Kim Kardashian West has babies on the brain, but carrying a third child may not be in the cards for the reality star.

On Sunday’s episode of Keeping Up With the Kardashians, Kim revealed that she’s ready to expand her family, but her previous pregnancy complications are making her consider using a surrogate.

During the episode, Kim decided to go talk to her doctor with Kris Jenner about the possible health risks that she would face if she were to have a third child.

“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.”

“You could bleed to death,” Kris added.

Kim then opted to get a second opinion from fertility specialist. Dr. Wong. He suggested that she really consider using a surrogate, due to the high risks a third pregnancy would create.

“Using a surrogate is not an unreasonable option,” he told Kim. “If our goal is to grow your family like you want to, then a surrogate makes sense.”

“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,” Kim revealed during her interview. “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.”

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