What should I do if my baby at 41 weeks hasn't engaged in the pelvis?

Patient's question:

At 41 weeks pregnant, the baby hasn't engaged. I want to have a vaginal birth. If I receive induction medication and the uterus is fully dilated but the baby still hasn't engaged, what should I do? I don't want a cesarean section. I've heard that forceps can be used to deliver the baby. Is that possible? Is this harmful to the baby or the mother?

Doctor's answer:

For you, if the baby has not engaged, forceps-assisted delivery can be used, but there are certain prerequisites. At the very least, the baby needs to engage. It is best to consult with an obstetrician and gynecologist. Additionally, you can try using oxytocin to see how the labor progresses.
Currently, there is not enough time to determine whether to choose a cesarean section or vaginal delivery based on your baby's condition. If you choose to have a cesarean section, try to accelerate the labor process to see if it works. If you do not consider a cesarean section.

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