Emma Willis: Delivering Babies (2018) s01e05 Episode Script
Episode 5
1
From the moment her first daughter
was born,
television presenter
and mother of three Emma Willis
has been in awe of midwives.
SCREAMING
Keep it there, keep it there,
keep it there.
You just kind of sit back and go,
"What incredible women,
"what an incredible job."
Come on there, you can do it,
keep going, keep going, keep going.
That was when my mission
to deliver babies began.
Emma's been given
a unique opportunity to find out
just what it takes
to work on the front line of
a busy maternity unit.
If you're going to do
something like this,
you have to do it properly.
Six pounds, four. Wow!
At a time when there is
a national shortage of midwives,
Emma will immerse herself
on the ward
for ten weeks, supporting the team.
I just wanted to see if we could get
some contractions going.
She will share the pressures
To the emergency
I need some help in here!
Where is it?
..the fears
Your heart is going
Yeah.
It's coming now, it's coming now.
..and the joys
I've even been written up
on the board!
You're a dad!
It's a girl!
..of delivering babies.
Well done you!
It's just odd, the term
"older woman",
cos I'm 42,
and I had a baby at 40.
Keep going, keep going, keep going!
Push, push, push, you need to push!
I just want to kind of like
wrap my daughter up,
"It's fine,
it's going to be all right."
You can't be a mum in that minute,
you have to step back
and let them take care.
Push now, push, come on! Push!
I mean, all of that in 24 hours!
How do you spell catheter?
Emma has been working as a maternity
care assistant for seven weeks.
Good, I think you can stay.
Can I? Yeah. Aw. Yay!
Be my bed maker.
Today, she's on the antenatal ward
with the high-risk mums
who are most likely
to end up in theatre.
Hello. Hi, how are you?
Are you OK?
41-year-old Nicola and her husband,
Gavin, arrived two hours ago.
Nicola has chosen to be induced.
Nice to meet you, I'm Emma.
Hi, I'm Nicola.
I'm at your beck and call
this evening if you need anything.
Thank you very much.
Is this your first? Second.
Oh, OK.
Oh, so you're kind of used to it,
then. Hopefully. Yeah.
But it was different
the first time around.
I went into labour naturally, so
Oh, OK. Yeah. But it's
So why have they induced you?
Cos of my age, I'm 41.
So, because of that,
they wanted to
The risk of stillbirth
as you get towards 40 weeks
I'm 39 now.
39 weeks, so it goes up.
It's still very small, but they want
to monitor you a little bit more.
Yeah.
It's crazy, isn't it?
When they say because of my age
Yeah. Yeah. Like, suddenly it makes
you feel really old! It does!
You're like, "Hold on a minute,
I'm only like early 40s,
"what's going on?" Exactly.
Yeah, exactly.
But it's better to be
That's why I'm here.
Yeah, it's better to be safe.
Yeah. Yeah.
How old is your other one?
He's four and a half. Aw! Yeah.
You know what you're having?
No, no, it's a surprise.
So we'll wait and see. One or
the other. Exactly! 50-50.50-50.
Yeah.
Would you like a yoga ball?
I would love a yoga ball,
thank you very much.
That would be really great.
Thank you.
I'm going to go and find you a ball.
That's great.
And I'll come straight back.
Do you want me to close this?
No, it's fine. We're OK.
We're good. Thank you.
I'll see you in a sec.
All right, thank you. Cheers.
The term "older woman", it's always
quite weird for me to hear,
because I'm 42.
And I had a baby at 40.
And I didn't really think
about that.
I suppose I don't think 40 is old,
cos I still feel quite young
in my head, but there is proof
that things like that happen
to what is classed "older women"
when they have babies.
Where can I get a yoga ball from?
Oh, there's some in them corners.
Hi.
Can we borrow this yoga ball?
Yeah, of course. Thank you.
Me and my ball's getting
stuck behind the door.
Thank you.
Have you been walking around?
I have, yeah, yeah. Like,
physical activity, so that's fine.
I'll be using that ball
that you kindly brought for me.
Bouncing around.
Bouncing around. Have a bounce.
Buzz if you need anything. Yeah.
Bye. Bye-Bye. Thanks. Cheers.
We are expecting our second child.
We did, unfortunately,
have two miscarriages
leading up to this now pregnancy.
It was quite early on.
Nikki was saying,
"It's my age, it might not happen,
it won't happen."
Hopefully, it all goes well today.
Or tomorrow.
Like all new maternity care
assistants, Emma is trained
in different aspects
of the role every week.
Today, I'm doing something
that I've been waiting weeks for,
so breast-feeding training,
which I'm excited about
because I think I'm going
to be really good at it.
I think mainly because
..I struggled quite a lot myself,
after giving birth
with breast-feeding
so I had a lot of support
from breast-feeding midwives
with every baby, actually.
I know how to hold the boob,
I know where to squeeze the boob,
I know about massaging them.
I feel like I'm 50% there already.
So I'm looking forward to it.
This week,
Emma will be trained to give
breast-feeding support
by midwife Corrine.
Do you want to show me
how'd you start?
Eh So, close to Mum.
Lovely. Head free. Yep.
So supported here,
but so the head can move. Yeah.
In line. And nose to nipple.
Brilliant.
What touches the breast first?
Chin.
Marvellous.
And then where does the nipple go?
Roof of the mouth to the back.
Right. Yep.
Angle of the dangle.
Angle of the dangle. Yep.
How? So if dangle is low,
baby low. That's it.
If dangle is lovely and young. Yeah!
Baby high.
Yeah.
Do you know what the sucks are like?
Um
So are they quite rapid
to begin with? Yep.
Then it's kind of slow
and steady as it's coming.
And then when they get lazy or
tired, it's just a little flutter.
That's right, they have
little flutter suctions
And they should detach
by themselves?
A little bit of breast discomfort
in the first seven days
is not abnormal, but breast pain
throughout a feed
is always abnormal. Yeah.
So look at their faces
cos you get lots of answers.
What they're really saying. Yeah.
The next thing we need to do
is look after our women.
So I need to find a mum? Yeah.
I think you're ready. Do you?
I do. Yay! Yes! Thank you.
I tried to breast feed all three
of mine, and
..it's hard.
And that can be because
of your nipple, because of
production of milk,
because of a baby's latch,
because of the delivery you've had,
what your body is going through
internally, and you don't know
about that until you have
a baby in your arms.
Each month, there are around
340 babies born at the hospital.
PHONE RINGS
Hello, labour ward, Sophia
speaking, how can I help?
Amy and her partner, Billy,
are expecting their first.
Amy's baby is in a footling breech
position where one or both feet
are pointing downwards and will
deliver before the rest of the body.
Yeah, we're in.
He's really kicking me.
It's cos you haven't fed him.
He's going to have to go
without today.
If today's scan reveals the baby
is still in a footling breech
position, doctors may choose
to carry out a Caesarean section
later this morning.
Hi. How are you?
So I understand your baby
is breech.
Yes. And we're confirming
this on the scan. Yes.
We'll get some tissues, just to
Yeah.
It is going to be really cold.
Good, cos I'm really hot.
It'll cool me down.
He's really kicky.
I can feel his kicks down there.
