Patient's question:
At 36 weeks, the ultrasound shows biparietal diameter 99, head circumference 340, abdominal circumference 385, femur length 77, amniotic fluid 94, and the umbilical cord is wrapped around the neck once. My height is 170 cm, weight was 150 kg before pregnancy, now 165 kg, fundal height 34 cm, abdominal circumference 110 cm. I don't have diabetes or hypertension. Pelvic measurements are good, and the birth canal is soft. The ultrasound estimates the weight to be 6.9 kg. Can I still have a vaginal birth?Doctor's answer:
I'm happy to answer your question. Based on the information you provided, the current situation suggests that the pelvic development is relatively small, and there is a certain risk of vaginal delivery. Whether it is possible to have a vaginal delivery depends on the size of the fetus, the, and the physical condition of the pregnant woman. It is recommended to have a pelvic measurement at a local regular hospital gynecology department before delivery. The ability to have a vaginal delivery should be judged based on the comprehensive factors of the pelvis. This data cannot be accurately determined and needs to be based on the measurement of the child's biparietal diameter and pelvic inlet diameter.