Can a large fetus be delivered vaginally?

Patient's question:

Medical Description: At 39 weeks of pregnancy, I went to the hospital for a check-up. The doctor said the birth canal is normal, but the fetus is relatively large, although they didn't specify how large. A 2D color ultrasound was performed, which only recorded a biparietal diameter of 9.6 cm and a femur length of 7.6 cm, as well as amniotic fluid index of 14.1 cm. We don't really understand how big the baby is. Since my wife is already 32 years old, I'm a bit worried. I would like to ask, how big is the fetus and can it be delivered normally?
History of Treatment and Effect: Currently, we are at home waiting.
Desired Help: I would like to ask, how big is the fetus and can it be delivered normally?

Doctor's answer:

Medical Analysis: Hello, based on your description, your baby's biparietal diameter is 9.6 cm and the length of the femur is about 7.6 cm, which is relatively large. We say that a biparietal diameter greater than 10 cm indicates a macrosomic baby, but yours is not considered macrosomic yet. The estimated weight is over 7 pounds. We refer to women over 35 as advanced maternal age, and childbirth can be more challenging for them.
Recommendation: Your condition allows for a natural birth. Some macrosomic babies can be delivered vaginally, though it may be more difficult for you compared to others. If you choose to have a natural birth, it's important to believe in yourself and have confidence in both you and your child. We wish you a smooth labor and postpartum recovery.

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