Natural childbirth after cesarean section

One of the most worrying questions of many pregnant women is whether it is possible to give birth on their own with a scar on the uterus, that is, after cesarean section (CS). In more rare cases, the scar may remain after conservative myomectomy with benign neoplasms of the uterus or after perforation of the uterus during a medical abortion.

The answer is yes. But you need to approach this very responsibly. A woman should understand: How the surgery will take place after a cesarean depends largely on the professionalism of obstetricians and the capabilities of the maternity hospital. That is why it is recommended to give birth with a scar on the uterus only in well-equipped modern maternity hospitals.

Absolute contraindications to EP after CS:

• Placenta previa

• Narrowed pelvis of a woman with a large fetus

• An untenable, that is, a thin scar on the uterus that can rupture at any moment of delivery

• Delayed pregnancy

• Two or more scars on the uterus

• Two or more fetuses

Relative contraindications to EC with uterine scar:

A fairly large fruit. In this case, the obstetrician-gynecologist who conducts the pregnancy decides for himself, based on the medical history and the results of observation, whether it is possible for a pregnant woman to give birth herself. For example, if for the first time a woman was shown COP due to poor labor or discoordination in the absence of other indications for cesarean section, then in the second pregnancy the doctor may allow EP in the absence of health problems.

Of course, giving birth on your own after COP is much safer now than it was a decade ago. With proper monitoring of pregnancy and compliance with all the rules, the probability that the scar will disperse during childbirth is practically reduced to 0. This is also facilitated by high-quality suture materials that specialists use after CS. However, the final decision is always made by the doctor, weighing all the pros and cons in each case.

Does a pregnant woman need to prepare for EP after CS in a special way?

Nothing depends on the woman herself, so no training is needed. Only constant monitoring of pregnancy is necessary.

Are EP's different from EP's after CS?

There is no difference for a pregnant woman. Childbirth with a scar on the uterus takes place in the same way as normal natural ones. The pain does not become more noticeable. The only feature of such childbirth is the lack of stimulation.

Postpartum follow-up after EP with uterine scar

It is mandatory to conduct a manual examination to determine the integrity of the uterus. Otherwise, the observation is no different: the woman takes blood and urine tests, undergoes an ultrasound examination.

Advantages of the EMC maternity Hospital:



• Specialists who have completed internships in the best clinics in Europe

• Doctors with extensive work experience, including those specializing in the management of complex pregnancies, EP after COP and various cases of complicated childbirth.

Delivery management under powerful monitoring.

• Latest operating equipment

• The intensive care unit is equipped with the latest blood reinfusion devices, artificial lung ventilation, and anaesthetic breathing devices.

• Department of Neonatology

• Constant monitoring of patients by medical staff