Perhaps the fanfiction could center on the unborn child's potential power. Madara might worry about the child being used as a weapon or a tool by his enemies. There could also be a side plot about the reactions of the other ninja clans when they find out about Madara's pregnancy, and how it might change the power dynamics in the ninja world.
One idea could be a story where Madara and Hashirama are reborn in the modern ninja world and have to navigate the new technologies while still having their old grudges and loyalties. They might initially be confused but then slowly adapt and perhaps even find a way to resolve their age - old differences.
One idea could be that Madara takes Naruto under his wing to train him in a different style of combat, leading to Naruto having a unique set of skills. This would change Naruto's relationships with his friends as they might be initially skeptical.
A third plot idea is that Madara is somehow cursed and Sakura, with her medical and combat skills, is the only one who can help him. In the process, they start to understand each other better. Madara discovers that there is more to the younger generation than he thought, and Sakura realizes that there is a depth to Madara that goes beyond his villainous reputation.
One idea could be Madara traveling back to the era of the Sage of Six Paths. He could try to change the very foundation of ninjutsu, which would create a whole new timeline. Maybe he would attempt to gain the power of the Sage for himself much earlier in history.
One idea could be an OC who is a time - traveler and meets Uchiha Madara in his prime. The OC could have knowledge of future events and try to change the course of history, leading to many power struggles and moral dilemmas.
One possible plot idea could be that Madara sees Sakura's potential in medical ninjutsu and trains her to combine it with combat in unique ways. For example, she could learn to use her medical chakra to enhance her physical attacks or to disrupt an opponent's chakra system more effectively during battle.
One plot idea could be a story where Fem Madara is a powerful sorceress in a hidden village and Hashirama, a wandering warrior, stumbles upon her. They start off as rivals but gradually realize they have common goals in protecting the land from dark forces. Another could be a modern - day AU where they are business rivals who end up falling in love. A third plot could involve Fem Madara being a time - traveler and meeting Hashirama in the past, changing the course of history together.
One interesting plot idea could be that the reincarnated Madara has to deal with modern-day ninja politics. Since he was from a different era, his views on how a ninja village should be run might clash with the current system, leading to all sorts of power struggles and attempts to reform the village.
One idea could be Naruto growing up with the Uchiha heritage and having to deal with the expectations and prejudices that come with it. Another could be his relationship with Sasuke being even more complex as they are now related in this fanfiction universe. Maybe Naruto discovers some long - hidden secrets about the Uchiha clan from Madara's past that could change the course of the ninja world.
One plot idea could be a time - travel scenario. Imagine Sasuke traveling back in time and meeting a younger Madara. They could exchange knowledge about the future and past, and Sasuke could try to prevent some of the tragedies that Madara's actions led to. This would involve a lot of character exploration and strategic planning between them.