During the Jan. 4, 2024, episode of Southern Charm, Madison offered fans a glimpse into married life with Brett and opened up about their future baby plans. Although she isn't currently pregnant, the Bravolebrity couldn't contain her excitement about welcoming baby No. 2 into the world.

Once she finished styling her husband's hair, the couple indulged in glasses of bubbly while discussing their plans to try for a baby soon. With a grin, Brett remarked, "No more champagne for breakfast once you get that baby in you."

The conversation took an unexpected turn when Madison had to excuse herself to the bathroom to vomit, attributing it to taking her vitamins on an empty stomach.

Expressing reservations, Madison confessed, "I'm a little freaked out about having another baby. Selfishly, I don't want to, like, do all that," gesturing to her body. "But it's definitely worth it. It's just hard at the beginning."

Later, at Whitney Sudler-Smith's party, Madison opened up to Patricia Altschul about another pregnancy: "Maybe it's time I have a baby," she said. "I'm only getting older, and I think it might be time... I'm scared."

Patricia, aware of Madison's difficult experience after the birth of her son, Hudson, recalled, "I was with you when you were nine months pregnant, and then I didn't see you for what? Three months?"

Madison explained it was due to bed rest, and Patricia added, "You had a broken pelvis, as I remember."

Contemplating the future, Madison told the socialite, "Who knows? It could take years for me to get pregnant. I have no idea." With a chuckle, she added, "I haven't tried, ever really."