Patient's question:
I have an itchy lower body, and my underwear is always yellow. What's going on?If I'm 40 weeks pregnant and haven't engaged yet, how can I treat it?
Doctor's answer:
First-time mothers usually have the fetus engage in the pelvis 1-2 weeks before labor, while some second-time mothers only engage the fetus after labor begins. Additionally, those with a shallow pelvis may also exhibit this pattern. Therefore, it's not necessarily because the fetus is too large that it hasn't engaged—the engagement is a natural process, and there's no method to force it in.If you plan to give birth naturally, it would be advisable to have an experienced doctor estimate the size of the fetus. A weight exceeding 4000g increases the risk of dystocia. Currently, with ultrasound monitoring, there are no issues, so you can wait until week 41 to be admitted for induction. If regular contractions occur but the fetus still hasn't engaged, and the cannot descend smoothly, it indicates a true cephalopelvic disproportion, requiring a cesarean section.