Jessa-Hannah's mother, Caroline Sackler, met her father Laird in Dead Inside while she was staying with her brother Adam and his then-girlfriend Hannah Horvath. They became romantically involved and conceived Jessa-Hannah sometime after Hannah kicked Caroline out of her apartment. Caroline's pregnancy was first revealed during the Season 3 finale Two Plane Rides when Hannah and she run into each other while getting the mail. Caroline spends the majority of the next season very pregnant until she goes into premature labor in the finale. Jessa-Hannah is born after Jessa Johansson convinces Caroline that she can't go through with her natural birth plan since Jessa-Hannah was breach, and needed immediate medical attention. Her name is later announced by her parent's after she's been delivered