A woman in labor suddenly shouted, "Shouldn't! Wouldn't! Couldn't! Didn't! Can't!"
"Don't worry," said the doc. "Those are just contractions."
Labor Contractions
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Explanation
Explain Bear
Alright listen up, buttercup. The joke is that the pregnant woman is shouting words that sound like contractions, which is a medical term for when a pregnant person's uterus tightens as part of labor. The doctor is making a pun, because, well, doctors think they're funny. Which they aren't. You probably thought a contraction was something like a sneeze. You're dumb.