Inclusion Criteria:  Obstetric patient at Yale New Haven Hospital Receiving epidural anesthesia Fluent in English Age at least 18 years Willing to provide informed consent Willing and able to comply with study-related procedures Priority classification II, III, or IV  Exclusion Criteria:  Non-caesarian section deliveries Ruptured uterus, prolonged fetal bradycardia, cord prolapse, or other emergent condition Procedures under general anesthesia Altered mental status Priority classification I or V