Can a woman at 40 weeks gestation, who hasn't engaged yet, still have a natural birth?

Patient's question:

It's very frightening when this happens. I often experience lower abdominal pain and don't know how to solve it, so I came here for consultation. Could you please tell me if it's possible to have a natural birth at 40 weeks without engaging in the pelvis?

Doctor's answer:

For the first pregnancy, if the baby's head does not engage in the pelvis at full term and delivery occurs, the risk of dystocia increases, but it is not impossible to deliver vaginally. With sufficient trial labor and cervical dilation, artificial rupture of membranes can be performed, which helps the baby's head to descend. Generally, doctors will advise women with signs of genetic risks to pay attention to warmth and avoid coldness. Additionally, patients should create an environment conducive to emotional stability and stress relief. Wishing the patient a healthy delivery.

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