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Baby not engaged at 40 weeks pregnancy - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Child Birth
Answered by

General & Family Physician
Practicing since : 2009
Answered : 650 Questions
User :   Hi, may I answer
User :   Hello, actually i have some queries reagrding the normal delivery
Doctor :   hi
Doctor :  
ok
Doctor :  
please proceed with your query
User :   Currently i am in the 40th week and my EDD is 6th Dec. But doctor here told me that still my baby is not engaged. Rest everything is normal. And i want to go for normal delivery only. So can you tell me what it signifies?
Doctor :  
ok
Doctor :  
i will explain
User :   My scan reports are as follows: Doctor :  
ok
Doctor :  
go ahead
Doctor :  
tell bme the scan report
Doctor :  
and when was this scan done?
Doctor :  
*me
User :   Single live intrauterine gestation with Cephalic presentation at scan.
Doctor :  
ok
User :   The scan was done on 18th of Nov. and i finished my 9th month on 27th of Nov.
Doctor :   does the scan report say that baby and liqour amount is fine?
User :   Yes...liquor level is AFI 13-14 cms
Doctor :  
ok this is fine
User :   Placenta is fundal and posterior with thin areas of calcification S/o grade 3 maturity
User :   what it means?
Doctor :  
what is your height and your current weight?
User :   Fatal spine towards maternal left.
User :   My height is 5'4"
User :   and current weight approximately 80. it was different on different machines
Doctor :  
it means that placenta is attched on the upper part of uterus called fundus, posterior part of it and is fullly matured
User :   ok.. what it signifies?
Doctor :  
in fully matuured placenta there XXXXXXXX sometimes few calcifications seen at term
User :   like ?
Doctor :  
so dont worry about it
User :   ok..
Doctor :  
they are normal
User :   they are normal but yestrady doctor told that baby is not engaged...so im worried abt my delivery
Doctor :  
fetal spine towards maternal left means that babys back/spine is on your left side
User :   ok.. so is this spine position good ??
User :   i think this signifies whther its a girl or boy right ??
Doctor :  
if the baby is still not engaged then we need to see whether the baby wil get engaged once teh pain starts
Doctor :  
no it does not signify anything
Doctor :  
it just tells which side the baby is lying
User :   but everything normal right?
Doctor :  
whether right side or left ride
Doctor :  
as per you last scan report everything seems to be normal
User :   ok.
Doctor :  
since you are already 40 weeks
Doctor :  
you should go for a repeat check again
User :   and doctor told the same thing that baby will get engaged sometiomes when the pain starts.
User :   and yes, babies weight is 3.5 +
Doctor :   sure it is seen to happen that the head is not engaged until pain starts
Doctor :  
do a lot of walking it helps to engage the head
User :   ohk..what else i have to do except walking ?? is it possible to get this positively in this short period of time ( only 3 days left) ?
Doctor :   you cannot tell for sure, it depends on the baby
Doctor :  
all you can do is wait
Doctor :  
go for repeat check once you are 41 weeks, you should ask the doctor to induce labour pains
User :   yes... but from my side walking has to be done right ?? how much time walk? ?
Doctor :  
did your doctor tell you that the pelvis is fine?
Doctor :  
or dis she tell anytime that it is contarcted?is this your first baby?
User :   Yes..this is my first baby
Doctor :  
walk for about 20-30 minutes in morning and evening and after dinner
Doctor :  
ok
User :   ok..
User :   She didn't exactly mentioned abt pelvis but told all is fine.
Doctor :  
did your doctor do a pelvic /internal examination by putting her hand in vagina?
Doctor :  
the pelvis needs to be assesed that it is fine
User :   No..this time she didn't do it.
Doctor :  
if contracted, head will not get engaged
User :   how can i know that ?? on scan report can we say thta ??
Doctor :  
otherwise also until the pain starts we cannot say how your body wil respond and how the baby will respond
Doctor :  
no scan report will not say that
User :   ok.
Doctor :  
your height is more than 5 feet so the contraction of pelvis is not that much expected
User :   Yes... i think so..
Doctor :  
so wait and watch patiently, do not worry the baby is fine.
