Can a Scarred Uterus Achieve a Normal Birth?

Generally speaking, a scarred uterus refers to the uterus after cesarean section surgery or intramural myoma removal surgery. Many pregnant women hope to have a natural birth after developing a scarred uterus. In fact, it is possible to have a natural birth with a scarred uterus, but there are prerequisites. Specifically, it needs to consider the development of the fetus and whether the physical condition of the pregnant mother is suitable for natural birth.

It mainly occurs after obstetric and gynecological surgeries such as cesarean section, hysterectomy, uterine perforation or rupture repair, and uterine reconstruction. Among them, cesarean section is the most common cause of a scarred uterus. Pregnancy in a scarred uterus may result in complications such as uterine rupture, postpartum hemorrhage, placenta previa, etc. When pregnant women with a scarred uterus undergo cesarean section, there is an increased risk of surgical complications such as injury, infection, adhesion aggravation, and poor incision healing.

Can a Scarred Uterus Have a Natural Birth?

If a woman with a scarred uterus becomes pregnant, she can choose natural birth only if she meets the indications for natural birth. Generally, mothers who have undergone a low transverse cesarean section and have no contraindications for vaginal birth can consider vaginal trial delivery under the following conditions: 1. They have undergone a low transverse cesarean section once (routine or T-shaped incision or extensive uterine fundus surgery is not suitable for natural birth); 2. The transverse diameter of the pelvis is sufficiently large (generally requires a diameter greater than 15cm); 3. There is no history of uterine scar or rupture (if there are two uterine scars and no previous vaginal delivery, it is not suitable); 4. A doctor can be present during the entire natural birth process to supervise the delivery and perform emergency cesarean section if necessary; 5. Immediate anesthesia and emergency cesarean section surgical personnel can be available on site. Only when the above conditions are met and the doctor examines and approves the conditions of the mother, can natural birth be considered. If there are abnormalities such as prolonged labor or hemorrhage during the trial delivery, the doctor may recommend changing the delivery method to cesarean section to ensure the safety of the mother and child. In this case, it is best for the mother to follow the doctor's advice.