The 19-year-old mother of 2-year-old twins (Ali and Aleeah) was photographed above, with her fiance Jeremy Calvert, exactly a week ago trying to go incognito while smoking in West Virginia.

According to the photo agency which snapped Leah on January 12, she had just gotten into a car accident, crashing her brand new Chevy Suburban and was looking stressed.

Reports came out last week that Leah was pregnant again with twins, but she quickly took to Twitter to deny the report. She, however, continues to remain mum on her pregnancy and engagement.

Jeremy confirmed the pregnancy news earlier this month, also revealing he proposed to her over the holidays after just five months of dating. It’s safe to assume the pregnancy came before the engagement.

Leah has been receiving a ton of backlash from fans of the MTV hit show, rightfully so, who feel having baby no. 3 at the tender age of 19 isn’t the smartest choice.

As we reported back then, there are major risks associated with smoking while pregnant. Below are some according to WedMD:

Lower the amount of oxygen available to you and your growing baby.

Increase the chances of miscarriage and stillbirth.

Increase the risk that your baby is born prematurely and/or born with low birth weight.

Increase your baby’s risk of developing respiratory (lung) problems

In addition to the above risks, smoking while pregnant can also result in lifelong effects on a baby’s brain. Children of pregnant smokers are especially likely to have learning disorders, behavioral problems and relatively low IQs.