I can vividly remember Rachel, a patient I was caring for in L&D. She was a G1P0 in active labor with an epidural, and everything was going well so far. Her husband, Shawn, was at her bedside. Her history and prenatal course were unremarkable. As Rachel was laboring and on the fetal monitor, she said she felt her water break. Very quickly, I noticed the baby’s heart rate was dropping…..