Even though 90 Day Fiancé: Before the 90 Days stars Paul and Karine just confirmed that they’re pregnant and expecting their first child together, it doesn’t look like things are going well for them at all. In a teaser clip for tonight’s episode, Karine seems to be experiencing major pregnancy complications, and a 90 Day Fiancé insider revealed that Karine may have suffered a miscarriage or another type of serious medical issue in her pregnancy.

The source revealed that Karine and Paul went through something “horrible” and “horrific” early on in Karine’s pregnancy. The couple had to rush to the hospital shortly after learning that they were pregnant, and they found out that their unborn child had some abnormalities. Just hours before the episode aired, Paul shared a sonogram featuring their unborn child, and fans will have to tune in to find out exactly what happens next.

“All of this is a bad dream,” Paul said in the clip as a doctor conducted a sonogram on Karine. She started to cry during the sonogram, and since Paul doesn’t understand Portuguese, he couldn’t understand what was happening to his wife and his unborn child.

So far, Karine and Paul’s married life and journey to parenthood have been anything but stress-free. Just two weeks after the couple tied the knot, they got into a huge fight over cultural differences, and Karine even threatened Paul with a divorce after only two weeks of marriage. The couple was separated for a few days while Karine was staying with her family, and even Karine’s mother Gracilene said that she would do everything in her power to convince Karine to divorce Paul. But after a few days of being estranged, Paul and Karine reunited because she found out she was pregnant.

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Since Karine’s family still did not approve of her marriage with Paul, he worried that they would prevent him from having a relationship with his child. But now, it looks like the adults will have to set all of the drama aside because Karine and Paul’s unborn child could have some serious health issues.

90 Day Fiancé: Before the 90 Days airs on Sundays at 8 p.m. on TLC.