0:00:04 > 0:00:06Hi, it's the midwife!
0:00:06 > 0:00:08That's it! That's it!
0:00:08 > 0:00:10You're doing it! You're doing it!
0:00:10 > 0:00:12Little pushes, then. Little pushes.
0:00:12 > 0:00:13Oh, my gosh!
0:00:13 > 0:00:16When we're at our most vulnerable,
0:00:16 > 0:00:20we all need someone who isn't afraid.
0:00:20 > 0:00:23I'm your midwife, and I'm going to be looking after you.
0:00:23 > 0:00:25Midwives are responsible
0:00:25 > 0:00:28for bringing our children safely into the world.
0:00:28 > 0:00:30Hello, world!
0:00:30 > 0:00:33You have to make a very, very intimate relationship with somebody
0:00:33 > 0:00:35you've never met before in your life.
0:00:35 > 0:00:37I apologise.
0:00:37 > 0:00:39You've not done anything wrong!
0:00:39 > 0:00:40- OK.- You're having a baby.
0:00:40 > 0:00:42You've not killed someone!
0:00:42 > 0:00:46But now they're facing the highest birth rate in 40 years.
0:00:47 > 0:00:50Too many women having babies. That's the problem.
0:00:51 > 0:00:53Parents are more demanding.
0:00:53 > 0:00:55I don't feel she's been getting answers.
0:00:55 > 0:00:57And pregnancy is more complicated.
0:00:57 > 0:00:58We're worried.
0:00:58 > 0:01:00Do you know we're worried?
0:01:00 > 0:01:03When you see your baby come out like he did,
0:01:03 > 0:01:05you just think, "Oh, no."
0:01:07 > 0:01:09Yeah, yeah, I'm fine. I just delivered my first baby.
0:01:09 > 0:01:12Oh, that was the best feeling in the world!
0:01:12 > 0:01:16This is what it's really like to be a midwife in Britain today.
0:01:19 > 0:01:22SHE SCREAMS
0:01:44 > 0:01:46Chloe and Rhian are first year student midwives.
0:01:46 > 0:01:48This is well nerve-wracking, isn't it?
0:01:48 > 0:01:49Today is their first shift
0:01:49 > 0:01:53on the high-risk delivery unit at St Mary's Hospital, Manchester.
0:01:53 > 0:01:56- Do you know where to go?- Erm...
0:01:57 > 0:02:00- ..I think it's down here. - Is it this way?
0:02:02 > 0:02:04'I wanted to be a teacher at first,'
0:02:04 > 0:02:09and I remember I did a work experience placement and I hated it.
0:02:09 > 0:02:12But I always wanted to be in a job that was caring,
0:02:12 > 0:02:15because I enjoy caring for other people and, you know,
0:02:15 > 0:02:18I'm fascinated by pregnancy, birth, and everything.
0:02:18 > 0:02:20Because it's such an amazing thing.
0:02:20 > 0:02:23And, you know, the fact that a person comes from one egg and one sperm.
0:02:23 > 0:02:26To think that it started from that.
0:02:26 > 0:02:27Every time, it still gets to me.
0:02:27 > 0:02:29It's just magical.
0:02:31 > 0:02:34- Ooh, which ones are the midwives? - There's the lady on the phone.
0:02:34 > 0:02:38- Or just ask any of the people in scrubs.- Excuse me?
0:02:38 > 0:02:41Hiya, we're here for our first shift...
0:02:41 > 0:02:43Erm, do we come here, or is it reception?
0:02:43 > 0:02:45- Yeah, here. On the late shift?- Yeah.
0:02:45 > 0:02:49Take a seat. It starts at half one. You're a bit early.
0:02:49 > 0:02:51- OK.- OK. Thank you.
0:02:55 > 0:02:57- Grab a drink.- I don't want a drink.
0:02:57 > 0:02:59Should we stand outside?
0:02:59 > 0:03:01Walking into the office was quite daunting,
0:03:01 > 0:03:04because obviously, I'd never been to Delivery before.
0:03:04 > 0:03:06I didn't know what to expect.
