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
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.
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