Any idea what you're having?
Baby boy. Having a boy.
A little boy. Still can't decide
on a name yet, though.
We've got a few names.
We're not set on which ones yet
because, like, everyone keeps
telling us you should wait
until you see him
to give him the name.
So we're just waiting
until we see him.
It might take a couple of days.
It may take a couple of weeks,
I think, but we've got a few names
we like.
Yeah, there's no head there. Yep.
Just feet. Feet. Looks like
a little mouth, it's like a fish.
There he is.
Is that his ribs? Yep.
That's ribs.
So, as you've seen on the scan,
the baby is still breech. Yeah.
So we're going to go for a section.
Are you happy? Yeah. OK, good.
Can't wait for him to be here.
Good luck with it all. Thank you.
I've always wanted kids,
I know Amy's always wanted kids.
Since the day I've met her,
she's said about kids.
Luckily,
it didn't scare me off too early.
Didn't take long. We were surprised
at how little time it took.
And I've got to unload
your suitcase. Suitcase, bag
It's baby's bag as well.
It's not just mine.
Unfortunately, Amy had a bit
of a tough year last year -
lost her mum and her grandad
within a couple of months -
so this was sort of the happy
news, really.
The news that we needed, anyway.
Just three hours after arriving
at the hospital, Amy is in theatre
getting prepped
for an elective Caesarean section.
She's going to give birth
without her partner, Billy,
who passed out
shortly after entering theatre.
Amy's dad Dean has stepped in
at the last minute
as birthing partner.
Unfortunately for Billy
but fortunately for me,
while the consultation
was going on for the C-section,
Billy fainted and fell back
and banged his head,
and ended up in A&E.
So I had a phone call,
can I come over and get scrubbed
up and go in with Amy.
So I said, "Yes, of course I will."
DOCTOR REQUESTS INSTRUMENTS
And Wrigley's forceps.
I have two right here.
Back on shift,
Emma is on her way to the birth,
where she'll be shadowing
theatre assistant Jonathan.
Hi. Hello. How are you doing?
I'm good, how are you?
I'm Jonathan. Nice to meet you.
Emma, thanks for having me.
I'd never seen a breech baby
being born before,
so it must be quite tricky
to have the body first
and then get the most
kind of tricky part
of the body out last.
Really get this lower bit
of your back out towards me
if you can.
Really get this
Yeah.
With everything in place,
the procedure can begin.
OK, happy?
The surgeon makes a small incision
in Amy's stomach to deliver
the baby feet first.
It's a straightforward operation,
and Amy's baby is born.
BABY WAILS
AMY: Oh, my God!
Oh, my God.
Isn't it incredible? Mm!
SOBS: Oh, I just want to hold you.
And it's down to Emma
to record the time of birth.
BOTH: Do you want to write it
on the board?
Oh, my gosh, oh, my gosh.
I was starting to have
a little flap then.
While Amy gets stitched up,
it falls to her dad, Dean,
to cut the umbilical cord.
That's my baby.
What are you doing to my baby,
Dad? Nothing!
Are you putting his nappy on, Dad?
Yeah.
I put it back to front!
Oh, it just just sends tingles
down my back.
It was just overwhelming.
Yeah, it really was.
My Amy's mum would be proud of her,
so proud, unbelievably proud.
Yeah, definitely.
Although Billy missed the birth
of his son
..just 50 minutes later,
he's on his way to meet him
for the very first time.
Yeah, yeah. Hey!
Congratulations.
Hello!
Time to wake up now.
No, it's all right. Yeah?
Are you all right? Yeah.
That's your baby.
Well done. You all right?
The plan was get everything set up,
know what times we're do in,
go for the C-section, come out.
However, I had a slight mishap
and I fainted
whilst they were talking about it,
and so I got put on oxygen.
But I came out fine.
So not the morning I'd planned,
not the morning I'd wanted.
Do you feel all right?
No, I'm all right, just a bit tired.
Yeah, don't faint.
I love you so much.
Well done.
On the postnatal ward,
there's a new mother in need
of breast-feeding support.
Hi, Catherine.
Hi, Catherine!
It's a perfect opportunity
for Emma to continue her training.
You get yourself comfy
and we'll pass you the baby.
OK. Yeah?
So, Emma if you want to
Catherine gave birth
to Matilda just four days ago.
But breast-feeding
continues to be painful.
Kind of push her head towards you
so she takes a big portion.
Oh! Sore? Yeah.
If she continuously does it,
you get used to it.
I don't want you to get used to it.
No?
I want you to have no pain.
If you just keep going
with the pain,
eventually they crack, bleed,
blister, and then it's kind
of physically impossible to tolerate
how bad it gets.
So
We are not designed
for it to hurt us, so No.
Midwife Corrine wants Catherine
to try a different position
in a bid to stop the pain.
You all right? How does that feel?
It's a little painful
cos it hurts already.
A little bit less.
That's a really good point.
So, if you've got sore nipples,
you might not get a pain-free latch,
but you will get a latch
that feels much better.
It's nice, that position,
cos everyone can have a bit
of a rest. Yeah.
It's nice to see
you looking better.
It really is, you look great.
And I'm actually smiling
rather than I have got a grimace
on my face, yeah. Absolutely.
So, you've got your buzzer
behind you. Thanks very much.
Shall I put it here?
Cause you're not going to see it.
Yeah. There you go.
I'll press it by accident.
Nice to see you again.
Thanks, Catherine.
Thanks very much.
That's great, well done.
She was telling us it wasn't quite
right, and it wasn't a big movement
to change it, but it was
just bringing that baby in closer.
So I think she'll be fine.
41-year-old Nicola, who is
at higher risk of complications
due to her age, is now in labour.
Go for it, then,
right into your bottom.
Her husband, Gavin, is at her side
with midwife Charlotte
monitoring her progress.
Brilliant.
And again if it's still there.
That's it.
But the baby is
in no hurry to be born.
Have faith in yourself,
you can do it.
NICOLA LAUGHS
That's all right,
sometimes they just don't.
Sometimes they just take
a little while.
Every labour is different,
sweetheart.
Sometimes when it comes to pushing,
babies don't always come down
because of the position
that they're in.
It could also be the positioning
of the pelvis.
So, there is so much pushing
you can do,
but if all different factors
come into play,
then there's only so much
you can do.
After an hour of pushing,
Nicola's labour isn't progressing
and midwife Charlotte
calls in the duty surgeon.
Just got the doctor in the room, OK?
Lots of hair.
Well done.
Lots of dark hair.
Yeah, just needs to come out.
Despite being able to see
the baby's head,
the surgeon wants to deliver
the baby with forceps.
The dangers to not intervene
when Mum's been pushing for a long
time is the baby
can become quite tired
and cause a hypoxic event.
So the baby is sort of
really struggling,
and it can cause brain injury.
Sometimes the only option is
to pull Baby out via forceps.
OK, thank you.
I think for women,
it's a very scary situation for them
to have a forceps delivery.
For midwifes, we know that
is what is needed.
The doctors have made that decision,
and they do what's in the best
interest of Mum and Baby.
Nicola will now be taken to theatre
in a bid to deliver her baby safely.
OK.
I know, sweetheart.
Longer, longer.
