Patient's question:
On August 5, 2013, at 40 weeks and 2 days pregnant, the doctor's examination revealed that the cervix was low and the fetus had not engaged. However, the prenatal check-up showed that the placenta maturity was reduced to level 2 and the amniotic fluid was normal. Is it necessary to have a cesarean section in this case? The mother herself wants to have a natural birth.Doctor's answer:
Hello, if the fetus does not engage in the pelvis in time, common reasons include: cephalopelvic disproportion, where the fetal head is too large or the pelvic cavity is narrow; tight umbilical cord, obstructing fetal descent; excessive pelvic tilt, common in women who wear high heels for a long time; and uterine wall relaxation in multiparous women. By improving habits and following the guidance of an obstetrician, it is possible to correct the condition and aim for a vaginal delivery.