Had the second worst IFT I've ever had last night. Get to the local Level 4 at about 0100 for a OB in labor. The on duty doc, who is actually pretty good, says he thinks this 25 y/o who's G3P1 is 3 cm but she is screaming, thrashing around on the bed, and showing out so bad that he can't do a good exam. So we load her in the truck and get rolling. I get to spend the next very misserable hour in an enclosed space listening to her screaming almost nonstop. A few times I think she is about to put her hand through the plexiglass of the cabinet door. She tries to grab me in by the :censored: once and all the while she is thrashing and rolling around on the stretcher so bad that when she said she thought she peed herself, I almost missed the fact that her water broke because she had the sheet bunched up under her :censored:. The closest thing to an assessment I can do is pull the blanket back every 5 minutes or so to make sure she is not crowning.
By the time we made it to the OB facility, I wished I had delivered the baby already just so she would shut up.