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Pam's in labor, but she's also in denial. Even though her contractions are only a few minutes apart, she's refusing to go to the hospital, ostensibly for insurance reasons but really because she's scared. The coworkers make their best efforts to distract Pam while Jim gets increasingly freaked out.
And when the expectant parents finally do make it out of the office, Pam unwisely -- okay, idiotically -- sends Dwight to their house for her iPod. Pam has a very long labor in the hospital while Dwight rips out their kitchen cabinets to clear out the mold he found. Meanwhile, back at the office, Michael is looking to repeat what he sees as his matchmaking success with Jim and Pam, and sets up Erin and Kevin. That goes as well as expected.