On January 31, 2011, the 19 Kids and Counting episode "Duggars Rock the Vote" featured an update on Anna's pregnancy.
On March 14, 2011, Josh and Anna announced that they were having a boy. When the couple went to their ultrasound appointment, they took Josh's mother, Michelle Duggar, along so the doctor could tell her the gender of the baby. "We went to the ultrasound and decided that my mom would know. We figured she could handle the secret and then have a surprise sharing of the information with the entire family, including me and Anna," Josh explained in an interview. The two waited more than a week before learning the gender of their child.
The 19 Kids and Counting episode "Duggars Deliver" aired that night, and it featured the reveal to the whole family. Michelle hired a plane to write out the symbol for male in the sky, and the whole family learned that way.
On June 15, 2011, Anna gave birth to a son, Michael James Duggar. He weighed 8 pounds, 5 ounces. Michael was born in his parents' home, which was what the couple had previously planned.
On June 19, 2011, the 19 Kids and Counting episode "First Grandson" was aired, which focused on Michael's birth.
On September 27, 2011, the 19 Kids and Counting episode "Duggar Grandson on Board" featured Michael's first check up and his first meeting of cousin Amy Duggar.