A second pregnancy after a cesarean section should be fully evaluated by a doctor to determine if a normal delivery is possible. Cesarean section is a surgical termination of pregnancy, which increases the risk of another pregnancy due to the formation of uterine scarring after the operation. When a first child is delivered by cesarean section, the mode of delivery for a second pregnancy has to be adequately formulated by the doctor based on the indications of the previous operation, the surgical procedure, the intra-operative comorbidities, and the post-operative recovery situation. When the previous operation went well and contraindications such as cephalopelvic disproportion are ruled out, the second child can be delivered by transvaginal trial of labor under close monitoring of fetal heartbeat and contractions, and progress of labor. However, re-delivery of a scarred uterus increases the risk of uterine rupture, so it is important to be prepared for emergency surgery during the trial of labor. Continuous fetal heart rate monitoring should be performed during labor to monitor the fetal heart rate and contractions. The scar site should be closely monitored for tenderness, especially between contractions. When uterine rupture is suspected or diagnosed, surgical termination of pregnancy is required. It is recommended to have regular labor and delivery checkups and to be seen by a doctor.