(1) If the first pregnancy was a normal birth, the second pregnancy should be a vaginal birth if there are no contraindications to vaginal birth. However, if the interval between births is too long, some studies have shown that if the interval is more than 8 years, the birth process is the same as the first birth, which suggests that the timing of the second birth should be more reasonable. (2) If you had a cesarean section last time, you will face more problems in this delivery. From the medical point of view, if the indication for cesarean delivery does not exist, vaginal trial of labor can be considered, especially if there is a history of vaginal delivery, which has a high success rate; also, the success rate of vaginal delivery is higher for those who have a late pregnancy with spontaneous labor or spontaneous rupture of membranes. The risk of rupture of the uterus is high during labor and delivery for mothers with a history of cesarean delivery, so vaginal trial of labor should be performed in a midwifery facility with strong maternal and fetal care, especially one with emergency cesarean delivery. Vaginal trial of labor can also be performed with analgesia, but it is necessary to closely monitor the fetal heartbeat, since the most common manifestations of uterine rupture are the first changes in the fetal heartbeat. Another advantage of having analgesic anesthesia is that it relaxes the mother’s mind. Some pregnant women may ask how helpful the ultrasound report of the lower uterine thickness is in predicting uterine rupture. The predictive value of the thickness of the lower uterine segment in the current clinical summary is uncertain, but the continuity of the lower uterine segment should be of interest. In addition, it is advisable for the pregnant mother to provide a record of the last cesarean section to help the physician make a medical judgment.