Kim Kardashian isn't one to shy away from the spotlight, but in a new video the mother-of-four has shared some harsh realities about her pregnancies.
In the lead up to Christmas, the 39-year-old reality star has shared a video for her shapewear line Skims that focuses on the importance of family, where she spoke candidly about the traumatic births of her eldest two children North, six and Saint, four.
Speaking to the camera, Kim revealed that during her pregnancy with daughter North, six, she suffered from pre-eclampsia, also known as toxemia, which she described as when the mother's organs start to shut down.
"The only way to get rid of that is deliver the baby," she explained in the video.
"At 34 1/2 weeks I had to go into emergency labour, they induced me," before adding that when she was born, North weighed four pounds and was almost six weeks premature.
"After I delivered, my placenta never came out, so that's called placenta accreta," Kim continued before adding, "So my placenta grew inside my uterus and that is what women die from in child birth."
Kim said that despite the birth complications, she continued the process of freezing her eggs once North was born.
"I was able to get pregnant through that, with my son Saint and then I had two embryos left and I had the same condition and the same awful delivery that I had with my first daughter."
WATCH BELOW: Kim Kardashian shares sweet video of Saint West. Post continues after video...
But it was after Saint's birth in 2015 that the makeup mogul was forced to undergo numerous medical procedures.
"Well after that I actually had to have five different operations within a year and a half to fix all the damage that all of that did from the inside. But on the outside, I was filming, and photoshoots," Kim explained.
"I asked my doctors, 'Can I do it one more time?' and they were like, 'We won't even put an embryo in you, that would be like, malpractice."
For her and husband Kanye West's last two embryos, the couple opted to use different surrogates. Their daughter Chicago was born in January 2018 whilst their youngest son Psalm was born in May this year.
"I am just so thankful for my beautiful kids," she added in the video.
"You know, no matter how they came to me, they came to me. I'm so thankful for surrogates. And I am really thankful for my family."
According to the Women's Royal Hospital, mild pre-eclampsia occurs in five to ten per cent of pregnancies in Australia, and severe pre-eclampsia in one to two per cent of pregnancies.
Research shows that expectant mothers diagnosed with schizophrenia or bipolar disorder, those with a BMI (body mass index) over 25 or those born in developing countries are more likely to be diagnosed with pre-eclampsia.