The famous mom of two desperately wants to have a third child, but it appears that she'll need to have a fairly risky surgery first if she wants that to happen.

By Charlotte Hilton Andersen
March 31, 2017

Kim Kardashian went going under the knife, and no, it's not for a nip and a tuck. After announcing that she would try anything to have another child with husband Kanye, including having a risky surgery on her uterus, the 36-year-old mom of two was seen recovering from the procedure on a recent episode of KUWTK. Kim has been outspoken about wanting to add a third child to her family, but getting pregnant again is something her doctors have previously cautioned her against. Kardashian's earlier pregnancies have been difficult and left her with scar tissue from placenta accreta, a potentially life-threatening condition that occurs when the placenta attaches too deeply into the uterine wall. This condition could make it very difficult for her to conceive again and could lead to serious problems during another pregnancy. Faced with the option of not carrying a third child herself or having a risky surgery, Kim chose the latter.

"I have to have a surgery on my uterus to kind of repair this hole so they need to like clean that out and then there's like scar tissue," said Kim on an earlier episode of the reality show. "It'll still be a really high-risk pregnancy, just I would be able to get pregnant."

Unfortunately, the results of the surgery were not what Kim was hoping for. Aside from dealing with pain, discomfort, and bloating during the recovery process, doctors revealed that due to complications, the surgery was unsuccessful in repairing the hole in her uterus, and carrying a baby herself would be out of the question. Trying to come to terms with her results, Kim says that surrogacy may be the only option she and Kanye have left.

Kim Kardashian was caught in a fertility catch-22, says Nicole Scott, M.D., an ob-gyn at Indiana University Health who does not treat the reality TV star directly. Kim's surgery intended to fix the damage from the placenta accreta, but at the same time, any surgery on the uterus increases the risk of the condition happening again, explains Scott.

"The procedure is not typically done and is considered risky because of the risk of bleeding and a possible hysterectomy," she says. "There's also the risk that it may not do anything to lower her risk of placenta accreta and could even make it worse."

And minimizing the risks to the mother is priority number one in a situation like this, adds Scott. "There is minimal risk to baby but high risk to mom with risk of hemorrhage, injury to other organs like bowels and bladder, and risk of hysterectomy at time of C-section," she explains.

Placenta accreta isn't common, affecting only about 1 percent of pregnancies. But for women with no history of the condition, simply having a C-section greatly increases the risk of it occurring in a subsequent pregnancy-by as much as 40 percent if a woman has had two C-sections, says Scott. With the increased prevalence of C-sections, it's likely we'll see more women affected by this condition. That's one reason Kim says she wants to share her struggles with the public.


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