Kim's been open about her pregnancy struggles, suffering from ..........
placenta accreta -- a potentially life threatening condition -- during both. We're told docs have told her it's nearly a guarantee she'd get accreta again, putting her and her baby's lives at risk.
A source said Kim is also scared of another extremely painful birth, like the one with Saint ... and that has helped her make the decision easier.
The couple is completely cool with their two kids.
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