Answer
-check maternal pelvis for any abn pelvic contraction
-good labour progress is best indicator that there's adequate room for fetus (c/s advised if labour progress inadequate)
-continuous fetal monitoring preferred
-check for prolapsed cord when membranes ruptured
-induction of labour is not recommended
-oxytocin augmentation of labour is acceptable if contractions are infreq/weak
-active 2nd stage (pushing) should be done near OR, prepared to perform C/S
-hcp for vag breech birth needs the skills & experience
-hcp skilled in neonatal resusc should be in attendance for deliv in case head is trapped or nuchal arms are irreducible (arms stuck behind head)
-once active pushing occurs, c/s recommended if deliv not imminent after 60 min