Question

As the due date is approaching, there is no sign of the fetus engaging in the pelvis. The inquirer wants to know if there are methods to accelerate this process and whether a cesarean section is the only option if the fetus continues to not engage.

Answer

Based on the calculation from the last menstrual period, the due date is January 22nd, and there has been no sign of fetal engagement yet. If it’s a first-time pregnancy, one should be mindful of the issue of cephalopelvic disproportion. It is recommended to maintain a balance of activity and rest in the coming week and to undergo another ultrasound examination on January 29th to confirm the size of the fetal head, its upward movement, amniotic fluid, placental maturity, and pelvic condition to determine whether further measures are needed, such as induction with oxytocin or choosing a cesarean section. At the same time, one can try moderate exercise to aid in the preparation for natural childbirth.