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Vaginal Delivery After Vertical C-Section: Risks & Scar Tissue Strength


Question
Is the danger in having a vaginal delivery due to scar tissue being weaker than unscarred tissue?  I have heard this question answered yes and no.  The reason I am concerned is regarding vaginal delivery after a vertical c-section.
Thank you.
Samantha R

Answer
Scar tissue is weaker than un-scarred tissue. That is a fact.

The rate of uterine rupture (which can be a very serious complication) is much higer when the scar on the uterus is a vertical one.

Therefore, when a doctor knows that a patient has a prior c-section with a vertical incision on the uterus (not on the skin - but the uterus itself) he/she should schedule a c-section.

Planning a c-section won't prevent all uterine ruptures, because they can happen even when there has been lo labor.

Hope that helps