Carly has mixed emotions due to the possibility of a difficult pregnancy but ultimately decides she wants her baby.
In July 2009, Carly saves Claudia after a car accident, but the stress of that causes Carly to faint, but again her and the baby turn out to be fine.
After having a dream sequence, on October 5, about her unborn child, Carly decides to name her child Josslyn John.
Jason agreed to talk with Lucky and Elizabeth and when he approached Elizabeth at first she angrily refused, but after Jason talked with Lucky, Lucky talked with Elizabeth and convinvced her that this could make Jake's life meaningful.
Eventually she came around and both Lucky and Elizabeth agreed to sign the papers for the organ donation.
She was conceived after her parents' renewed their vows and the pregnancy was a miracle due to Carly's previous miscarriages and the fact that her pregnancy with Josslyn was high risk. On March 19, 2009, after renewing their vows, Carly and Jax conceive a child during their honeymoon.
In April, Carly starts to show signs of being pregnant and goes to Dr.
On March 21, 2011 Carly, Jax and Michael were stunned when Josslyn was diagnosed with stage 5 kidney cancer in both of her kidneys.
Their only options where chemotherapy or organ donation and both Carly and Jax were opposed to chemotherapy.
They did not want to expose young Josslyn to such poisonous chemicals at such a young age and were determined to find her a donor.
A devastated Carly asks Jason, whose son Jake had just died due to a hit-and-run accident, if he would consider donating Jake's kidneys to Josslyn to save her life.
Claudia, who helped Carly give birth when Josslyn got stuck in the birth cannel, became obsessed with Josslyn and decided to kidnap her.