Second child scar uterus normal delivery conditions

If a woman with a scarred uterus wants to give birth naturally for the second time, she must meet many criteria, and the condition of the first baby must be suitable. Pay attention to the size and position of the fetus. A normal birth can only be chosen if the umbilical cord is not wrapped around the neck. In addition, if a pregnant woman wants to choose a natural birth, it needs to be more than 2 years since the first delivery, and the mother herself must be in good condition before she can choose a natural birth. In addition, if the first child was born by caesarean section, and the reasons for the previous caesarean section still exist this time, it is not recommended for pregnant women to choose natural birth.

Nowadays, more and more mothers want to choose natural birth for their second child, because they know the benefits of natural birth for babies. Little do people know that there is a problem that confuses mothers who want to have a second child - uterine scar. A scarred uterus refers to a uterus left after a cesarean section or intramural myomectomy. It will have a great impact on the next pregnancy, and one should also understand the criteria for choosing a natural birth for a second child with a scarred uterus.

1. Fetal size

The fetal size is estimated to be less than 4KG. In general, clinical medicine believes that the heavier the fetal weight, the greater the labor force required for pregnant women to give birth. In this case, the risk of scar-like uterine rupture will be greater.

2. Fetal position

The fetal position must be the standard head position for normal delivery, and the fetus should not have any signs of intrauterine distress such as umbilical cord around the neck or lack of oxygen.

3. The interval between the second pregnancy and the first pregnancy is more than 2 years

The frequency and spacing of cesarean sections in the past are now an important factor in the duration of pregnancy. If there is only one history of cesarean section, then natural delivery can be considered. If there is a history of two or more caesarean sections, then under the current medical level, only another caesarean section is possible. For mothers who have had a caesarean section, it is recommended that they get pregnant again two years later to ensure that the uterus can fully heal. If less than 2 years have passed since the operation, natural childbirth will not be considered.

4. The mother’s own standards

This should be a comprehensive physiological criterion, such as blood pressure, blood sugar, weight index, age and other comprehensive indexes. The mother’s body mass index (BMI) should be lower than 30 kg/m2 and her age should be under 35 years old.

5. Reasons for previous caesarean section

If it was due to unchangeable factors such as a small pelvis before, then a caesarean section would definitely be necessary now. If a cesarean section was performed previously due to factors such as a large fetus or abnormal fetal position, then the current pregnancy will depend on whether these factors exist. If the reason for the previous caesarean section still exists this time, then of course you have to have another caesarean section; if the previous reason no longer exists this time, you can consider natural delivery.