Isabel remained concerned throughout her third pregnancy, in 1875, fearful that it would again end in failure. A doctor and midwife from France were brought over for the birth, to the dismay of local physicians whose pride was wounded by Isabel's use of foreign practitioners. After a labor of 13 hours, a boy, baptized Pedro de Alcântara after his grandfather, was delivered with the aid of forceps. Possibly as the result of the difficult delivery, Pedro was born with a disabled left arm.