First of all, the scientific name for cesarean section in medicine is “cesarean delivery”, so I mention cesarean delivery below instead of cesarean delivery in the title. In the past, when there was no cesarean section, there was only one way for human to give birth vaginally, and then there was vaginal assisted birth, that is, using fetal suction or forceps to assist the child to come out. In the past, when surgical techniques and infection control were not yet mature, cesarean delivery was a relatively dangerous operation. At that time, cesarean delivery was probably a medical measure to solve extremely difficult cases. Nowadays, our national cesarean rate is about 48% (from a LANCET survey a few years ago), which means that about half of the population has undergone cesarean delivery. There are many issues behind the high cesarean rate, which cannot be explained in a single sentence, including technical and social factors, but in any case it is an issue that deserves attention. When girls ask whether it is better to have a cesarean section or to give birth by themselves, I can first of all affirm that if you can give birth by yourself, of course, you should choose to give birth by yourself, cesarean section and do a surgical operation is quite, the operation will certainly face bleeding, infection, wound healing and other problems, from the long term, there will also be another pregnancy uterine rupture, pelvic adhesions, scar pregnancy, incision endometriosis, cesarean diverticulum, etc. It is important not to easily equate cesarean delivery with vaginal delivery, and recovery after surgery can be relatively slow. Now, from the medical point of view, there are some cases that need to be considered for cesarean delivery in order to solve difficult deliveries and reduce complications: 1. Every doctor wants you to have a successful vaginal birth, and if you change your delivery method halfway through, it’s for your own sake. I often hear the complaint “I should have known that I would have to suffer twice, so I would have preferred ……”. Please believe that our doctors are definitely your comrades and not your enemies. Medicine is difficult to predict. 2, abnormal fetal position: breech position is now clearly a situation that requires cesarean delivery, and some studies have confirmed that the complications of newborn babies delivered in breech position are higher, so at present, cesarean delivery is usually used to terminate pregnancy in breech position. Other abnormal fetal positions, such as transverse position, are relatively rare. 3, pelvic abnormalities: this requires prenatal evaluation, some pelvic coalescence or deformities, not easy to natural delivery, need to consider cesarean section to terminate the pregnancy. 4, abnormal placenta: placenta praevia and other conditions are prone to haemorrhage during delivery, placenta abruptio is prone to fetal risk maternal bleeding and uterine problems, doctors usually choose cesarean section to reduce the risk of bleeding in natural delivery. 5, fetal abnormalities: in the process of delivery there is a fetal heart rate crisis, it is also necessary to perform an emergency cesarean section. Of course, there are other cases that require cesarean delivery besides the above-mentioned common cases, but in any case, the national average cesarean delivery rate of 48% is too high, and the medical community needs to continue to work to reduce this rate. In conclusion, cesarean delivery is not a normal route of delivery and should not be considered as a second choice. It is up to the doctor to decide whether the indications for cesarean delivery are met. There is no doubt that it is not justified to consider a cesarean section without any medical indication. What are the problems with vaginal birth? It is a relatively natural process, and the relative risk to the fetus during the narrow birth canal is greater. Some women worry that vaginal birth can cause laxity in the birth canal leading to a lower quality of sex life after delivery, but it is still a relatively minor problem compared to open birth. Postpartum vaginal laxity can also be relieved by exercise and other surgical non-surgical treatments, but open birth surgery can be more invasive. What are some ways to promote natural childbirth? Weight management! This seems to be a problem that both doctors and pregnant mothers have ignored in the past. Excessive weight gain will increase the chance of obstructed labor, will increase the chance of postpartum hemorrhage, will increase the chance of cesarean delivery, in short, there are many disadvantages, of course, how to control weight and how to manage it, also need to be under the management of doctors, do not control weight even after fetal development is delayed, everything must not be over.