Kim Kardashian Reveals Why Baby No. 4 Would Be Her Last

However, as the star knows all too well, not everything is in our control. For example, in her quest to have a third child with husband Kanye West, Kardashian’s doctor advised she use a gestational carrier after facing placenta accreta with the births of her first two children, daughter North West, 4, and son Saint West, 2.

“After giving birth, your placenta is supposed to come out, but mine was stuck,” she told the magazine, sparing little detail. “That’s what women usually die from in childbirth—you hemorrhage and bleed to death and they can’t stop it. To get it out—it’s so disgusting—the doctor had to stick his whole arm in me and scrape it off. It was the most painful…To this day, if you mention it to [Kris Jenner], she’ll cry. It was traumatic.”