What are the reasons for the fetus not entering the pelvis? Does it have any impact?

Patient's question:

Hello:
A friend of mine is 38 weeks pregnant, but the fetus is not engaging into the pelvis. What could be the reason? Will it have any impact?
Thank you!!

Doctor's answer:

As long as the pelvis is not narrow and the fetus is not too large, it is still possible to have a normal delivery even if the fetus does not engage. Generally, the first child has already engaged by the 7th or 8th month of pregnancy. Now, at 41 weeks, if the fetus has not engaged, it can still be delivered normally as the uterus contracts during labor and pushes the fetus into the pelvis. It is also normal for the second child not to engage.

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