Doctor :  
but do not delay more than 41 weeks
Doctor :  
get a repeat check done
Doctor :  
Is there any thing else I can help you with?
User :   Yes. She told me to come on 8th Dec.. means atmost 2 days later
Doctor :   ok
User :   only way is maximum walking right ???
Doctor :  
you can wait for two more days
Doctor :  
meanwhile do the walking
User :   Ok.
Doctor :  
and when you go ask her that you want to try for normal delivery
User :   my date is 6th Dec as per 9 months 9 days.. and 4th Dec by some doctors.
Doctor :  
only when the baby is beginning to have problems inside opt for a cesarean
User :   Ohk.. can anything i do so that my delivery will be normal means with the easy labour ?
Doctor :  
10-12days before or after the due date to have delivery is not a problem.
Doctor :   u need to relax and not panic
Doctor :  
cooperate with doctor/nurse instructions
Doctor :  
once the pain starts or they artificially induce pains for you
Doctor :  
you need to relax and copoperate
User :   thats what i am doing.....and yes..one more thing, i get pains sometimes just below my lower stomach means on the upper part of the vagina
Doctor :  
*cooperate
Doctor :  
ok
Doctor :  
that could be possible due to either the head trying to engage or the start of labour pains
User :   means if i press it, i feel thats paining because of which i wont be able to lift my legs..it pains alot
Doctor :  
it may be due to the head trying to engage
Doctor :  
do not press it
User :   it was happening earlier also...but nowadays its too much...and from last night im getting sudenly lower back ache.
Doctor :  
ok
Doctor :  
this can be a sign of starting labour pains
User :   ok... i just pressed it some times to get clarify that whethr its the actulal pain
Doctor :  
if it increases more
Doctor :  
or if you feel water or urine like thing leaking from vagina
Doctor :  
then report to doctor immediately
User :   Yes.. water type discharge is going very little in amount from few days... its very little in amount
Doctor :  
ok
Doctor :  
does it smell of urine?
Doctor :  
i suggest you keep a pad like normal period times
Doctor :  
and observe the color and quantity
User :   means after urination it smells something different
Doctor :  
it may be liquor leaking slowly or urine leaking due to pressure on bladder
User :   and urine color is pale yellow
Doctor :  
report back to your doctor immediately if the smell is not of urine
User :   what it means ?
Doctor :  
keep a pad, if it is light greenish or staw color or clearlees fluid with no urine smell
Doctor :  
report back immediately
User :   ohk..
Doctor :  
cos you might be leaking liquor
User :   no.. its not liquor...
Doctor :  
and if more goes out, then baby will be in distress and you will need to go for cesarean if baby is already in distress
Doctor :  
also ask your doctor to do a NST (non stress test)
Doctor :   to lok for uterine contractions and its effect on the baby
User :   i feel this is the urine only...,,, as i go for that many times...
Doctor :  
going for many times is common not to worry
User :   NSt at the time of delivery or now onluy??
Doctor :  
but if there is a constant leak that you are feeling then you should report back immediately
Doctor :  
it can be done now itself
User :   Ye.s.
User :   They dint say anything abt NST
Doctor :  
you need to do two things
User :   Tell me pls
Doctor :  
1) report the leaking sensation and the leaking will be tested to see if its urine or liquor
User :   ok
Doctor :  
2) a NST or a CST to see response of uterus and baby to the contractions
Doctor :  
so i suggest in either case to report back to doctor
User :   ok.
Doctor :  
if you can withstand the back pain that you are having you can awit for two more days
User :   i was actually worried abt babies head engagement and the pains which i am not getting
Doctor :  
but if the pain or leaking is present the same then you should report back immediately
Doctor :  
once the pain gets more, the head wil get engaged
User :   Ok..
User :   only solution is to walk more and more right !!!
Doctor :  
in the first pregnancy it happens lots of times that head is not engaged untill pains start.
User :   I will do it from today only...
Doctor :   yes and also look for back pains coming to vaginal area and thighs
Doctor :  
and take care of the leaking if any is present
Doctor :  
Is there any thing else I can help you with?

Doctor :   Please fill the feedback form, and comment box, and say done when done.
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