Kim Kardashian Westis opening up about the moment she thought she lost her first pregnancy — and the moment everything turned around.During her appearance on Tuesday’s episode of theAll’s Fair with Laura Wasserpodcast, theKeeping Up with the Kardashiansstar recalls going to the doctor in November 2012 while she was pregnant with her now-6½-year-old daughterNorth, where she initially received tragic news.“Ithought I had a miscarriagebecause I was really heavily bleeding and in so much pain in Miami. I went in because you have to go inand do a [dilation and curettage]to clean out the miscarriage,” says Kardashian West, 39. “My doctor said, ‘Come in the morning. We’ll do it Thanksgiving night so no one will see you.’ I went in and there was no heartbeat and he said, ‘You had a miscarriage.’ ”“Then Thanksgiving morning I came in to do it and he said, ‘There’s a heartbeat.’ I was like, ‘Oh my God, this is a sign, it’sThanksgivingmorning,’ ” she adds. “We ended up obviously having North.”Kardashian West and husbandKanye Westwould go on to have three more children: sonsPsalm, 8 months, andSaint, 4, plus daughterChicago, 2.While she carried son Saint, the KKW Beauty mogul and her rapper husband, 42,chose to use (two different) surrogatesfor Chicago and Psalm, after Kardashian West encountered complications with both her pregnancies.Never miss a story — sign up forPEOPLE’s free daily newsletterto stay up-to-date on the best of what PEOPLE has to offer, from juicy celebrity news to compelling human interest stories.Kim Kardashian/InstagramKim Kardashian West and daughter North.Kim Kardashian/InstagramKim Kardashian/InstagramDuring the podcast episode, the mother of four shares that she used a “surrogate therapist” to help act as a liaison between the couple and their gestational carrier.“You get your surrogate attorney, you get your surrogate broker,” Kardashian West explains. “Then the brokerrecommended that we use a therapistthat would communicate with me first and then communicate with [our surrogate] and kind of be our liaison.”While she goes on to say that “towards the end we get close enough where we could communicate really without that,” the therapist would help figure out times when the couple and their surrogate should be in contact.“[The therapist] would suggest, ‘Hey, I think you guys should communicate once a week through text, maybe onMother’s Day. She’s a mother as well. Maybe get her a massage or something that’s appropriate for her to pamper her,’ ” Kardashian West explains. “Things likegoing through the birthing plan, so if anything was uncomfortable, she would be that buffer to say, ‘This is who I want in the room. What are you comfortable with? How does this work?’ ”RELATED VIDEO:Kim KardashianOpens Up About Losing an Embryo, Feeling “So Grateful” for Her SurrogateKardashian West also touches on her husband’s involvement with their gestational carriers, saying, “Both surrogates that we used were very comfortable with Kanye being involved any way he wanted to be.”“For the first surrogate, we both met her and then met her husband and their kids came over to our house,” she adds. “She had two younger kids, so we felt a really good vibe from the start. The second time I felt like, ‘I got this.’ ”Kardashian West explains that West wasn’t as involved the second time around “until the end,” adding that he was present for both Chicago and Psalm’s births —just not in the actual delivery room.“For the first one, he was not in the room. We had a connecting room,” she says, adding that older sisterKourtney Kardashianwas also present because Kardashian West “really needed a girl support system.”

Kim Kardashian Westis opening up about the moment she thought she lost her first pregnancy — and the moment everything turned around.

During her appearance on Tuesday’s episode of theAll’s Fair with Laura Wasserpodcast, theKeeping Up with the Kardashiansstar recalls going to the doctor in November 2012 while she was pregnant with her now-6½-year-old daughterNorth, where she initially received tragic news.

“Ithought I had a miscarriagebecause I was really heavily bleeding and in so much pain in Miami. I went in because you have to go inand do a [dilation and curettage]to clean out the miscarriage,” says Kardashian West, 39. “My doctor said, ‘Come in the morning. We’ll do it Thanksgiving night so no one will see you.’ I went in and there was no heartbeat and he said, ‘You had a miscarriage.’ ”

“Then Thanksgiving morning I came in to do it and he said, ‘There’s a heartbeat.’ I was like, ‘Oh my God, this is a sign, it’sThanksgivingmorning,’ ” she adds. “We ended up obviously having North.”

Kardashian West and husbandKanye Westwould go on to have three more children: sonsPsalm, 8 months, andSaint, 4, plus daughterChicago, 2.

While she carried son Saint, the KKW Beauty mogul and her rapper husband, 42,chose to use (two different) surrogatesfor Chicago and Psalm, after Kardashian West encountered complications with both her pregnancies.

Never miss a story — sign up forPEOPLE’s free daily newsletterto stay up-to-date on the best of what PEOPLE has to offer, from juicy celebrity news to compelling human interest stories.

Kim Kardashian/Instagram

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Kim Kardashian West and daughter North.Kim Kardashian/Instagram

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Kim Kardashian and North

During the podcast episode, the mother of four shares that she used a “surrogate therapist” to help act as a liaison between the couple and their gestational carrier.

“You get your surrogate attorney, you get your surrogate broker,” Kardashian West explains. “Then the brokerrecommended that we use a therapistthat would communicate with me first and then communicate with [our surrogate] and kind of be our liaison.”

While she goes on to say that “towards the end we get close enough where we could communicate really without that,” the therapist would help figure out times when the couple and their surrogate should be in contact.

“[The therapist] would suggest, ‘Hey, I think you guys should communicate once a week through text, maybe onMother’s Day. She’s a mother as well. Maybe get her a massage or something that’s appropriate for her to pamper her,’ ” Kardashian West explains. “Things likegoing through the birthing plan, so if anything was uncomfortable, she would be that buffer to say, ‘This is who I want in the room. What are you comfortable with? How does this work?’ ”

RELATED VIDEO:Kim KardashianOpens Up About Losing an Embryo, Feeling “So Grateful” for Her Surrogate

Kardashian West also touches on her husband’s involvement with their gestational carriers, saying, “Both surrogates that we used were very comfortable with Kanye being involved any way he wanted to be.”

“For the first surrogate, we both met her and then met her husband and their kids came over to our house,” she adds. “She had two younger kids, so we felt a really good vibe from the start. The second time I felt like, ‘I got this.’ ”

Kardashian West explains that West wasn’t as involved the second time around “until the end,” adding that he was present for both Chicago and Psalm’s births —just not in the actual delivery room.

“For the first one, he was not in the room. We had a connecting room,” she says, adding that older sisterKourtney Kardashianwas also present because Kardashian West “really needed a girl support system.”

source: people.com