I came on shift early and discovered that there was a labor pushing. I was first up so i got on some gloves and my colleague endorsed her to me. This was her first baby so she was still trying to figure out how to push but was making progress. I had to do some serious perineal pressure to help the baby's head descend. My supervisor helped. Her baby was born quickly at that point but there was a ragged tear in the process which i had to suture later on. The placenta had a battledore insertion. This is a picture of her, the father, her mother and her little brother... and of course little Althea!