Every mother-to-be hopes that she will have a healthy baby when she goes into labor in October. Most mothers-to-be have a fear of labor pains. “It’s almost my due date, should I choose a cesarean section or a natural delivery?” “Can I tolerate the pain of contractions?” “Will I have to have a cesarean if I can’t give birth after a long time of pain?” “If I knew I wouldn’t be able to give birth, why did I have to suffer twice? Why didn’t you operate on me earlier?” Many pregnant women are asking similar questions. Let me talk about my views on the choice of delivery method and “suffering from the second offense”. Chen Ping, Department of Obstetrics and Gynecology, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine, I. The choice of delivery method depends on the following four factors: the birth canal (soft birth canal and bone birth canal), the fetus (size, orientation, fetal heart), the force of delivery, and mental and psychological factors. In the second trimester of pregnancy or after admission to the hospital, the doctor will give the pregnant woman an obstetric examination, intra-pelvic measurement, endocervical clasp probing and fetal heartbeat monitoring. Through the above examinations, the doctor will assess the soft and bony birth canal, the size and orientation of the fetus, the function of the placenta reserve and the condition of the fetus in the uterus, so as to guide the pregnant woman in choosing the correct mode of delivery. Generally speaking, 80% of pregnant women can have a natural delivery. Second, “suffer two crops of crime” “We check during pregnancy, has always been the fetal position smooth, now how to birth can not come down? And cesarean section? Suffer a second offense?” This is a considerable part of the pregnant women or their families said. The so-called “fetal position” is the word of the people, usually refers to the fetus head in the lower part of the mother’s body, that is, we usually say “head position”. Labor is a dynamic process. During labor, the descent of the fetal head, the dilation of the uterine opening and the fetal heart should be closely observed. In addition to the descent of the fetal head in the birth canal, it has to adapt to the internal rotation of the pelvis. During labor, if the descent of the fetal head is obstructed, the dilatation of the uterine opening is delayed or stagnant, the contractions are weak, and the fetal heart is abnormal, and the symptoms do not improve after the doctor’s treatment, and the person who can’t deliver the baby through the vagina in a short period of time will be required to undergo cesarean section as a matter of urgency. This is often referred to as “cephalic obstructed labor”. Because labor is a dynamic process, it requires dynamic observation, “there is no absolute expert in obstetrics”, no one can see the end at a glance. I hope that the correct understanding, can not be one-sided that “the doctor is irresponsible, let the pregnant woman suffered a second crime” I wish every pregnant woman can be a smooth delivery!