A 29-year-old para 1 with a booking BMI of 42 (121 kg) attends at 39+1 weeks of gestation with a
history of regular contractions and spontaneous rupture of the membranes. Her first baby was born
three years ago by emergency caesarean section for suspected fetal compromise when the cervix was
7 cm dilated. In this pregnancy, the antenatal course has been uncomplicated and she is aiming for a
vaginal birth. On examination, the cervix is 5 cm dilated and the liquor is clear.
8) What would be the most appropriate management?