But the retired grandmother isn't carrying the baby herself. She and her young lover have spent a staggering $54,000 hiring a surrogate to help them with their dreams of having a child.
What makes Pearl's decision to become a mum again even more shocking is that her new boyfriend is her biological grandson, 26-year-old Phil Bailey.
Phil is the son of Pearl's daughter Lynette Bailey, and the pair is braving public horror and even prison by breaking one of the last taboos – incest.
However, the pair makes no apologies for their controversial plan to start their own family.
'I'm not interested in anyone else's opinion,' Pearl says. 'I am in love with Phil and he's in love with me. Soon I'll be holding my son or daughter in my arms and Phil will be the proud dad'.
Phil adds, 'I love Pearl with all my heart. I've always been attracted to older women and I think Pearl is gorgeous. Now I'm going to be a dad and I can't wait.
'Yes, we get laughed at and bullied when we go out and kiss in public but we don't care. You can't help who you fall for.'
Pearl was 18 when she fell pregnant with daughter Lynette. She was living with her Catholic parents in Indiana and they insisted she give the baby away, so as not to bring the family into disrepute.
They organised a private adoption and Pearl never again saw her baby girl.
Pearl went on to marry, but she never had any more children. Instead she searched for her lost daughter until finally giving up hope 15 years ago.
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