Patient's question:
Last menstrual period was on April 15th, estimated due date is January 22nd. She hasn't engaged in the pelvis yet, and it has been a day since. On the 22nd, she went to the hospital for a thorough check-up. The doctor just felt her abdomen, besides listening to the fetal heartbeat, there were no other abnormalities found. The doctor said to come back for an ultrasound in a week. If the baby is growing and developing maturely, they will administer induction of labor. How can she get the baby to engage in the pelvis faster? If the baby never engages in the pelvis, will she have to have a C-section? But she doesn't want a C-section; she wants to have a natural birth.Doctor's answer:
According to the situation you described, your last menstrual period was on April 15th, and your estimated due date is January 22nd. You haven't engaged yet. In your case, if you are having your first baby, there may be a possibility of cephalopelvic disproportion. It is recommended that you continue to monitor closely, rest well, engage in appropriate exercise, and stay active, which will be beneficial for labor. A follow-up check-up is scheduled for one week later (January 29th). An ultrasound examination should be performed to carefully assess the size of the fetal head, its ascent, amniotic fluid, placental maturity, and pelvic condition to make further decisions.