Nicola has been pushing for an hour.
Well done.
But her labour isn't progressing
quickly enough.
We're literally just following
the bed.
I'll just grab you a hat
on our way in.
The team are taking her
to theatre to assist
with the birth using forceps.
That's it, well done.
We've got a contraction building.
That will really help. Yeah.
Can you feel that building?
Yeah.
You're going to meet your baby soon.
Dr Kandasamy clamps the forceps
to the baby's head
so he can help pull the baby out.
Once the forceps are applied,
we wait until the mother
gets a contraction.
We've got one building now,
can you feel that?
We then encourage her to push
as the doctor pulls.
Push. Keep going, push, push,
push, you need to push.
Very good.
Right on your seat bottom.
Longer, longer, longer, longer.
Keep it going.
It's sort of teamwork.
Breathe. Breathe.
Head's out. Head's out now.
OK?
OK?
Very good.
Nice. Keep it going, keep it going.
Very nice. OK.
Minutes after being wheeled
into theatre,
Nicola and Gavin welcome
their second child into the world.
Hello, baby.
Look down, look down.
Look here. ALL: Aw!
Hello, darling!
Happy birthday!
Dad, what have you got?
A boy, a boy, a boy, a boy, a boy!
Hello, darling. If we can at that
end. Wait till it comes out.
We need scissors, please.
I'll hold his winkle out of the way.
Chop, chop, chop. There's no nerves
in it, nothing like that,
so you're not going to hurt him.
All right, good. All right,
well done.
Hello, Mummy.
We've been waiting for you.
Ten hours after Nicola gave birth,
and Emma is just starting her shift.
I can't quite believe
you have, like, just given birth.
You look amazing.
Thank you very much.
Doesn't she? She does look amazing.
How are you feeling?
I'm OK. I'm a bit tired.
The forceps was a little bit
unforeseen, but you never know
what's going to happen. No.
Not the nicest are they, forceps?
No, no, no, absolutely.
But I'm very grateful
I have a handsome son here,
so it's all good.
He's beautiful. Thank you so much.
Little Jamie!
He's slowly but surely waking up.
He probably knows
his name's being called.
Yeah, or is he after more milk?
Probably a bit more milk.
Congratulations.
Thank you so much. Thank you.
This week, Emma is training
to give breast-feeding support
to new mums.
Hi, Lacy, how are you doing?
Good, you OK? Yeah, good.
I'm Emma. Nice to meet you. Hello!
You're so alert.
So far, she's only assisted,
but today she's going solo
for the first time.
So how's he been getting on?
Yeah, he's been doing all right.
He's had a couple of feeds
in the night, but he hasn't fed
now for about four hours.
He didn't want to wake up.
So, he needs to be fed.
You've already got
You've already had a baby, right?
Yeah, one. How old is?
She's three. She's three, right.
I fed her, and for the first month
it was a nightmare
cos I just got really sore, cos
I didn't really get everything
right at the beginning.
So I think that's my key this time,
to not go home until it's right.
And how are his feeds in the night?
They were all right.
Did he feel like he was on properly?
Yeah, it felt like it, but it felt
like it with my first as well.
Do you want to try
and feed him, then?
Yeah.
So if you just support the back
of his head, but let him be able
to move his head by himself.
And then put his nose
to your nipple.
Then you want him to open his mouth
to reach up for it. Right, OK.
There you go. Like that.
Keep him really close.
There we go.
I think he looks quite good.
It feels comfortable.
And if it's not hurting
Really comfortable. No.
His cheeks look round,
but when he sucks in,
they do dimple a little bit. Yeah.
So that's the only thing I would
Cos he's just got massive cheeks?
Maybe. Well, that's the thing,
you just
Maybe he's got dimples. Yeah.
Like, who knows? Yeah.
Emma is unsure so asks midwife
Becky for a second opinion.
Right, that's the only thing
I was worried about.
So this isn't When he sucks in,
there's a little dimple in there.
Do you think
that's just him or is that?
Yeah, if they're not quite latched,
you'll see quite a
More prominent? Yeah.
See, when he's sucking there
Oh, I see what you mean there, yeah.
I would be happy with this,
to be honest. Yeah?
Are you all right if we leave
you for a bit, then? Of course.
If you need any help,
or if it hurts,
or if you want to try
a different position Perfect.
Thank you.
No worries, I'll see you in a bit.
Thanks. See you soon.
I think that went quite well.
So she's adamant that she's
not leaving until her latch
is right,
and I do not blame her at all
cos the minute you get home and
you haven't got that support,
and you've got to do a whole day
of feeding, and you are red raw
at the end of it,
you know, you just want to cry
for yourself and for the baby
because you just want
to be able to feed.
All I want in the world
is for her to leave this hospital
and it not hurt her.
Most births at
the Princess Alexandra Hospital
take place on the labour ward -
the consultant-led maternity unit
for higher risk mothers-to-be.
This is where Maddy
and her boyfriend, Dan,
will be having their baby.
Hi, Maddy, can I just do your arms?
Are you feeling OK?
Maddy was induced
several hours ago,
and midwife Olga
and Maddy's mum, Angela,
are both keeping
a close eye on her.
The baby moving OK?
Yeah.
Yeah. How often are they coming?
Four minutes.
About every four minutes?
They lasting very long?
OK.
144/88.
Maddy suffers with endometriosis.
She has done since she was 12.
She had her first laparoscopy
at 15,
so she's had very, very bad,
intense period and pain
for quite a lot of her life.
Endometriosis. So, it's to do
with the endometrium, the lining
of the womb, and it's when that
actually goes outside of the uterus.
The symptoms may get worse
and they're sometimes advised
to have their babies young
because they may then need
a hysterectomy.
Am I all right to go for a walk?
Definitely. Yeah?
Thank you.
The fact that she's now developed
some raised blood pressure
is of concern to us,
so we just need to keep her
closely monitored, really.
Three days after giving birth,
and Amy is still at the hospital
recovering from her elective
Caesarean section.
Hello. Hello. Hi, how are you?
YEAH, good.
How's baby no-name?
Baby no-name's really good.
It worried me at first
because I was a little bit
like, "Is he going to tell me
when he's hungry?" Yeah.
Sat on the breast pump all morning
and I've made sure I've got enough
milk through the night.
But great, though, that
you're producing enough as well
to store it for him.
Apparently, I've
Mine's quite abnormal,
how much I'm producing.
So I did 150 mil.
See, that's amazing.
Yeah, it's better
than it dripping down my legs!
Amy and Billy still haven't decided
on a name for their baby boy.
So had you never had, like,
any ideas of names
before you had him?
No, we did, a massive list.
First was fairly normal names.
Yeah. Then I went kind of American
on you, didn't I?
Yeah, Travis and Chad and
And now I don't think he suits any.
It's not like choosing a wedding
dress were you look at it
and go, "That's the one." Yeah!
Is it?
That's my comparison.
I think baby names are one
of the hardest things
in the world to decide on.
Well, I mean, I called my son Ace.
My family, from Birmingham,
can you imagine a load
of Brummies shouting Ace?
"Ace, Ace, Ace!"
