I'm Michelle Collins, Certified Nurse Midwife and Professor of Nursing at Vanderbilt University School of Nursing. We're talking about dealing with challenging births. Challenging can mean a lot of things to different, to different people and it may be challenging because a woman's partner is stationed halfway across the world in the, in the military and not available to her when she goes to labor. Maybe challenging because it's been a long long labor and maybe challenging because it, it's very uncomfortable for her. So, challenging to one woman may not be the same challenging to another woman. But, in any case, to deal with a challenging labor and birth, the main thing is to have good support people next to you. Choose the people that you want to be with you at birth, knowing that they will be helpful to you when it gets, the hours get long and the going gets tough and that they will support you and urge you to keep going. Also, you want to choose your provider, your midwife or your physician and have confidence in them that they will make the best decisions with your input. And also know that if things aren't working, if you've made a birth plan and things aren't going the way that you exactly expected them to, be flexible enough to go with changes. If a certain position is not helping you progress as far as pushing; let's say for example, then try a different position. Try to be very flexible and open with what's going on. And after the birth, especially if it's been particularly challenged, it's really important to sit with your, your provider and process what went on so that you are very clear in your mind that, as to what the details were and how you work through them.