How does Helen react to the birth of her daughter in the play, Machinal?

Helen is disgusted and depressed, feeling that the position she finds herself in (being a wife and mother) was pressed upon her by society. When the nurse asks if she wants her baby, Helen shakes her head. When George enters the room, Helen begins to gag, as if repulsed by her husband. It is only when the doctor insists that the nurse put the baby to Helen's breast that she screams, "No!" Only after everyone leaves does Helen begin to speak. In a long, rambling diatribe, Helen remembers her dog, Vixen, giving birth and how the puppies drowned in blood. Helen seems to be hoping for death and crying out that she will not submit any more.