Last week I was supporting a lovely client; an educated and committed mother who hired me as her doula for her first birth. We went through a series of prenatal coaching sessions and drew her belly map. She was practicing the daily activities to encourage optimal fetal position, as well as labor support tools with the guidance of my DVD ‘Practicing for an Active Birth’. She had prepared for her birth. As sometimes happen, the onset of her labor was unpredictably challenging; her water broke and after 36 hours- some spent at home and some at the hospital, she was mostly cramping, but not contracting. After about three hours in L&D, the on-call doctor came into the room and began talking about administering misoprostol. When she called me she said that the doctor has explained to her that ‘taking the medicine will not impact her desire for natural childbirth. Coaching my birth client after an alarming OB visit during her birth is a challenging situation for doulas.