Induction of labor in the fourth month of pregnancy after a 2nd cesarean section is a higher risk pregnancy and may be associated with the risk of uterine rupture and hemorrhage. A 2nd cesarean section is a high-risk pregnancy when it is repeated. Due to the poor elasticity of the uterine scar tissue, inducing labor in the fourth month of pregnancy may increase the risk of uterine rupture, hemorrhage, and other serious complications. It is necessary to induce labor under the close supervision of a doctor, and also pay attention to gentle movements during the operation, and be prepared for emergency surgery and blood transfusion to ensure the safety of the pregnant woman. In addition, for women with a history of cesarean section who have no desire to have children, it is important to raise awareness of contraception in order to avoid unplanned pregnancies that increase the risk of abortion and induction. It is recommended to choose safe and effective contraceptive measures under doctor’s guidance, such as oral short-acting contraceptive pills and placement of intrauterine devices. When an unplanned pregnancy occurs, it must be carried out in a regular medical institution with resuscitation conditions.