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"Because my first pregnancy had been complicated, and because I was over 40, the doctor told me that I was high risk and needed to take it easy. So I took it easy. I had to," Frankel, 41, tells the magazine.
Right away, however, the pregnancy was difficult. The busy TV personality says she was "bleeding, nauseated and uncomfortable -- way worse than last time."
"I felt seven months pregnant even though I was six weeks along," she recalls. "And because we hadn't planned this, I felt unprepared, like we had so much to do to get ready for this baby. Still, I was excited, if cautiously so, with the words 'high risk' ringing in my ears."
When Frankel miscarried, she was devastated. And though the doctor assured her there's nothing she could have done differently, the Skinnygirl mogul admits, "I blamed myself -- of course I did." Later, she received a call from the doctor that was supposed to be comforting, but made everything worse.
"He told me that the tests came back as 'female fetus, normal.' He was reading off a chart, reassuring me that there wasn't some chromosomal abnormality. But all I heard was 'female,' and I fell to pieces," says the Bethenny Ever After star. "I was picturing [my daughter] Bryn with a little sister. Two little girls in rain boots."
Frankel, whose daughter Bryn with husband Jason Hoppy is 2 years old, talked about her miscarriage for the first time in February.
"You go through a roller coaster of emotions. About your age, about being a woman, about can you have another baby, are you a failure to your partner, about what if my husband married someone younger -- you go through a million different things," an emotional Frankel told Today.
Now that she's shared her story, Frankel hopes it will help other women who have gone through the same ordeal.
"Its important that women talk about it," she tweeted on Wednesday.