Can you have a natural birth?

Patient's question:

Now I'm 40 weeks and 1 day pregnant. After a thorough examination, the cervix is small, and the cervical canal hasn't dilated. Even during the doctor's careful check, I felt pain down there. The baby's biparietal diameter is 9.7, which is fine. The weight is probably around 7.5 to 8 pounds. I want to ask if it's possible to have a natural birth or if I should just decide on a C-section?

Doctor's answer:

According to your medical history, you are at 40+1 weeks. The ultrasound suggests the fetus's biparietal diameter is 9.7 cm, which is likely to weigh around 8 pounds, indicating a risk of macrosomia. If your pelvis is relatively wide, young, and tall, these factors should be comprehensively evaluated. If the fetal position is normal, you can decide on painless labor. If there are any abnormal factors such as the fetal head rising and stagnating again, it is important to promptly switch to a cesarean section.

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