What to do if the baby has not entered the pelvis at 39 weeks

In the later stages of pregnancy, the fetus will go through a process of entering the pelvis. Generally speaking, the fetal head enters the pelvis between 37 and 38 weeks of pregnancy, and the mother will feel it after it enters the pelvis. If the fetal head has not entered the pelvis by the 39th week of pregnancy, you need to be alert. It may be the mother's problem or the baby's problem. So, what are the ways to get the fetal head into the pelvis? What should you do if the fetal head has not entered the pelvis by the 39th week of pregnancy? Let's learn about it together below.

What should I do if I am still pregnant at 39 weeks?

If your pelvis and fetal head are in proportion, the fetus will usually be in the pelvis around 38 weeks. But if the fetus is in a transverse position, it all depends on the detailed circumstances. Sometimes the umbilical cord of the fetus is wrapped around the neck and does not enter the coil. I entered the market when I was still alive. Because the baby's face is facing down, not the top of the head.

Around 36 weeks of pregnancy, the fetus's head will enter the mother's pelvis, that is, the biparietal diameter of the fetus in the head position will enter the lower part of the mother's pelvic canal and be symmetrical with the pelvis. This situation is called "fetal head entering the pelvis". It is a signal sent by the fetus that it is ready to come and it is also the first step in the process of normal delivery.

According to a survey, 80-90% of first-time babies will have the sign of engagement at 37-38 weeks of pregnancy, that is, the baby's head fully enters the mother's pelvis.

The time of engagement of the pelvis can be early or late. For a small number of people, the pelvis will not engage until just before delivery, while for some people, signs of engagement will appear as early as 33 or 34 weeks of pregnancy. For some people, it is not easy to engage the pelvis until just before delivery. For pregnant women who are pregnant with their second child, most of the time, the signs of calving will not appear until the night before delivery.

Whether the baby's head can fully enter the pelvis is an important indicator for doctors to determine whether natural delivery can be chosen. However, according to a survey, most pregnant women who have no signs of engagement at 38 weeks of pregnancy can give birth successfully, and only a small number of them need caesarean section. Therefore, pregnant mothers do not need to worry too much about the early, middle or late time of engagement.

What are the ways to get the fetal head into the pelvis?

Generally, by the ninth month of pregnancy, the fetal head of women giving birth for the first time will enter the pelvis. However, there is also a small number of women whose fetal head has not yet entered the pelvis, which means the fetus has not entered the pelvis.

There are many reasons why the fetus does not enter the pelvis, such as the fetus is too large, the fetal head is not symmetrical with the pelvis, the fetal head position cannot be lowered, the fetal umbilical cord is wrapped around the neck, placenta previa, etc.

1. Stroll

Walking can not only exercise the pelvic cruciate ligament, allowing women to complete delivery, but also speed up the process of pelvic flooring. It is recommended that pregnant mothers take a walk once in the morning, noon and evening every day, each time for about 30 minutes. It can also be divided into 3 times, each time for 15-20 minutes. You can talk to the baby while walking and massage yourself. It is recommended to stroll in areas with elegant natural environments such as parks and residential areas, and avoid areas with heavy traffic and serious environmental pollution.

2. Stair climbing

If the building you live in is not high, it is recommended to choose stairs instead of elevator. This exercise can fully exercise women's leg and waist muscles, which is beneficial to the fetus entering the pelvis and accelerating the progress of delivery. Please note that if you feel tired while climbing the stairs, you must rest immediately, preferably with the company of your loved ones. For some women, if the doctor has told them not to climb stairs, it is best not to do this exercise.

3. Prenatal gymnastics

This increasingly popular exercise can effectively train the pelvis, make the pelvic floor muscles more elastic and flexible, and can promote the smooth entry of the fetus into the pelvis.