Trial labor can be performed vaginally at 41 weeks with two weeks of nuchal circumference, and labor should be evaluated during labor based on changes in the fetal heartbeat and the progress of labor.
Termination of pregnancy should be considered at 41 weeks of gestation due to the decline of placental function in order to avoid the occurrence of overdue pregnancy and fetal distress.
As the umbilical cord around the neck for two weeks may affect the fetal heart, so when the fetal heart and fetal movement is normal can be through the vagina trial of labor, to be assessed by a professional physician cervical ripeness and then given to induce labor, but in the course of labor should be closely monitor the fetal heart and fetal movement changes, the progress of the progress of the delivery can be smooth.
However, when there are abnormalities such as frequent slowing of the fetal heart rate and fecal staining of the amniotic fluid during labor, those who are able to deliver in a short period of time need to be assisted vaginally, and those who are unable to deliver in a short period of time need to terminate the pregnancy by emergency cesarean section and be prepared for neonatal resuscitation, as well as to actively prevent postpartum hemorrhage and treatment of infections.