Kim Kardashian's doctors have warned her that a third pregnancy could possibly lead to "life or death" complications.
The 36-year-old reality star is mother to three-year-old North and son Saint, who turns one next month (Dec16), with husband Kanye West.
Due to suffering from placenta accreta, a condition where the placenta attaches itself to the uterus, when she gave birth to North, Kim and Kanye struggled to conceive Saint.
While the couple has been open about their desire to have a large family, Kim was told on Sunday night's episode of Keeping Up With the Kardashians that falling pregnant for a third time could have fatal consequences.
Kim's family doctor Dr Crane told her: "You never know if you might have the same type of problem that could be more serious this time,” Dr. Crane warned her. “You’re always taking a little bit of a chance. There are situations where retained placenta could be life or death."
Kim's mother Kris Jenner, who accompanied her to the appointment, added: "You could bleed to death." Kim then decided to seek a second opinion, booking an appointment with fertility specialist Dr. Wong, who suggested she should consider using a surrogate.
Speaking to the camera, Kim explained: "If the two doctors, that I trust, have told me it wouldn’t be safe for me to get pregnant again, I have to listen to that. But because I don’t know anyone that has been a surrogate or used one, I didn’t really think about that as an option for me."
After the subject of surrogacy was broached, Kim decided to meet with a mother who had used a surrogate while also carrying another of her children herself.
Deep in conversation with the woman, called Natalie, Kim told her that her greatest fear is that using a surrogate would mean she would love that child differently than she loves North and Saint, because she carried them herself.
“I’m more worried, because I gave birth to two. There’s a sense in me that because I went through all that pain for these two babies and that I know we did this together…” she said. "There’s no one that would feel your love (like this baby), they are literally near your heart and inside of you.
“My bond with my kids is so strong. I think my biggest fear is that if I had a surrogate is, would I love them the same? That’s the main thing I keep thinking about."
After Natalie reassured her she had never had those feelings, Kim told Kris at the end of the episode that she has accepted she won't be able to carry another child herself, and is now seriously exploring surrogacy.
"The best thing, I could have a new baby and have no one know and live my life for a good year before we announce it," Kim concluded. "But I don’t know if it’s for me. I really don’t know."