Woman in labor 38 years, the first delivery, time .When entering the kind of room: OJ = 110 cm, height of uterine fundus = 40 cm. Penetrates the fetal head. The skin is pale vulvar ring, yielding...

Woman in labor 38 years, the first delivery, time .When entering the kind of room: OJ = 110 cm, height of uterine fundus = 40 cm. Penetrates the fetal head. The skin is pale vulvar ring, yielding little. Your diagnosis? The most rational tactics of the doctor at this stage?