Throw Your Clocks out the Window

"Instead of looking at the clock, observe the woman. Listen to her. If a dad calls me and announces the contractions are matching some formulaic expectation and I can hear the mom chatting excitedly and barely cracking a sweat during the contraction, I tell them to stay home if they can. Very often they'll call me hours later, and even though the contractions may or may not be different in terms of length and frequency, I'll hear a change. She will be vocalizing in some way, or doing some very focused breathing...her voice will sound a little far away even between the contractions. If I'm present and watching her, her motions will be slower, and more deliberate. She'll have to lean over things and sway her hips. When labour is really rocking and rolling, most women will look quite stoned between their contractions, the idea of distracting themselves by conversing or watching tv ridiculous, and there is a sense they are far away, off in labour land, and moving normally is often difficult. Plus it's aparent they are feeling some spectacularly strong sensations. For first time mothers, this is usually the time to go to the hospital, because labour has had a chance to establish itself...endorphins and oxytocin are flowing beautifully. If a woman goes to the hospital too much before this happens, it can be EXTREMELY difficult to achieve this trance-like state with all the routines and strangers asking questions, often making the labour seem longer and more painful."