Patient's question:
Medical Description: Due to the approaching due date, the fetal head is still high. The umbilical cord is wrapped around the neck twice.History of Treatment and Effect: I am three days away from my due date. In these days, I have been experiencing lower abdominal pressure, back pain, and frequent urination. When I went to the hospital for a check-up, the doctor said the baby's head position is still high, but the cervix is dilated. What could be the reason for this? Additionally, the ultrasound showed that the umbilical cord is wrapped around the neck twice. Could this be the cause?
Help Needed: What should I do if the baby's head does not move down? Is a Cesarean section necessary if the umbilical cord is wrapped around the neck twice? Is it dangerous to have a natural birth?
Doctor's answer:
Hello, are you saying it's almost time for your due date? If there are no regular contractions now, it's definitely not possible to give birth, so don't get too anxious. Reaching the due date doesn't necessarily mean labor will start. I suggest you have another fetal heart monitoring test to wait and see. Based on your description, the baby's head hasn't engaged in the pelvis, and it's likely to be a cesarean section. If you really don't want a cesarean, wait for two more days. Depending on the baby's condition, if it still hasn't come down, a cesarean section will be necessary.According to your description, if the biparietal diameter of the fetus matches the pelvic diameter, you can wait for a natural birth. Delivering two weeks past the due date is still considered normal. Drink more water, properly supplement nutrition, get adequate rest, monitor fetal movements, and prepare for delivery.