1, do a good job in prenatal pregnancy monitoring and education, to relieve the ideological concerns of senior women, timely detection and management of pregnancy complications and comorbidities; 2, after delivery, the intrauterine condition and size of the fetus, the presence of cephalopelvic disproportion, cervical score and perineal firmness and elasticity should be carefully assessed. If there is no indication for obstetric surgery, vaginal delivery should be encouraged, but the risk of vaginal delivery should be informed to the elderly mothers; 3. During delivery, the progress of labor and fetal heart changes should be closely observed, and abnormalities should be treated promptly and cesarean section should be performed if necessary; 4. Postpartum measures should be taken to prevent postpartum hemorrhage. In conclusion, there is medical rationality and medical unreasonableness in the decreasing rate of vaginal delivery and increasing rate of cesarean delivery in advanced maternal age. Therefore, vaginal trial of labor should be encouraged on the basis of highly informed consent of patients without surgical indications. The indications for cesarean delivery should be relaxed for older women over 40 years of age to ensure maternal and child safety.