0:03:06 > 0:03:08Kind of looking around
0:03:08 > 0:03:12and seeing if you can read people's name badges to find out who they are,
0:03:12 > 0:03:13and going, "I'm the student midwife,"
0:03:13 > 0:03:16because you don't know how it works up there.
0:03:16 > 0:03:19And you kind of don't want to look like you're not doing anything.
0:03:19 > 0:03:22- Chlo!- Yeah?
0:03:22 > 0:03:24There's a baby next to the tea stand!
0:03:26 > 0:03:28BABY GURGLES
0:03:28 > 0:03:31- SHE WHISPERS - Do you think we could go and look?
0:03:33 > 0:03:36I really want to ask.
0:03:36 > 0:03:38Oh!
0:03:38 > 0:03:41It's one of the nice jobs about being a student midwife!
0:03:41 > 0:03:42You get to cuddle babies!
0:03:42 > 0:03:44Hello!
0:03:47 > 0:03:51- It's the tiniest baby I've ever seen! - Oh, my God!
0:03:51 > 0:03:54Chloe will train here for three years
0:03:54 > 0:03:57before she is qualified to deliver a baby on her own.
0:03:57 > 0:04:00Is everyone here? Yeah?
0:04:00 > 0:04:03Right, then. Room one, is a para 1.
0:04:03 > 0:04:06She's 38 plus six, and this lady's been induced
0:04:06 > 0:04:09for hindwater SROM and a raised PCR,
0:04:09 > 0:04:12but normal blood pressure.
0:04:12 > 0:04:16At 18, she is one of the youngest students and has just left home.
0:04:16 > 0:04:20From today onwards, she'll rely on an experienced midwife
0:04:20 > 0:04:24to mentor her so she can practise on mums.
0:04:24 > 0:04:26Have you come straight from college?
0:04:26 > 0:04:29Yeah, I did my A-levels and I've come straight here.
0:04:29 > 0:04:31On her first shift, she's working with Lesley.
0:04:31 > 0:04:36The idea, really, is just really observation.
0:04:36 > 0:04:39You'll see equipment, you'll see different types of births,
0:04:39 > 0:04:41but you need to really concentrate on your women.
0:04:41 > 0:04:44What are your women doing? And learn about your women.
0:04:44 > 0:04:45- That's the key thing.- Yeah.
0:04:45 > 0:04:48'Often, the girls do look quite lost on that first day.'
0:04:48 > 0:04:52That student in that crisp, brand-new, white,
0:04:52 > 0:04:55fresh, looking-great uniform, excited to get going.
0:04:55 > 0:05:00But they have a really tough time, student midwives. Very tough.
0:05:00 > 0:05:03Unlike other students, going to uni, they have lots of holidays.
0:05:03 > 0:05:05Midwifery students don't.
0:05:05 > 0:05:07And they're working shifts, and they've got exams.
0:05:07 > 0:05:10It's incredibly difficult.
0:05:10 > 0:05:13It's probably the most difficult thing I've ever done in my life.
0:05:13 > 0:05:16Apart from give birth.
0:05:18 > 0:05:19One of the biggest challenges
0:05:19 > 0:05:24is getting the hands-on experience they need to qualify.
0:05:24 > 0:05:27So, I need 40 births in three years.
0:05:27 > 0:05:31And you have to take care of 40 women in labour,
0:05:31 > 0:05:35and then you have to have carried out 100 antenatal examinations
0:05:35 > 0:05:37and 100 postnatal examinations.
0:05:37 > 0:05:41'So the 40 births is the one everyone thinks about.'
0:05:41 > 0:05:42Ready?
0:05:42 > 0:05:44Chloe's first mother is Emma.
0:05:44 > 0:05:45She is expecting her first baby
0:05:45 > 0:05:47and is 12 days overdue.
0:05:47 > 0:05:49Beautiful bump!
0:05:49 > 0:05:51OK, Chloe,
0:05:51 > 0:05:54so we wash our hands. Yeah?
0:05:54 > 0:05:57So we always clean our hands before we start anything.
0:05:57 > 0:05:59Before delivering a baby,
0:05:59 > 0:06:03Chloe needs to learn how to examine one that's still in the womb.
