Mom is having a difficult time and in a lot of pain. Her baby is stuck and the doctor had to tug to free the baby. Dad and nurse supported moms legs and helped her get into a favorable position as she pushed with all her might through all the pain.
Mom is in quite a bit of pain and laying flat on her back. Her support are helping hold her down she probably wanted pain relief but it was too late for that. You can see them push on her pregnant belly trying to help push the baby out while the doctor uses his hands and helps pull the baby out.