Can a woman with a scarred uterus give birth naturally?

There are many reasons for uterine scarring, so women who are preparing to give birth should pay attention to it. Many women with uterine scarring want to give birth to their babies through natural delivery during their second pregnancy, but they don’t know whether they can do this with authentic uterine scarring? So is it possible to choose natural birth if you have a scarred uterus?

Can women with uterine scar choose natural birth?

If a woman with a uterine scar becomes pregnant, she can choose to give birth to the baby by natural delivery. Generally speaking, if the following criteria are considered. Mothers with low uterine cross-sectional level and no contraindications to natural childbirth can perform vaginal trial delivery:

1. Those who have undergone low-profile cesarean section, if the basic or sigmoid incision or extensive uterine wall surgery is not suitable for delivery;

2. The pelvic diameter is large enough, usually more than 15 cm;

3. There has never been a uterine scar or uterine rupture in the past, or there are two uterine scars and no natural childbirth;

4. During the entire natural delivery period, doctors can attend the delivery of pregnant women at any time and perform emergency caesarean sections;

5. Anesthesia can be given immediately, and outpatient cesarean section staff can be present at any time and anywhere.

What are the causes of uterine scarring?

1. Malnutrition during pregnancy. If malnutrition occurs during pregnancy, severe tissue edema, hypoproteinemia and anemia may occur. Immediately increasing nutrition after childbirth can promote wound healing, but it will eventually cause uterine scarring.

2. Infection during surgery. If infection occurs during cesarean section, the wound cannot heal in stage I, the wound scar is large, and scars form in the uterus. At this time, the uterine fibers are weaker and more likely to rupture during the second pregnancy, seriously endangering life.

3. Is the whole surgical suture process normal? When sutures are used for cesarean sections, the sutures are appropriate if the anatomical relationships are accurate. The transverse section of the lower segment was bluntly torn, the edges were neatly arranged, the sutures were appropriate, and the blood supply to the part was good. If the wound heals well, it is not easy to form a uterine scar.