Kim Kardashian was very vocal about her health scares during her first pregnancy, and the “Keeping Up with the Kardashians” star is being just as candid in her second pregnancy. The 34-year-old mom revealed that she might have to get her uterus removed after giving birth.

During a new interview with C Magazine, Kardashian opened up about her struggle with placenta accreta. According to the American Pregnancy Association, placenta accreta is a severe condition where the placenta “attaches itself too deeply into the wall of the uterus.” The placenta is necessary to nourish the fetus, and placenta accrete can result in a premature delivery and hemorrhaging for the mother.

Kardashian experienced placenta accrete while she was pregnant with her and husband Kanye West’s first child, North West, who was born on June 15, 2013. She documented their struggles to get pregnant with their second child on the latest season of “Keeping Up with the Kardashians.” It was during this year’s installment that viewers learned that doctors will have to be standing by when she delivers to bring her into emergency surgery should she suffer complications from placenta accreta.

“They think I’ll have placenta accreta again,” Kardashian told C Magazine of her second pregnancy. “So if the placenta grows a little bit deeper than it did last time, then they are prepared to have my uterus removed, which is a little scary for me. I think we’re just gonna go day by day, see how overwhelming it is, and see how the delivery goes.”

Kim Kardashian revealed in late May that she was pregnant with her second child. The big announcement came during a teaser following the mid-season finale of “Keeping Up with the Kardashians.” Shortly after she confirmed the news with Glamour magazine, telling them that she and West are “so beyond excited.” Kardashian and West are expecting a baby boy in December.