In the episode, Rachel spends 21 hours in labor, and watches many of her roommates, including Janice, giving birth before her.
Ross and Rachel frantically arrive at the hospital, where they are greeted by Chandler, Monica, Phoebe, and Joey.
Meanwhile, in the waiting room, Monica jokes to Chandler about wanting to have a baby just to freak him out.
Finally, after 21 hours of labor, Rachel gives birth to her baby girl.
She leaves Rachel saddened and afraid, especially when Ross walks in and tells her he got distracted talking to a nurse while on his way to get some sodas.
Back in the room, Joey goes to get Rachel some tissues, and when he does, the ring falls from Ross' jacket.
Meanwhile, Ross, with a bouquet in his hand, makes his way back to the room, intending to ask Rachel if she wants to start things up again.
At the 54th Annual Primetime Emmy Awards, Jennifer Aniston won Outstanding Lead Actress in a Comedy Series for her work in the episode.
At the 54th Primetime Creative Arts Emmy Awards, the episode was nominated for Outstanding Art Direction for a Single-Camera Series, and Outstanding Sound Mixing for a Comedy or Drama Series (Half-Hour) and Animation,.