If a 43-year-old woman has a checkup before delivery to make sure that her physical condition is stable and the condition of the fetus meets the requirements for a normal delivery, she can try to have a vaginal delivery, or if there are contraindications to vaginal delivery, a cesarean section is recommended. The 43-year-old mother belongs to the senior pregnant women, whether the delivery can be decided according to the actual situation of the pregnant woman and the fetus in the late stage of pregnancy. If the obstetric examination during pregnancy is normal, there are no pregnancy comorbidities and complications, and the condition of the fetus meets the requirements for a normal delivery, a trial of vaginal delivery can be considered, and close monitoring can be done during the vaginal delivery. If vaginal delivery is not suitable after full assessment, the doctor’s advice should be followed to perform cesarean section to ensure the safety of mother and fetus. In daily life, pregnant women are advised to control their diet reasonably and exercise appropriately to enhance their physical fitness. At the same time, they should maintain a good mental state.