Not long ago received a elder primip in labor. She arrived with a substantial birth plan and every intention of enduring a natural labor and delivery. She ended up with two nurses and at 1 cm told us she couldn't take it anymore and that labor at THAT point was worse than any of her many tri athalons, swimming from one community to an island many miles away and anything else she had ever gone through....Poor thing. I think she was so toned that her cervix couldn't relax and dialate...She eventually ended up with an epidural because she was in such good shape that her uterus pounded out the contractions.I felt so badly for her...She told me she had a renewed respect for the labor and delivery process and if everyone had to undergo that at Olympic trials there would be scant few athletes that could ever make world class! Isn't that cute???