What are the conditions for a normal birth with a scarred uterus?

After marriage, women all hope to become mothers as soon as possible. After all, women all have a motherly heart. However, due to personal factors, pregnancy becomes very difficult. For example, some women actually have a scarred uterus, which can cause considerable harm. After finally getting pregnant, you have to face the problem of childbirth. So should a woman with a scarred uterus have a natural birth or a cesarean section? What are the conditions for a natural birth?

Can a woman with a scarred uterus give birth naturally?

If a woman with a scarred uterus is pregnant, she can only choose a natural birth if she meets the indications for natural birth. Generally, mothers who have undergone a low-lying uterine transverse cesarean section and have no contraindications to vaginal birth can have a vaginal trial birth if they meet the following conditions:

1. Had one low transverse cesarean section (if a conventional or T-shaped incision or extensive transuterine fundus surgery has been performed, vaginal delivery is not suitable);

2. The transverse diameter of the pelvis should be large enough (generally required to be greater than 15 cm);

3. No history of uterine scarring or uterine rupture (it is not suitable if there have been two uterine scarrings and no vaginal delivery);

4. During the entire natural delivery period, doctors can be present at any time to monitor delivery and perform emergency cesarean sections;

5. Anesthesia can be given immediately and emergency cesarean section personnel can be on site at any time.

Only when the above conditions are met and the doctor has examined the mother and confirmed that her condition permits, can a normal birth be performed. If during the trial birth, there are abnormal delivery conditions such as prolonged labor, maternal bleeding, etc., the doctor will ask the mother to change the delivery method and perform a caesarean section to ensure the safety of mother and child. At this time, it is best for the mother to cooperate with the doctor's advice.

Can induced labor be used for uterine scar

During labor, if the indicators for normal delivery are met, oxytocin can be considered to induce labor if the mother has weak uterine contractions and prolonged labor. When using oxytocin, someone must monitor the labor process and control the drip rate of oxytocin. Doctors generally start with a low-concentration, low-dose oxytocin injection. The doctor will also pay close attention to observe the frequency and intensity of uterine contractions and the shape of the uterus. If the contractions are too strong, the doctor will stop the drip immediately. In addition, during the use process, the doctor will press the scar area. If the mother feels tenderness, she should inform the doctor in time and the doctor will immediately stop using oxytocin.

During induction of labor, if the labor progress is not smooth, the doctor will perform local cervical injection (procaine plus atropine) or slowly inject 10 mg of diazepam intravenously to assist in inducing labor after excluding the factor of cephalopelvic disproportion (the size of the fetal head is not proportional to the size of the maternal pelvis) to assist in inducing labor.

During the second stage of labor, the doctor will try to shorten the duration of labor and, if necessary, provide appropriate assistance to end the delivery. If the mother's uterine contractions are weak, the doctor will place a small dose of 25 to 50 μg of misoprostol in the posterior fornix of the mother's vagina to enhance uterine contractions and allow the cervix to open faster, thereby avoiding uterine rupture and cervical laceration. It is a suitable choice for assisting induction of labor with scarred uterus.