But then, with Trixie
My best friend who's American,
I was like,
"I'm thinking of Trixie,"
and she looked at me,
and she went, "You can't call
your daughter Trixie!"
I said, "Why not?"
She went, "Cos that's what you call
a girl that turns tricks."
I was like, "What?"
I called her Trixie.
I mean, she doesn't live in America.
She's fine!
He just looks like a turtle to me
at the moment, so
But I can't call him a turtle.
Tommy Turtle.
Tommy, I love the name Tommy.
Tommy is lovely.
Tommy is really nice.
He would be Tommy George.
That's a good, strong name.
Tommy George.
Tommy. Do you like Tommy?
Yeah.
No, I can't do this now.
I can't do this.
You're like, "Get out of here!"
I'm getting anxiety
thinking about it.
I'm not confirming it.
I can't confirm it.
No pressure.
I am I am going to leave you
to feed, and with thoughts of Tommy
in your head.
This is exciting.
Please let me know.
Yeah. We will. We will, yeah.
See you later.
See you later. See you, thank you.
I may have just helped name
my first baby.
I don't want to take full credit
for it,
but I may have just mentioned
a name
that they had considered before.
So I am keeping my fingers crossed
that that little boy's name
is Tommy.
BABY CRIES
It's one o'clock in the morning,
and Maddy's labour is under way.
Just keep breathing, keep
breathing, keep breathing.
Nice slow ones.
She's been guided through
her delivery by midwife Lynn.
Deep breath.
SHE GROANS
Do you feel like you need to push?
Yeah?
Maddy has been contracting
for a number of hours,
and it's all become too much
for her boyfriend, Dan, to watch.
I think it's a lot for men to take.
It must be really, really scary
for them.
Yeah, especially
if it's their first delivery
as well. They just don't
know what to expect.
But it's very scary for dads
cos they can see,
and they tend
to remember a lot more.
Deep breath in, if you haven't.
Maddy's mum, Angela, steps in
as her birthing partner.
I'm here, you're OK.
BEEPING
That's OK. Nice slow ones.
That's it, go slower.
BEEPING That's OK.
Midwife Lynn has noticed
that the baby's heart rate
is dropping.
Foetal heart is down to 105.
Which is cause for concern.
If the baby's heart rate drops,
there are things that we do to try
and bring the baby's
heart rate back up,
whether that be turning women
on their sides, increasing
the amount of fluids that they have,
or just changing their position.
If the deceleration
of the heart rate continues
for three minutes,
you should be pulling
an emergency buzzer.
Lynne needs to examine
Maddy urgently.
All right, just need to see
whether the baby is
ready to be born, all right?
OK, legs wide apart for me.
She's eight? Yeah, she's eight.
Maddy is only 8cm dilated,
which means the baby is not yet
ready to come out.
Breathe in.
No? OK.
Wait, wait, wait.
She's ready.
It's all right. Sh, sh, sh.
Concerned for the welfare of both
Mum and Baby, midwife Lynn pulls
the emergency button.
And the decision is made to take
Maddy straight the theatre.
You know what an emergency situation
means with a birth.
It can mean you could lose the baby,
you could lose Mum.
I just want to kind of like wrap
my daughter up and say, "It's fine,
"it's going to be all right."
But you can't,
you have to stand back,
and you have to let everybody
do everything,
so you can't even hold her hand
and say, "It'll be all right,
honey,"
You know, it's
You can't be a mum in that minute,
you have to step back
and let them take care.
It's 1.30 in the morning, and Maddy
has been taken to theatre
for an assisted delivery.
Her boyfriend, Dan,
is waiting outside
and Maddy's mum, Angela,
has taken over
as her birthing partner.
Maddy! Maddy! Look at me!
Look at me!
You need to listen to us,
sweetheart.
The baby's heart rate is dropping
and needs to be delivered urgently.
On examination, Dr Maneeb sees
that Maddy is now fully dilated
and may be able to deliver
the baby with an episiotomy.
An episiotomy is where we make
a deliberate cut with a pair
of scissors into the perineum
so that these babies can come
through faster and much easier
without tearing.
Maddy, listen.
I can see the baby's head!
I can see the baby's head.
You're doing it, you're doing it!
Push now, push! Come on, push!
Harder, harder, harder
more, more, more, more!
Push, push, push, push, push!
Come on, Maddy!
Keep going, keep going, keep going!
Baby's just had a little bit
of movement.
Oh!
Congratulations!
Well done!
MADDY SOBS
After just five minutes
of pushing, Maddy gives birth.
Congratulations, my darling.
Do you want to know what you've got?
Do you want to know what you've got?
You've got a girl. Oh, my God!
I love you so much!
The job is very rewarding.
I like being there when two people
become three, when three people
become four, just as you know
that their life is going
to completely change
from that day forward.
Dan, you're dad!
It's a girl!
They're just giving
the baby some oxygen.
All right?
Why don't you go and compose
yourself, sit down, all right?
Tell your mum.
All right?
And then as. I'm going to go
back in with Maddy.
Yeah, go on. Tell her I love her.
All right? I will.
My goodness. You know, my own little
baby girl was amazing,
pushed that baby out.
It really is traumatic,
but amazing, beautiful.
You know, to watch my granddaughter
be delivered
onto, you know, my daughter's belly
was just
Can't rival it, really.
Well done.
The next morning, Emma checks
in on Maddy,
boyfriend Dan, and mum Angela.
Hello. How are you doing?
Good. Good!
I'm Emma, nice to meet you.
I've just been told
you want your cannula out.
Yes, please.
I always feel like I'm ripping
people's skin off
when I do this bit.
Does it hurt? Sort of.
Does it feel like you're having
a little arm wax?
There you go.
Freedom! Thank you.
You're welcome.
It was like one of those sort
of horror films last night. Really?
So what happened?
So I think you guys came in
just after I'd finished my shift.
Yeah. They became quite concerned
about the baby's heart rate then.
And that's kind of when the bells
and whistles went off.
Yeah, that is not
what you want to see. Yeah.
So she went up to special care,
didn't she?
Yeah, she had to go up
to special care.
Maddy's baby will stay
in the special care unit
until doctors are satisfied
her heart rate has stabilised.
It's awful when, you know,
you can't be with your baby
straightaway and you see other mums
who've got their babies,
but she's in absolutely
the best place. Yeah, definitely.
And soon she's going to literally
be attached to you constantly.
So make the most of this, you know,
little bit of time.
You can sleep.
So what did you call your baby?
Amelia.
So we're going to shorten it to Mia.
Pretty name. Thank you.
Well, let me know if you need
anything. Thank you.
And congratulations again.
Congratulations. Thank you.
See you later.
Thank you, bye. Bye.
From what I hear, she had
quite a tricky time of it,
but she is obviously
a really strong individual
because she seems to be handling it
incredibly well,
to the point where they think
just 24 hours later,
as long as the baby is OK,
they might be able to go home.
I mean, all of that in 24 hours!
Frr!
Labour is not easy, man.
It's my last day.
I want to still come here
every week,
but I'm not allowed to!
Really, just a massive
thank you for having me.
EMOTIONAL: I've loved it.
And I'm really going
to miss you all!
It's such a vital part of connection
between Mum and Baby.
Try to deliver the baby by forceps.
