Called in for a very very am C-Section for FTP - 31 yo term prime who has been in active labor for 26 hours/pushing for 3hrs...but...without any anesthesia or pain meds the entire time...

Rolled in and did a quick interview - she was obviously tired & hurting but, surprisingly, good spirits/still smiling ... popped in a spinal and nuthing more eventful.... so pretty textbook...anwho...

With all the crazy laboring patients Ive seen - I was just in awe of this nice woman - who just wanted to go the "natural" way - all the way to the bitter end.

Around here - its very rare that you get to see this anymore. So my hat is off to her....

For the labor numbers - we have about an 85% epidural rate and almost 100% of the remainder of some type of IV narcs if no epidural....so very rare for someone demand (and stick to it) not to have a single thing....esp for the length of this labor.

Nothing real clinical to share - but just thinking out loud....