Patient's question:
Hello doctor, I'm 38 weeks pregnant but haven't engaged yet. What should I do? How likely is it that I can have a natural birth?Doctor's answer:
If it is the first pregnancy, most women enter the pelvis before 38 weeks. If it is the second pregnancy, it is usually during labor. However, there are individual differences. If you are in the first pregnancy and experience this situation, it is advisable to consider cephalopelvic disproportion. It is recommended that you go to the hospital for a check-up. Generally, when the biparietal diameter of the fetal head enters the pelvic inlet plane and the lowest point of the fetal skull is close to or reaches the level of the ischial spines, some primiparas may engage 1-2 weeks before the due date, while multiparas may engage when labor contractions begin. Therefore, if your baby is not too large and the biparietal diameter does not exceed 9.5 cm, it is usually possible for the baby to engage and deliver vaginally. Make sure to maintain good prenatal care and attend regular prenatal check-ups.