That was my first thought when I saw it - move some of the bottom to the side and make it square. Then maybe you could add borders around it. There is so much 30's fabric, you might find something very similar - do a 2" or so solid border, then add the pattern in a border and bind it with the pattern. Definitely hand quilt.
Originally Posted by clem55
I'd be tempted to remove the two bottom rows, add those to the side, use the extra for pillow shams, add a pretty solid border and hand quilt with that longer 1/4 inch stitch.