Patient's question:
First pregnancy, all aspects checked normal but the baby has not engaged. Cervix is dilated halfway with a score of 7. 41 weeks and 3 days. Fetal biparietal diameter is 9.6. I am 160 cm tall and weigh 72 kg. The doctor suggested using oxytocin, and if that doesn't work, a cesarean section would be considered. Is this method reliable? I don't know why the baby hasn't engaged, so I'm worried that oxytocin might cause adverse effects on the baby if it doesn't work. Is the baby's size good? I'm undecided between a cesarean section or trying labor with oxytocin.Doctor's answer:
According to the information you provided, if the baby does not engage for a long time, it is more likely to be cephalopelvic disproportion. You can try induction with oxytocin. If it still does not engage, a cesarean section may be necessary. Or, if oxytocin is used but there is no change, a cesarean section should be performed directly. The above advice is for the question "What should I do if the first baby does not engage despite normal check-ups in all aspects?" It is hoped that it will be helpful to you. Wishing the patient a speedy recovery!