Abstract: Objective: To analyze the decision conflict as to delivery modes of pregnant women after cesarean section, and provide basis and assistance for future decision-making. Methods: The descriptive qualitative research design was used to conduct in-depth semi-structured interviews with 13 pregnant women who had received cesarean section by purposive sampling. Content analysis was adopted to analyze the obtained data. Results: Conflicts in deciding delivery modes of pregnant women after cesarean section included limited information for decision-making as the antecedent of their behavioral conflict (complex process of decision-making, information restrictions), inadequate informed decision-making as the cause of behavioral process conflict (conflict of values, conflict among multiple decision-making subjects), and experience of decision-making conflict (decision-making behavior performance, emotional experience of decision-making). Conclusion: Pregnant women after cesarean section are affected by multiple factors when determining the modes of delivery. Nurses should take appropriate measures to assist patients to make proper decisions, so as to avoid conflict in decision-making, improve the quality of patients' decision, and reduce the rate of repeated cesarean section.