Can I have a natural birth for my first child and a natural birth for my second child?

Under normal circumstances, if the first child has been born naturally at full term, the second child can generally be born naturally as well. This is because the first child can be born naturally, which means that there is no problem with the pelvis, and the birth canal of a woman who has already given birth naturally is more relaxed and relatively wider, and the cervix is ​​easier to open, which is more conducive to a natural birth. Therefore, for the second child, if the baby is not too heavy, there is no abnormal fetal position, there is no intrauterine distress during delivery, and there are no other indications for cesarean section, normal delivery can generally be chosen. Of course, some first-time mothers choose to have a caesarean section if natural birth fails, because whether they can choose a natural birth depends on other factors, such as labor force, fetal position during delivery, and mental state.

If the first baby was delivered by caesarean section, the second baby can be delivered naturally. However, choosing a natural birth requires evaluation, because a caesarean section is a surgical method to remove the fetus from the abdomen, while a natural birth is a natural birth. Therefore, if the first child was delivered by caesarean section, there will be a scar on the uterus. The scar on the uterus is not a scar on the surface of the abdomen, but a scar on the fat, skin, muscle and uterus. The degree of healing of this scar is related to whether the pregnant woman can give birth successfully.

The current method of evaluating uterine scars is not very satisfactory. For example, the scar may be thick during B-ultrasound, but the patient may experience uterine rupture during the trial delivery. Some scars may be thin during B-ultrasound, but the uterus may also rupture during the trial delivery.

Therefore, the thickness of the scar is not an independent factor in judging whether a pregnant woman who had a caesarean section for the first child can choose a natural birth for the second child. The only factor is that there are conditions for choosing a natural birth for this child, and there is no factor of a caesarean section before. For example, if someone had a funnel pelvis during a previous cesarean section, and this time it may still be a funnel pelvis, and does not meet the criteria for a natural birth, then they cannot choose a natural birth. Therefore, whether a natural birth can be chosen for the second baby after a cesarean section for the first baby requires an assessment by a doctor, a professional doctor, and an ultrasound doctor before a decision can be made.