In the excerpt from "Handle with Care" by Jodi Picoult, a woman named Lila is struggling through a lengthy labor of nineteen hours. The physical and emotional toll of the experience leads her to feel overwhelmed and wanting to escape the situation. Her husband attempts to console her by praising her beauty, but Lila responds harshly, indicating her frustration and pain during childbirth.

As the contractions intensify, Lila's determination takes over as she focuses on the physical act of pushing. This moment captures the raw emotions of labor, highlighting both the struggle and strength women display while bringing new life into the world, even amidst feelings of doubt and exhaustion.