SHE SCREAMS
Keep going, keep going, keep going.
From the moment her first daughter
was born,
television presenter
and mother of three Emma Willis
has been in awe of midwives.
SCREAMING
Keep it there, keep it there,
keep it there.
You just kind of sit back and go,
"What incredible women,
"what an incredible job."
Come on there, you can do it,
keep going, keep going, keep going.
That was when my mission
to deliver babies began.
Emma's been given
a unique opportunity to find out
just what it takes
to work on the front line of
a busy maternity unit.
If you're going to do
something like this,
you have to do it properly.
Six pounds, four. Wow!
At a time when there is
a national shortage of midwives,
Emma will immerse herself
on the ward
for ten weeks, supporting the team.
I just wanted to see if we could get
some contractions going.
She will share the pressures
To the emergency
I need some help in here!
Where is it?
..the fears
Your heart is going
Yeah.
It's coming now, it's coming now.
..and the joys
I've even been written up
on the board!
You're a dad!
It's a girl!
..of delivering babies.
Well done you!
It's just odd, the term
"older woman",
cos I'm 42,
and I had a baby at 40.
Keep going, keep going, keep going!
Push, push, push, you need to push!
I just want to kind of like
wrap my daughter up,
"It's fine,
it's going to be all right."
You can't be a mum in that minute,
you have to step back
and let them take care.
Push now, push, come on! Push!
I mean, all of that in 24 hours!
How do you spell catheter?
Emma has been working as a maternity
care assistant for seven weeks.
Good, I think you can stay.
Can I? Yeah. Aw. Yay!
Be my bed maker.
Today, she's on the antenatal ward
with the high-risk mums
who are most likely
to end up in theatre.
Hello. Hi, how are you?
Are you OK?
41-year-old Nicola and her husband,
Gavin, arrived two hours ago.
Nicola has chosen to be induced.
Nice to meet you, I'm Emma.
Hi, I'm Nicola.
I'm at your beck and call
this evening if you need anything.
Thank you very much.
Is this your first? Second.
Oh, OK.
Oh, so you're kind of used to it,
then. Hopefully. Yeah.
But it was different
the first time around.
I went into labour naturally, so
Oh, OK. Yeah. But it's
So why have they induced you?
Cos of my age, I'm 41.
So, because of that,
they wanted to
The risk of stillbirth
as you get towards 40 weeks
I'm 39 now.
39 weeks, so it goes up.
It's still very small, but they want
to monitor you a little bit more.
Yeah.
It's crazy, isn't it?
When they say because of my age
Yeah. Yeah. Like, suddenly it makes
you feel really old! It does!
You're like, "Hold on a minute,
I'm only like early 40s,
"what's going on?" Exactly.
Yeah, exactly.
But it's better to be
That's why I'm here.
Yeah, it's better to be safe.
Yeah. Yeah.
How old is your other one?
He's four and a half. Aw! Yeah.
You know what you're having?
No, no, it's a surprise.
So we'll wait and see. One or
the other. Exactly! 50-50.50-50.
Yeah.
Would you like a yoga ball?
I would love a yoga ball,
thank you very much.
That would be really great.
Thank you.
I'm going to go and find you a ball.
That's great.
And I'll come straight back.
Do you want me to close this?
No, it's fine. We're OK.
We're good. Thank you.
I'll see you in a sec.
All right, thank you. Cheers.
The term "older woman", it's always
quite weird for me to hear,
because I'm 42.
And I had a baby at 40.
And I didn't really think
about that.
I suppose I don't think 40 is old,
cos I still feel quite young
in my head, but there is proof
that things like that happen
to what is classed "older women"
when they have babies.
Where can I get a yoga ball from?
Oh, there's some in them corners.
Hi.
Can we borrow this yoga ball?
Yeah, of course. Thank you.
Me and my ball's getting
stuck behind the door.
Thank you.
Have you been walking around?
I have, yeah, yeah. Like,
physical activity, so that's fine.
I'll be using that ball
that you kindly brought for me.
Bouncing around.
Bouncing around. Have a bounce.
Buzz if you need anything. Yeah.
Bye. Bye-Bye. Thanks. Cheers.
We are expecting our second child.
We did, unfortunately,
have two miscarriages
leading up to this now pregnancy.
It was quite early on.
Nikki was saying,
"It's my age, it might not happen,
it won't happen."
Hopefully, it all goes well today.
Or tomorrow.
Like all new maternity care
assistants, Emma is trained
in different aspects
of the role every week.
Today, I'm doing something
that I've been waiting weeks for,
so breast-feeding training,
which I'm excited about
because I think I'm going
to be really good at it.
I think mainly because
..I struggled quite a lot myself,
after giving birth
with breast-feeding
so I had a lot of support
from breast-feeding midwives
with every baby, actually.
I know how to hold the boob,
I know where to squeeze the boob,
I know about massaging them.
I feel like I'm 50% there already.
So I'm looking forward to it.
This week,
Emma will be trained to give
breast-feeding support
by midwife Corrine.
Do you want to show me
how'd you start?
Eh So, close to Mum.
Lovely. Head free. Yep.
So supported here,
but so the head can move. Yeah.
In line. And nose to nipple.
Brilliant.
What touches the breast first?
Chin.
Marvellous.
And then where does the nipple go?
Roof of the mouth to the back.
Right. Yep.
Angle of the dangle.
Angle of the dangle. Yep.
How? So if dangle is low,
baby low. That's it.
If dangle is lovely and young. Yeah!
Baby high.
Yeah.
Do you know what the sucks are like?
Um
So are they quite rapid
to begin with? Yep.
Then it's kind of slow
and steady as it's coming.
And then when they get lazy or
tired, it's just a little flutter.
That's right, they have
little flutter suctions
And they should detach
by themselves?
A little bit of breast discomfort
in the first seven days
is not abnormal, but breast pain
throughout a feed
is always abnormal. Yeah.
So look at their faces
cos you get lots of answers.
What they're really saying. Yeah.
The next thing we need to do
is look after our women.
So I need to find a mum? Yeah.
I think you're ready. Do you?
I do. Yay! Yes! Thank you.
I tried to breast feed all three
of mine, and
..it's hard.
And that can be because
of your nipple, because of
production of milk,
because of a baby's latch,
because of the delivery you've had,
what your body is going through
internally, and you don't know
about that until you have
a baby in your arms.
Each month, there are around
340 babies born at the hospital.
PHONE RINGS
Hello, labour ward, Sophia
speaking, how can I help?
Amy and her partner, Billy,
are expecting their first.
Amy's baby is in a footling breech
position where one or both feet
are pointing downwards and will
deliver before the rest of the body.
Yeah, we're in.
He's really kicking me.
It's cos you haven't fed him.
He's going to have to go
without today.
If today's scan reveals the baby
is still in a footling breech
position, doctors may choose
to carry out a Caesarean section
later this morning.
Hi. How are you?
So I understand your baby
is breech.
Yes. And we're confirming
this on the scan. Yes.
We'll get some tissues, just to
Yeah.
It is going to be really cold.
Good, cos I'm really hot.
It'll cool me down.
He's really kicky.
I can feel his kicks down there.
Any idea what you're having?
Baby boy. Having a boy.
