42 weeks pregnant and no signs of labor yet, what should I do?

Feb 27, 2025 Source: Cainiu Health
Disease description:

I am now almost 42 weeks pregnant, but I still haven't experienced any signs of labor. What should I do?

Doctor's answer (1)
Dr. Zhang Lu

When a pregnancy reaches 42 weeks but the pregnant woman has not yet shown signs of labor, it is usually classified as postterm pregnancy. In such cases, several steps and measures can be considered:

1. Moderate exercise: The pregnant woman can try moderate activities such as walking to help the fetus descend into the pelvis, but should avoid high-intensity exercise and ensure she is accompanied by family members.

2. Hospital admission for labor: Given that postterm pregnancy may increase the risk of fetal hypoxia and asphyxia, and the placental function may be compromised, it is recommended that the pregnant woman be admitted to the hospital for labor if she has not delivered by 41 weeks. The physician will determine whether labor-inducing medications, such as oxytocin or prostaglandins, should be used to stimulate uterine contractions.

3. Consideration of surgery: If assessment reveals conditions such as cephalopelvic disproportion, the physician may recommend cesarean section to terminate the pregnancy.

When delivery has not occurred by 42 weeks, it is advisable to maintain close communication with the physician, follow professional guidance, and ensure the health of both mother and baby. Additionally, maintaining a positive mindset and engaging in appropriate physical activity can also help promote spontaneous labor.