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You asked. :v
I remind you the whole Womb chapter is Isaac's way to reprensent "I wish I was never born", hence why he kills himself as a fetus (It Lives) inside his Mom's womb. A scarred womb isn't really surprising, especially if the abortion attempt is made using rudimentary (non medical) tools.
Scarred not scared
https://bindingofisaacrebirth.gamepedia.com/Scarred_Womb
If you bought you need to do:
Beat ''Mom's heart'' 1 times
only this dude, if beaten moms heart in afterbirth dlc but you didnt yet played at scarred womb its means : YOU UNLUCKY!
Also, can't you reach the scarred womb without beating mom's heart?
You got it after killing 2 times. you beat moms heart 1 times already!