A little boy. Still can't decide
on a name yet, though.
We've got a few names.
We're not set on which ones yet
because, like, everyone keeps
telling us you should wait
until you see him
to give him the name.
So we're just waiting
until we see him.
It might take a couple of days.
It may take a couple of weeks,
I think, but we've got a few names
we like.
Yeah, there's no head there. Yep.
Just feet. Feet. Looks like
a little mouth, it's like a fish.
There he is.
Is that his ribs? Yep.
That's ribs.
So, as you've seen on the scan,
the baby is still breech. Yeah.
So we're going to go for a section.
Are you happy? Yeah. OK, good.
Can't wait for him to be here.
Good luck with it all. Thank you.
I've always wanted kids,
I know Amy's always wanted kids.
Since the day I've met her,
she's said about kids.
Luckily,
it didn't scare me off too early.
Didn't take long. We were surprised
at how little time it took.
And I've got to unload
your suitcase. Suitcase, bag
It's baby's bag as well.
It's not just mine.
Unfortunately, Amy had a bit
of a tough year last year -
lost her mum and her grandad
within a couple of months -
so this was sort of the happy
news, really.
The news that we needed, anyway.
Just three hours after arriving
at the hospital, Amy is in theatre
getting prepped
for an elective Caesarean section.
She's going to give birth
without her partner, Billy,
who passed out
shortly after entering theatre.
Amy's dad Dean has stepped in
at the last minute
as birthing partner.
Unfortunately for Billy
but fortunately for me,
while the consultation
was going on for the C-section,
Billy fainted and fell back
and banged his head,
and ended up in A&E.
So I had a phone call,
can I come over and get scrubbed
up and go in with Amy.
So I said, "Yes, of course I will."
DOCTOR REQUESTS INSTRUMENTS
And Wrigley's forceps.
I have two right here.
Back on shift,
Emma is on her way to the birth,
where she'll be shadowing
theatre assistant Jonathan.
Hi. Hello. How are you doing?
I'm good, how are you?
I'm Jonathan. Nice to meet you.
Emma, thanks for having me.
I'd never seen a breech baby
being born before,
so it must be quite tricky
to have the body first
and then get the most
kind of tricky part
of the body out last.
Really get this lower bit
of your back out towards me
if you can.
Really get this
Yeah.
With everything in place,
the procedure can begin.
OK, happy?
The surgeon makes a small incision
in Amy's stomach to deliver
the baby feet first.
It's a straightforward operation,
and Amy's baby is born.
BABY WAILS
AMY: Oh, my God!
Oh, my God.
Isn't it incredible? Mm!
SOBS: Oh, I just want to hold you.
And it's down to Emma
to record the time of birth.
BOTH: Do you want to write it
on the board?
Oh, my gosh, oh, my gosh.
I was starting to have
a little flap then.
While Amy gets stitched up,
it falls to her dad, Dean,
to cut the umbilical cord.
That's my baby.
What are you doing to my baby,
Dad? Nothing!
Are you putting his nappy on, Dad?
Yeah.
I put it back to front!
Oh, it just just sends tingles
down my back.
It was just overwhelming.
Yeah, it really was.
My Amy's mum would be proud of her,
so proud, unbelievably proud.
Yeah, definitely.
Although Billy missed the birth
of his son
..just 50 minutes later,
he's on his way to meet him
for the very first time.
Yeah, yeah. Hey!
Congratulations.
Hello!
Time to wake up now.
No, it's all right. Yeah?
Are you all right? Yeah.
That's your baby.
Well done. You all right?
The plan was get everything set up,
know what times we're do in,
go for the C-section, come out.
However, I had a slight mishap
and I fainted
whilst they were talking about it,
and so I got put on oxygen.
But I came out fine.
So not the morning I'd planned,
not the morning I'd wanted.
Do you feel all right?
No, I'm all right, just a bit tired.
Yeah, don't faint.
I love you so much.
Well done.
On the postnatal ward,
there's a new mother in need
of breast-feeding support.
Hi, Catherine.
Hi, Catherine!
It's a perfect opportunity
for Emma to continue her training.
You get yourself comfy
and we'll pass you the baby.
OK. Yeah?
So, Emma if you want to
Catherine gave birth
to Matilda just four days ago.
But breast-feeding
continues to be painful.
Kind of push her head towards you
so she takes a big portion.
Oh! Sore? Yeah.
If she continuously does it,
you get used to it.
I don't want you to get used to it.
No?
I want you to have no pain.
If you just keep going
with the pain,
eventually they crack, bleed,
blister, and then it's kind
of physically impossible to tolerate
how bad it gets.
So
We are not designed
for it to hurt us, so No.
Midwife Corrine wants Catherine
to try a different position
in a bid to stop the pain.
You all right? How does that feel?
It's a little painful
cos it hurts already.
A little bit less.
That's a really good point.
So, if you've got sore nipples,
you might not get a pain-free latch,
but you will get a latch
that feels much better.
It's nice, that position,
cos everyone can have a bit
of a rest. Yeah.
It's nice to see
you looking better.
It really is, you look great.
And I'm actually smiling
rather than I have got a grimace
on my face, yeah. Absolutely.
So, you've got your buzzer
behind you. Thanks very much.
Shall I put it here?
Cause you're not going to see it.
Yeah. There you go.
I'll press it by accident.
Nice to see you again.
Thanks, Catherine.
Thanks very much.
That's great, well done.
She was telling us it wasn't quite
right, and it wasn't a big movement
to change it, but it was
just bringing that baby in closer.
So I think she'll be fine.
41-year-old Nicola, who is
at higher risk of complications
due to her age, is now in labour.
Go for it, then,
right into your bottom.
Her husband, Gavin, is at her side
with midwife Charlotte
monitoring her progress.
Brilliant.
And again if it's still there.
That's it.
But the baby is
in no hurry to be born.
Have faith in yourself,
you can do it.
NICOLA LAUGHS
That's all right,
sometimes they just don't.
Sometimes they just take
a little while.
Every labour is different,
sweetheart.
Sometimes when it comes to pushing,
babies don't always come down
because of the position
that they're in.
It could also be the positioning
of the pelvis.
So, there is so much pushing
you can do,
but if all different factors
come into play,
then there's only so much
you can do.
After an hour of pushing,
Nicola's labour isn't progressing
and midwife Charlotte
calls in the duty surgeon.
Just got the doctor in the room, OK?
Lots of hair.
Well done.
Lots of dark hair.
Yeah, just needs to come out.
Despite being able to see
the baby's head,
the surgeon wants to deliver
the baby with forceps.
The dangers to not intervene
when Mum's been pushing for a long
time is the baby
can become quite tired
and cause a hypoxic event.
So the baby is sort of
really struggling,
and it can cause brain injury.
Sometimes the only option is
to pull Baby out via forceps.
OK, thank you.
I think for women,
it's a very scary situation for them
to have a forceps delivery.
For midwifes, we know that
is what is needed.
The doctors have made that decision,
and they do what's in the best
interest of Mum and Baby.
Nicola will now be taken to theatre
in a bid to deliver her baby safely.
OK.
I know, sweetheart.
Longer, longer.
Nicola has been pushing for an hour.
Well done.
