To my patient, we started off induction day 2 identically to induction day 1 with IV pitocin, but there was something different this morning. When I arrived at 7:30 am Sunday to check her cervix, all of the pitocin from the day before and the misoprostol she received during the night appeared to have done a little good. She was a whopping 1-1.5 centimeters dilated. While this wasn't an great achievement it was open enough for me to rupture her membranes, to snag her bag, to break her water.
Once that took place, this 19 years old first time mom had a very routine labor progressing at about a cenimeter an hour until she was complete at 10 centimeters at about 4:30 pm. She was extremely frustrated by her lack of ability to push well with an epidural, but an hour later it happened. With the resident on the delivery stool and me standing right next to him we delivered her 8 lb 14 oz baby boy.
The instant he placed the baby on mom's stomach she burst out in tears and the baby's father, a tough logger, couldn't hold them back either. I took a deep sigh and looked at this new family and I remembered again why I practice family medicine and why I deliver babies.