With the opening of the two-child policy, more and more people hope to have two children, but two children, need to face all kinds of difficulties, one of which is the “scarred uterus”. 1, what is scarred uterus? Scarred uterus, as the name suggests, is a scar on the uterus, of which the most important reason is cesarean section, and there are also uterine fibroid removal surgery and other causes of uterine scarring. 2.What are the risks of getting pregnant with a scarred uterus? Pregnancy in a scarred uterus, unlike pregnancy in a normal uterus, carries two risks: (1) scar pregnancy, i.e., the gestational sac is deposited in the location of the uterine scar, which is prone to implantation of the embryo or even penetration of the uterus; (2) uterine rupture, due to the uterine scar being in the weakest position, the uterine scar may be fractured in the late stages of pregnancy or at the time of labor and delivery, resulting in a rupture of the uterus. 3.What should I pay attention to before getting pregnant with a scarred uterus? In addition to routine checkups, an ultrasound examination of the uterus should be performed before pregnancy in a scarred uterus to clarify the thickness and continuity of the muscle layer at the uterine scar, and to assess whether the uterus is suitable for pregnancy. 4.What should I pay attention to after getting pregnant with a scarred uterus? In the early stage of pregnancy with scarred uterus, you should pay attention to the position of the gestational sac in relation to the scar, and be alert to scar pregnancy; in the middle stage, you should pay attention to the position of the placenta in relation to the scar, and in the late stage, you should pay special attention to the thickness of uterine scar. 5.How long can I get pregnant again after cesarean section? After cesarean section, should be strictly contraceptive 2 years, 2 years before pregnancy, to give the uterine scar sufficient healing time, so as not to be “too new”, at the same time, do not recommend more than 5 years, because more than 5 years of uterine scar is a bit “old”. 6, scarred uterus second child must cesarean section? Not necessarily. Whether or not the second child with a scarred uterus needs a cesarean section is determined by the following factors: (1) the reason for the previous cesarean section; (2) whether or not there was a normal labor before the cesarean section; (3) the number of cesarean sections; (4) the thickness of the uterine scar in the late stages of pregnancy; (5) the relationship between the placenta and the position of the scar; (6) the specific circumstances of the labor; (7) the overall level of medical care in the hospital (not only obstetricians and gynecologists).