’s now had two high-risk pregnancies and been in labor for 30+ hours before going to the hospital for emergency C-sections. That’s scary. If it were me, I would take the hint my body is giving me and stop having kids.”

Back in July, Jill revealed that she couldn’t give birth naturally. “After 40 hours of labor, he was delivered via C-section at the hospital,” the family said in a statement. “Thank you for your continued prayers and support!”

The birth of her first son, Israel, 2, didn’t go as planned either; she was in labor for 70 hours. She tested positive for strep B and began taking antibiotics via an IV. Because the baby was in a breech position and had irregular heart rates, she underwent a C-section then as well.

As a result of her difficult deliveries, fans are concerned the mother-of-two won’t be able to have more children. “It seems like she has a very difficult time bearing children. I’m not a doctor so I’m not sure what the prognosis is regarding future pregnancies when you’ve already had two cesarean sections,” one redditor wrote, before another added, “What I’m hoping is that in this re-evaluation period, Jill realizes that her body has been through two traumatic births in a short period. I’m hoping that Jill will focus on her sons for a little while, and if she wants to try again for another baby, she will wait a few years and then have a qualified physician supervise her pregnancy the whole way through instead of just showing up at the ER after laboring at home for three days.” We just hope Jill is happy and healthy!