The medical staff failed to recognize signs that the baby was not tolerating labor and should have called a C-section 4.5 hours before it was finally performed. The medical staff was negligent by continuing to increase the dose of Pitocin in the face of several late decelerations and other non-reassuring signs of fetal intolerance of labor. The medical staff continued to increase the dose of Pitocin despite strong contractions, directly disobeying the hospital’s own policies and procedures as well as the warning signs printed on the drug’s package insert.