Question
My last menstrual period was on April 15th, with a due date of January 22nd, but the baby has not yet engaged in the pelvis. On the 22nd, I went to the hospital for a check-up, where the doctor performed a simple abdominal palpation and fetal heart auscultation, and instructed me to have an ultrasound in one week to assess the baby’s maturity. If the baby has not yet engaged in the pelvis, do I have to have a cesarean section? I am inclined towards a natural birth.
Answer
Based on your situation, I suggest you continue to observe and engage in appropriate activities to promote natural delivery. The ultrasound in one week will help assess the baby’s size, position of the fetal head, amniotic fluid condition, placental maturity, and pelvic situation, thereby determining the best birthing method. If the fetal head has not yet engaged in the pelvis and the baby is fully developed, it may be considered to use oxytocin. If confirmed as cephalopelvic disproportion, a cesarean section may be necessary. It is recommended that you follow your doctor’s professional advice and maintain rest and a healthy lifestyle during the final stage of pregnancy.