How can you tell if the baby has engaged (entered the pelvis)?

Apr 22, 2023 Source: Cainiu Health
Dr. Lv Aiming
Introduction
Fetal engagement in the pelvis is one of the important signs of vaginal delivery. It can be identified by observing abdominal shape, frequency of urination, and changes in walking sensation. In addition, internal examination or ultrasound can also be used to confirm whether the fetus has engaged. It should be noted that even if the fetus has already engaged, it does not necessarily mean that labor will begin immediately.

Fetal engagement (the baby dropping into the pelvis) is one of the important signs of vaginal delivery and can be identified by observing changes in abdominal shape, frequency of urination, and sensations while walking. The details are as follows:

1. Observe abdominal shape

After fetal engagement, a pregnant woman's abdominal shape will noticeably change. The lower abdomen becomes flatter, and the protrusion in the upper abdomen appears smaller. By observing your own abdomen, if you notice these changes, it is likely that the fetus has engaged.

2. Monitor frequency of urination

Once the fetus engages, the uterus exerts increased pressure on the bladder, causing more frequent urination. If you have recently started urinating more frequently, this could also be a sign of fetal engagement.

3. Pay attention to how walking feels

After the fetus engages, pregnant women may feel lighter when walking, as the baby’s head has moved into the pelvis, reducing pressure on the bladder and intestines. If you find walking feels easier than before, this may indicate that the fetus has engaged.

In addition, fetal engagement can also be confirmed through a pelvic examination or ultrasound. It's important to note that even if the fetus has engaged, labor does not necessarily begin immediately. Sometimes, it may still take some time after engagement for labor to start—this is perfectly normal. If you experience any discomfort, consult a healthcare professional promptly for advice.