I love the show, but cannot understand why they continue to have more kids. The 14 she has, isn't that enough. What do you want, an army of kids. I think that is very selfish of them to keep breeding like this is the old testament. The Grandmother is stuck having to help take care of all these kids as well as the friend. Grandma is already having a health crisis and they keep adding more stress. When will Karen get to accomplish her goals when everytime you turn around, your pregnant. She is homeschooling these kids, when they can all be in school, socializing with other kids rather than among themselves. I feel the environment is chaotic and not healthy at all. Having all these kids will mess up her health and her womb. When is it time to say enough is enough.