But her labour isn't progressing
quickly enough.
We're literally just following
the bed.
I'll just grab you a hat
on our way in.
The team are taking her
to theatre to assist
with the birth using forceps.
That's it, well done.
We've got a contraction building.
That will really help. Yeah.
Can you feel that building?
Yeah.
You're going to meet your baby soon.
Dr Kandasamy clamps the forceps
to the baby's head
so he can help pull the baby out.
Once the forceps are applied,
we wait until the mother
gets a contraction.
We've got one building now,
can you feel that?
We then encourage her to push
as the doctor pulls.
Push. Keep going, push, push,
push, you need to push.
Very good.
Right on your seat bottom.
Longer, longer, longer, longer.
Keep it going.
It's sort of teamwork.
Breathe. Breathe.
Head's out. Head's out now.
OK?
OK?
Very good.
Nice. Keep it going, keep it going.
Very nice. OK.
Minutes after being wheeled
into theatre,
Nicola and Gavin welcome
their second child into the world.
Hello, baby.
Look down, look down.
Look here. ALL: Aw!
Hello, darling!
Happy birthday!
Dad, what have you got?
A boy, a boy, a boy, a boy, a boy!
Hello, darling. If we can at that
end. Wait till it comes out.
We need scissors, please.
I'll hold his winkle out of the way.
Chop, chop, chop. There's no nerves
in it, nothing like that,
so you're not going to hurt him.
All right, good. All right,
well done.
Hello, Mummy.
We've been waiting for you.
Ten hours after Nicola gave birth,
and Emma is just starting her shift.
I can't quite believe
you have, like, just given birth.
You look amazing.
Thank you very much.
Doesn't she? She does look amazing.
How are you feeling?
I'm OK. I'm a bit tired.
The forceps was a little bit
unforeseen, but you never know
what's going to happen. No.
Not the nicest are they, forceps?
No, no, no, absolutely.
But I'm very grateful
I have a handsome son here,
so it's all good.
He's beautiful. Thank you so much.
Little Jamie!
He's slowly but surely waking up.
He probably knows
his name's being called.
Yeah, or is he after more milk?
Probably a bit more milk.
Congratulations.
Thank you so much. Thank you.
This week, Emma is training
to give breast-feeding support
to new mums.
Hi, Lacy, how are you doing?
Good, you OK? Yeah, good.
I'm Emma. Nice to meet you. Hello!
You're so alert.
So far, she's only assisted,
but today she's going solo
for the first time.
So how's he been getting on?
Yeah, he's been doing all right.
He's had a couple of feeds
in the night, but he hasn't fed
now for about four hours.
He didn't want to wake up.
So, he needs to be fed.
You've already got
You've already had a baby, right?
Yeah, one. How old is?
She's three. She's three, right.
I fed her, and for the first month
it was a nightmare
cos I just got really sore, cos
I didn't really get everything
right at the beginning.
So I think that's my key this time,
to not go home until it's right.
And how are his feeds in the night?
They were all right.
Did he feel like he was on properly?
Yeah, it felt like it, but it felt
like it with my first as well.
Do you want to try
and feed him, then?
Yeah.
So if you just support the back
of his head, but let him be able
to move his head by himself.
And then put his nose
to your nipple.
Then you want him to open his mouth
to reach up for it. Right, OK.
There you go. Like that.
Keep him really close.
There we go.
I think he looks quite good.
It feels comfortable.
And if it's not hurting
Really comfortable. No.
His cheeks look round,
but when he sucks in,
they do dimple a little bit. Yeah.
So that's the only thing I would
Cos he's just got massive cheeks?
Maybe. Well, that's the thing,
you just
Maybe he's got dimples. Yeah.
Like, who knows? Yeah.
Emma is unsure so asks midwife
Becky for a second opinion.
Right, that's the only thing
I was worried about.
So this isn't When he sucks in,
there's a little dimple in there.
Do you think
that's just him or is that?
Yeah, if they're not quite latched,
you'll see quite a
More prominent? Yeah.
See, when he's sucking there
Oh, I see what you mean there, yeah.
I would be happy with this,
to be honest. Yeah?
Are you all right if we leave
you for a bit, then? Of course.
If you need any help,
or if it hurts,
or if you want to try
a different position Perfect.
Thank you.
No worries, I'll see you in a bit.
Thanks. See you soon.
I think that went quite well.
So she's adamant that she's
not leaving until her latch
is right,
and I do not blame her at all
cos the minute you get home and
you haven't got that support,
and you've got to do a whole day
of feeding, and you are red raw
at the end of it,
you know, you just want to cry
for yourself and for the baby
because you just want
to be able to feed.
All I want in the world
is for her to leave this hospital
and it not hurt her.
Most births at
the Princess Alexandra Hospital
take place on the labour ward -
the consultant-led maternity unit
for higher risk mothers-to-be.
This is where Maddy
and her boyfriend, Dan,
will be having their baby.
Hi, Maddy, can I just do your arms?
Are you feeling OK?
Maddy was induced
several hours ago,
and midwife Olga
and Maddy's mum, Angela,
are both keeping
a close eye on her.
The baby moving OK?
Yeah.
Yeah. How often are they coming?
Four minutes.
About every four minutes?
They lasting very long?
OK.
144/88.
Maddy suffers with endometriosis.
She has done since she was 12.
She had her first laparoscopy
at 15,
so she's had very, very bad,
intense period and pain
for quite a lot of her life.
Endometriosis. So, it's to do
with the endometrium, the lining
of the womb, and it's when that
actually goes outside of the uterus.
The symptoms may get worse
and they're sometimes advised
to have their babies young
because they may then need
a hysterectomy.
Am I all right to go for a walk?
Definitely. Yeah?
Thank you.
The fact that she's now developed
some raised blood pressure
is of concern to us,
so we just need to keep her
closely monitored, really.
Three days after giving birth,
and Amy is still at the hospital
recovering from her elective
Caesarean section.
Hello. Hello. Hi, how are you?
YEAH, good.
How's baby no-name?
Baby no-name's really good.
It worried me at first
because I was a little bit
like, "Is he going to tell me
when he's hungry?" Yeah.
Sat on the breast pump all morning
and I've made sure I've got enough
milk through the night.
But great, though, that
you're producing enough as well
to store it for him.
Apparently, I've
Mine's quite abnormal,
how much I'm producing.
So I did 150 mil.
See, that's amazing.
Yeah, it's better
than it dripping down my legs!
Amy and Billy still haven't decided
on a name for their baby boy.
So had you never had, like,
any ideas of names
before you had him?
No, we did, a massive list.
First was fairly normal names.
Yeah. Then I went kind of American
on you, didn't I?
Yeah, Travis and Chad and
And now I don't think he suits any.
It's not like choosing a wedding
dress were you look at it
and go, "That's the one." Yeah!
Is it?
That's my comparison.
I think baby names are one
of the hardest things
in the world to decide on.
Well, I mean, I called my son Ace.
My family, from Birmingham,
can you imagine a load
of Brummies shouting Ace?
"Ace, Ace, Ace!"
But then, with Trixie
My best friend who's American,
I was like,
"I'm thinking of Trixie,"
and she looked at me,
and she went, "You can't call
your daughter Trixie!"
