Two years ago, Xiaotong had a cesarean section at Zhongshan Sixth Hospital because of a “fetal malposition”. Since both of them are only children, they have the target to have a second child, and they are determined to have a smart dragon baby. As a result of the C-section experience, Xiaotong learned that there are more risks associated with C-sections and developed a strong desire to have a vaginal delivery this time. However, many of her friends around her had almost no normal delivery after the first cesarean, but ended up having another cesarean, as the saying goes, “one cesarean, two cesareans”. What should I do? Will my wish for a normal delivery come true? The “advantages” and “disadvantages” of cesarean delivery Our ancestors almost always gave birth vaginally from ancient times to the present day, but it was only in the late 19th century that cesarean delivery was invented to save mothers and babies in danger. The operation has played a major role in dealing with obstructed labor and reducing maternal and infant mortality. However, the amplification of the benefits of cesarean delivery has led to misconceptions that the operation is less harmful to the mother and baby, resulting in more and more mothers-to-be refusing vaginal delivery and choosing cesarean delivery during labor. There are many risks associated with cesarean delivery. For the mother, postpartum bleeding, wound infection and poor healing are more likely to occur, and postpartum recovery is slower; for the baby, pulmonary complications are more likely to occur after birth because the baby was not squeezed through the birth canal; foreign scholars have found that children born by cesarean section are more likely to have attention disorders, temper tantrums, clumsy movements and other sensorimotor disorders after school. Will a scar on the uterus break? During pregnancy, the muscle fibers of the uterus are gradually stretched and elongated, and the elasticity of the scar tissue of the uterus is less than that of the normal tissue, so during the delivery process, the uncoordinated contraction of the uterus may cause the weak point of the scar to split, resulting in Uterine rupture. More and more mothers-to-be who have had a cesarean delivery are afraid to try a vaginal trial of labor and have to undergo another cesarean delivery for fear that the tragedy of a ruptured uterus will happen to them when they become pregnant again. Although the risk of uterine rupture during a vaginal trial of labor is higher than that of a non-scarred uterus, the risk can be completely minimized under the close observation of medical personnel as long as the conditions are right! There are conditions for the uterus not to rupture There is nothing to fear from a scarred uterus. If your first cesarean delivery was a lower uterine segment cesarean, there are no abnormalities in the prenatal examination for this pregnancy, the baby is the right size (the ideal fetal weight is no more than 3,500 grams) and the ultrasound examination in late pregnancy indicates that the lower uterine segment is not thin, congratulations, you are only one step away from success as long as you have the desire to have a vaginal trial of labor. If your last cesarean delivery was a cesarean with the body of the uterus, or if the weight of the fetus in this pregnancy is large, or if the ultrasound after 37 weeks of gestation suggests that the lower segment of the uterus is less than 3 mm, the risk of uterine rupture is greatly increased, then it would be wise to choose another cesarean delivery. Of course, if other indications of inappropriate vaginal delivery (such as pelvic stenosis) are present, a cesarean section is still needed according to the doctor’s recommendation. Xiaotong realized that most of the scarred uterus after C-section could be delivered vaginally; her previous worries and anxieties were swept away and her confidence in vaginal delivery was enhanced. After her pregnancy, under the guidance of her doctor, she was able to deliver a healthy “little dragon girl” with proper nutrition, proper exercise, standardized maternity checkups during pregnancy, and reasonable control of fetal weight!