4 weeks already, and 3 little babies safely resting in the arms of their mamas. Sometimes in the last few weeks when I have been discouraged at how many babies I still need to continue on in my midwifery education, and how many times I have sat in the back of the ambulance with a patient on our way to the hospital, I have to remind myself that the experience is in the details, recognizing the complications, taking care of patients during labour – before they ever give birth, and caring for the patient who has given birth before I ever even made it to shift. As I walked onto what promised to be a crazy night shift a few evenings ago, I was excited – busyness means a definitely higher likelihood that there would be babies for the catching. After endorsements, everyone scattered to various duties. I grabbed my assigned patient’s chart and headed for her cubicle to introduce myself. She quietly endured my gentle prodding as I checked her vitals and her baby. The news wasn’t very positive. Her borderline blood pressure had crept up past what could be considered normal and she was still in very early labour. The supervisor was fully occupied in a suturing job, another one helping another midwife assess a patient. “Start an IV” they said “see if it will help”. Ok then. I pulled out all the things I would need, set everything up. I ran through the mental checklist in my head, then again, starting the whole IV in my head first. With no one to hand me supplies, I was on my own and everything needed to be in easy reach beforehand. After explaining to the patient what I was about to do and why, she held out her hand and I sat down to have a look. The first try produced an unsuccessful result and I battled the compulsion to call someone else to come. Knowing when to ask for help is important, but I knew I had been told any number of times how to insert an IV, i have done it successfully before. Many times with the comfort of someone standing at my shoulder reassuring me I was doing just fine and helping hands conveniently connecting tubes, handing over tape, and holding everything steady. Gritting my teeth, I gave myself one more try before calling for help. The needle slid into the vein, I hooked up the tubing and opened the valve. Clear fluid dripped into the line. I watched the area around the IV suspiciously but no bulges appeared. Still skeptical, I called for someone to come take a look. “Looks fine to me” she said, and I taped everything in place.