Objective: Under the perspective of 63 medical staff working in obstetrics and gynecology, this paper sought to understand the situation of cesarean section and changes in the rate of cesarean section and staff attitude in Gaochun District from Nanjing, to analyze its influencing factors, and to put forward for suggestions and strategy of effectively reduce non medical need cesarean section rate, in order to provide a reference for the project of “promoting natural childbirth, protecting maternal and child health” from Health Administrative Department of Gaochun. Methods: A total of 63 medical staffs from the Department of Obstetrics and Gynecology in People’s Hospital of Gaochun District and Fukang Hospital were investigated by field questionnaire survey. Data were analyzed using the EpiData and SPSS. Results: In general situation, 93.7% of medical staff chose natural childbirth, and 6.3% chose cesarean section. In the selection factors of cesarean section, clinical indication played the most important role (96.8%), followed by maternal and family advice (69.8%), then medical risk (57.1%). Compared to the medical staff in People’s Hospital of Gaochun District, those who select cesarean section in Fukang Hospital had more significant increase in private income (P=0.019<0.05) and were more easily lead to medical disputes (P=0.002<0.01). Conclusion: The focus considerations on the selection of the medical staff are clinical indication and advice of maternal and familly. The implementation of the two child policy makes higher women’s compliance, which affect the choice of delivery mode.