I said, "Why not?"
She went, "Cos that's what you call
a girl that turns tricks."
I was like, "What?"
I called her Trixie.
I mean, she doesn't live in America.
She's fine!
He just looks like a turtle to me
at the moment, so
But I can't call him a turtle.
Tommy Turtle.
Tommy, I love the name Tommy.
Tommy is lovely.
Tommy is really nice.
He would be Tommy George.
That's a good, strong name.
Tommy George.
Tommy. Do you like Tommy?
Yeah.
No, I can't do this now.
I can't do this.
You're like, "Get out of here!"
I'm getting anxiety
thinking about it.
I'm not confirming it.
I can't confirm it.
No pressure.
I am I am going to leave you
to feed, and with thoughts of Tommy
in your head.
This is exciting.
Please let me know.
Yeah. We will. We will, yeah.
See you later.
See you later. See you, thank you.
I may have just helped name
my first baby.
I don't want to take full credit
for it,
but I may have just mentioned
a name
that they had considered before.
So I am keeping my fingers crossed
that that little boy's name
is Tommy.
BABY CRIES
It's one o'clock in the morning,
and Maddy's labour is under way.
Just keep breathing, keep
breathing, keep breathing.
Nice slow ones.
She's been guided through
her delivery by midwife Lynn.
Deep breath.
SHE GROANS
Do you feel like you need to push?
Yeah?
Maddy has been contracting
for a number of hours,
and it's all become too much
for her boyfriend, Dan, to watch.
I think it's a lot for men to take.
It must be really, really scary
for them.
Yeah, especially
if it's their first delivery
as well. They just don't
know what to expect.
But it's very scary for dads
cos they can see,
and they tend
to remember a lot more.
Deep breath in, if you haven't.
Maddy's mum, Angela, steps in
as her birthing partner.
I'm here, you're OK.
BEEPING
That's OK. Nice slow ones.
That's it, go slower.
BEEPING That's OK.
Midwife Lynn has noticed
that the baby's heart rate
is dropping.
Foetal heart is down to 105.
Which is cause for concern.
If the baby's heart rate drops,
there are things that we do to try
and bring the baby's
heart rate back up,
whether that be turning women
on their sides, increasing
the amount of fluids that they have,
or just changing their position.
If the deceleration
of the heart rate continues
for three minutes,
you should be pulling
an emergency buzzer.
Lynne needs to examine
Maddy urgently.
All right, just need to see
whether the baby is
ready to be born, all right?
OK, legs wide apart for me.
She's eight? Yeah, she's eight.
Maddy is only 8cm dilated,
which means the baby is not yet
ready to come out.
Breathe in.
No? OK.
Wait, wait, wait.
She's ready.
It's all right. Sh, sh, sh.
Concerned for the welfare of both
Mum and Baby, midwife Lynn pulls
the emergency button.
And the decision is made to take
Maddy straight the theatre.
You know what an emergency situation
means with a birth.
It can mean you could lose the baby,
you could lose Mum.
I just want to kind of like wrap
my daughter up and say, "It's fine,
"it's going to be all right."
But you can't,
you have to stand back,
and you have to let everybody
do everything,
so you can't even hold her hand
and say, "It'll be all right,
honey,"
You know, it's
You can't be a mum in that minute,
you have to step back
and let them take care.
It's 1.30 in the morning, and Maddy
has been taken to theatre
for an assisted delivery.
Her boyfriend, Dan,
is waiting outside
and Maddy's mum, Angela,
has taken over
as her birthing partner.
Maddy! Maddy! Look at me!
Look at me!
You need to listen to us,
sweetheart.
The baby's heart rate is dropping
and needs to be delivered urgently.
On examination, Dr Maneeb sees
that Maddy is now fully dilated
and may be able to deliver
the baby with an episiotomy.
An episiotomy is where we make
a deliberate cut with a pair
of scissors into the perineum
so that these babies can come
through faster and much easier
without tearing.
Maddy, listen.
I can see the baby's head!
I can see the baby's head.
You're doing it, you're doing it!
Push now, push! Come on, push!
Harder, harder, harder
more, more, more, more!
Push, push, push, push, push!
Come on, Maddy!
Keep going, keep going, keep going!
Baby's just had a little bit
of movement.
Oh!
Congratulations!
Well done!
MADDY SOBS
After just five minutes
of pushing, Maddy gives birth.
Congratulations, my darling.
Do you want to know what you've got?
Do you want to know what you've got?
You've got a girl. Oh, my God!
I love you so much!
The job is very rewarding.
I like being there when two people
become three, when three people
become four, just as you know
that their life is going
to completely change
from that day forward.
Dan, you're dad!
It's a girl!
They're just giving
the baby some oxygen.
All right?
Why don't you go and compose
yourself, sit down, all right?
Tell your mum.
All right?
And then as. I'm going to go
back in with Maddy.
Yeah, go on. Tell her I love her.
All right? I will.
My goodness. You know, my own little
baby girl was amazing,
pushed that baby out.
It really is traumatic,
but amazing, beautiful.
You know, to watch my granddaughter
be delivered
onto, you know, my daughter's belly
was just
Can't rival it, really.
Well done.
The next morning, Emma checks
in on Maddy,
boyfriend Dan, and mum Angela.
Hello. How are you doing?
Good. Good!
I'm Emma, nice to meet you.
I've just been told
you want your cannula out.
Yes, please.
I always feel like I'm ripping
people's skin off
when I do this bit.
Does it hurt? Sort of.
Does it feel like you're having
a little arm wax?
There you go.
Freedom! Thank you.
You're welcome.
It was like one of those sort
of horror films last night. Really?
So what happened?
So I think you guys came in
just after I'd finished my shift.
Yeah. They became quite concerned
about the baby's heart rate then.
And that's kind of when the bells
and whistles went off.
Yeah, that is not
what you want to see. Yeah.
So she went up to special care,
didn't she?
Yeah, she had to go up
to special care.
Maddy's baby will stay
in the special care unit
until doctors are satisfied
her heart rate has stabilised.
It's awful when, you know,
you can't be with your baby
straightaway and you see other mums
who've got their babies,
but she's in absolutely
the best place. Yeah, definitely.
And soon she's going to literally
be attached to you constantly.
So make the most of this, you know,
little bit of time.
You can sleep.
So what did you call your baby?
Amelia.
So we're going to shorten it to Mia.
Pretty name. Thank you.
Well, let me know if you need
anything. Thank you.
And congratulations again.
Congratulations. Thank you.
See you later.
Thank you, bye. Bye.
From what I hear, she had
quite a tricky time of it,
but she is obviously
a really strong individual
because she seems to be handling it
incredibly well,
to the point where they think
just 24 hours later,
as long as the baby is OK,
they might be able to go home.
I mean, all of that in 24 hours!
Frr!
Labour is not easy, man.
It's my last day.
I want to still come here
every week,
but I'm not allowed to!
Really, just a massive
thank you for having me.
EMOTIONAL: I've loved it.
And I'm really going
to miss you all!
It's such a vital part of connection
between Mum and Baby.
Try to deliver the baby by forceps.
SHE SCREAMS
Keep going, keep going, keep going.