During second-stage labor, a client pushes for 2.5 hours with an epidural. The baby is at +2 station in occiput posterior position. What is the MOST appropriate action for a CPM attending a planned home birth?
-
A
Encourage continued pushing for another hour
-
B
Attempt manual rotation to occiput anterior
-
C
Initiate transport due to prolonged second stage
-
D
Apply fundal pressure to assist descent