Whether a 38-week fetus in the occipito-transverse position can be delivered smoothly needs to be assessed according to the size of the mother’s pelvis, the size of the fetus, and the progress of labor, and whether the fetal head is descending smoothly, etc., and there are sufficient conditions for a normal delivery, and a persistent occipito-transverse position should be terminated by cesarean section. If the mother has a large pelvis, the contractions can be corrected through the position and then vaginal trial of labor, the fetus in the uterine cavity through the internal rotation to make the fetal position to the occipital anterior position, usually can be delivery. If labor progresses slowly or stagnates, and the fetal position continues to be occipito-transverse, the fetal head is unable to enter the pelvis, then the fetal and maternal conditions should be evaluated in time to prepare for cesarean section. During fetal descent, the fetus needs to pass through the inlet plane, the mid-pelvic plane, and the outlet plane, and the biparietal diameter of the fetus passes through all three planes in turn, and failure to pass through any of these planes will not result in a cesarean delivery. Left transverse occipital position in a 38-week-old woman usually requires an assessment of the maternal and fetal conditions and a physician-guided consultation.