How to deal with the situation where you are 40 weeks pregnant but haven't engaged yet?

Patient's question:

No

Doctor's answer:

First-time mothers usually have the fetus engage in the pelvis 1-2 weeks before labor, while some second-time mothers only engage the fetus after labor begins. Additionally, those with a shallow pelvis may also exhibit this pattern. Therefore, it's not necessarily because the fetus is too large that it hasn't engaged—the engagement is a natural process, and there's no method to force it in.
If you plan to give birth naturally, it would be advisable to have an experienced doctor estimate the size of the fetus. A weight exceeding 4000g increases the risk of dystocia. Currently, with ultrasound monitoring, there are no issues, so you can wait. If you are hospitalized for induction at 41 weeks.
After regular contractions, if the fetus still hasn't engaged and the head cannot descend smoothly, it indicates a true cephalopelvic disproportion, and a cesarean section may be necessary.