Can a woman with a thin uterine wall have a natural childbirth?

Oct 10, 2022 Source: Cainiu Health
Disease description:

I know I have a thin uterine wall, but I'm now pregnant and don't want a cesarean section. Can I have a natural delivery with a thin uterine wall?

Doctor's answer (1)
Dr. Lv Aiming
A thin uterine wall does not necessarily prevent vaginal delivery. However, if the myometrium (uterine muscle layer) is particularly thin, uterine contractions during labor may intensify the risk of uterine rupture, endangering both mother and baby. In such cases, cesarean section avoids the stress of contractions and carries a lower risk. The decision between vaginal delivery and cesarean should be based on multiple factors, including fetal conditions such as fundal height, birth canal size, placenta, and amniotic fluid. In summary, if all indicators are normal, vaginal delivery is generally preferred.