Karen was already at the clinic when I came on shift. She was about 6 cm but was not in any pain at all! She was nick named 'Smiley' by everyone on shift because for someone in 'active' labor she sure was in a good mood!
We waited six hours and redid an internal exam to see if there was any progress and she was at 7 cm! This was unusual as this was her 3rd baby. The baby's head was well engaged so my supervisor did an amniotomy (which is an artificial rupture of membranes) to speed up her labor a bit. Immediately afterwards her contractions picked up and she lost her smile! There were other babies being born, so I stepped away for a while and when I returned about 20 minutes later she looked very active and ready to push. I set up her room and a few minutes later... Little Loren came into the world! She labored only 35 minutes after the amniotomy!
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