Can a left occiput posterior position be delivered vaginally?

Patient's question:

316 weeks,Lop, biparietal diameter 8.4 cm, femur length 6.1 cm, located on the lower uterine wall placenta, Grade I fetal heart rate 140 beats per minute, amniotic fluid index 14.6 cm. I want to ask if the baby's head is a bit large? With this level of growth, can the baby be delivered vaginally at term? How can a left occiput posterior position be delivered vaginally? How many pounds does the baby weigh now?

Doctor's answer:

The ultrasound shows that the biparietal diameter is slightly larger than the gestational age. Other examinations are normal. As for whether it can be delivered vaginally, it depends on the symmetry of the fetal head size and pelvic alignment, as well as the condition of the cervix and fetal position, including the placenta and amniotic fluid. These factors need to be weighed before labor. The fetus is now about 4.0 pounds. It is important to monitor the fetal heart rate and fetal movement regularly.

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