Can a first-time mother give birth naturally without engaging in the pelvis?

Patient's question:

No

Doctor's answer:

First-time mothers usually engage the fetal head into the pelvis two weeks before delivery. If the fetal head does not engage in a timely manner, it indicates cephalopelvic disproportion, making vaginal delivery difficult and potentially leading to labor arrest or fetal distress. Therefore, choosing a cesarean section would be safer.