Jim and Pam finally go on a double date with Michael and Pam's mother Helene on Helene's birthday, which takes a dark turn when Michael discovers just how old Helene is turning, and breaks up with her. Meanwhile, Dwight offers to do nice things for all the members of the office so that they will owe him a specific favor, but Andy ruins his plans.

Pam’s contractions begin but she and Jim are determined to wait it out as long as possible so they can have more time at the hospital. Meanwhile the rest of the office tries to distract Pam from the pain with food and entertainment.