Kim Kardashian and Kanye West have welcomed their fourth child, a boy, via a surrogate mother.
The reality TV star confirmed the birth on Twitter.
“He’s here and he’s perfect!” she wrote on May 10.
“He’s also Chicago’s twin lol I’m sure he will change a lot but now he looks just like her,” Kardashian wrote.
The child’s name was not disclosed.
West and Kardashian are the parents to three other children named North, 6; Saint, 3; and Chicago, 18 months.
“My mom doesn’t even know this, but Kim’s surrogate went into labor. So, she’s at the hospital,” Kourtney Kardashian, Kim’s sister, said on The Ellen DeGeneres Show.
Kardashian said she was expecting her fourth child after making an announcement in January. Chicago was also born via a surrogate.
Placenta accreta occurs when a portion or all of the placenta is connected to the uterine wall after the child is born. In normal cases, the placenta detaches and is pushed out along with the baby.
The condition is somewhat rare, affecting about three in 1,000 pregnancies. It can result in severe blood loss or can be deadly, People noted.
In 2013, after giving birth to her first child, Kardashian said it was painful.
“My mom was crying; she had never seen anything like this before. My delivery was fairly easy, but then going through that—it was the most painful experience of my life,” she wrote, according to People.
Meanwhile, in 2016, during an episode with “Keeping Up With the Kardashians,” her doctor told her: “You never know if you might have the same type of problem that could be more serious this time … You’re always taking a little bit of a chance. There are situations where retained placenta could be life or death.”
She later said in the episode: “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. 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,” People noted.