Do you need to be hospitalized for childbirth at 36 weeks of pregnancy with a second child?

Patient's question:

I am 36 weeks pregnant with my second child. The ultrasound shows the baby is almost 38 weeks. I have been having three bowel movements a day. Today, I feel like I need to have a bowel movement, but it doesn't come. With my first child, I was in labor but had no contractions, and I was given oxytocin. Should I be admitted to the hospital for labor?

Doctor's answer:

The results of the detailed ultrasound examination showing a two-week difference from the actual gestational age is normal. The gestational age is primarily estimated based on the last menstrual period, and it is normal for the due date to be either 10 days earlier or later.
Feeling the urge to defecate but not being able to, is likely related to the fetal head pressing on the rectum. I suggest you don’t panic and wait and see. If you experience bleeding or recurrent regular contractions, you should go to the hospital for delivery. Rest more and prepare necessary supplies.
May I ask if there has been any recurrence of bleeding or vaginal discharge? Was the amniotic fluid volume normal in the previous ultrasound examination?
This is the advice for the question "Twin pregnancy at 36 weeks, ultrasound shows the baby is almost 38 weeks." I hope it helps you. Wishing you good health!

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