0:06:03 > 0:06:07- OK, so Chloe's just going to have a feel of your tummy.- Okey-doke.
0:06:07 > 0:06:08- If it's OK with you, Emma.- Yeah.
0:06:08 > 0:06:11- Are you feeling these tightenings?- Yeah.
0:06:11 > 0:06:15Yeah? The one important thing to learn about your woman
0:06:15 > 0:06:17is what's happening.
0:06:17 > 0:06:20Have a feel of them, see if you can pick them up with your hand.
0:06:20 > 0:06:24- Because you need to learn about her contractions, any woman.- OK.
0:06:24 > 0:06:26Have a good feel around.
0:06:26 > 0:06:27See if you can find any pulls.
0:06:27 > 0:06:30And obviously, it's good to press across....
0:06:30 > 0:06:32- Yeah, and then... - ..have a good feel around.
0:06:36 > 0:06:38'At first when you feel the woman's stomach,'
0:06:38 > 0:06:41it is just lumps and bumps, and it's...
0:06:41 > 0:06:44I found it very difficult to tell,
0:06:44 > 0:06:48you know, which way the baby's lying.
0:06:48 > 0:06:51I couldn't tell whether I was feeling a bum or a head, leg, or what.
0:06:51 > 0:06:52I had not a clue.
0:06:52 > 0:06:54But you could feel it move,
0:06:54 > 0:06:56and I thought, "Oh, my goodness!
0:06:56 > 0:07:00"There's a baby in there! There's a real baby in there!"
0:07:07 > 0:07:11St Mary's Hospital delivers nearly 8,000 babies a year
0:07:11 > 0:07:15and deals with many of the high-risk births in the region.
0:07:15 > 0:07:18This makes it a particularly challenging place
0:07:18 > 0:07:21for students to train.
0:07:21 > 0:07:24There's fantastic days where it's low-risk.
0:07:24 > 0:07:26You deliver a baby and everything went wonderful.
0:07:26 > 0:07:27But in reality, on this unit,
0:07:27 > 0:07:30we're dealing with a lot of high-risk, and that rarely happens.
0:07:30 > 0:07:33And I think some of the students come in thinking,
0:07:33 > 0:07:36"It's going to be amazing. I'm going to deliver babies
0:07:36 > 0:07:38"and cuddle the baby, and aren't they cute?"
0:07:38 > 0:07:40And in reality, that's not what we do.
0:07:40 > 0:07:44That's the parents' job, to cuddle the baby after the event.
0:07:44 > 0:07:46We're there to mop up the sick, the blood,
0:07:46 > 0:07:48to get them through labour,
0:07:48 > 0:07:51to nurse them through pain for many, many hours.
0:07:51 > 0:07:53And I think they suddenly realise
0:07:53 > 0:07:57this is quite physically and mentally draining, this job.
0:07:57 > 0:07:59Aurelie is 20,
0:07:59 > 0:08:01and a second-year student.
0:08:01 > 0:08:03'This is all I've ever wanted to do.'
0:08:03 > 0:08:05There's never been a backup, or a hobby,
0:08:05 > 0:08:08or, "If it doesn't work out, I'm going to do this."
0:08:08 > 0:08:11It's always been, "Right, midwifery." And that's it.
0:08:11 > 0:08:13If you don't do midwifery, then you're just...
0:08:13 > 0:08:15- SHE LAUGHS - ..going to be not working!
0:08:15 > 0:08:17I'll just have a feel of your tummy.
0:08:17 > 0:08:18See where baby's lying this time.
0:08:18 > 0:08:21Well, where he won't be staying for long!
0:08:21 > 0:08:25She's been struggling with her training.
0:08:25 > 0:08:29Well, this is my third year as a student midwife.
0:08:29 > 0:08:32But I am currently still remaining a second year.
0:08:32 > 0:08:34Because in my first year,
0:08:34 > 0:08:36I became really stressed,
0:08:36 > 0:08:38and didn't know how to manage my stress well.
0:08:38 > 0:08:42Because it's a really demanding course.
0:08:42 > 0:08:45She's just failed her placement on the delivery unit.
0:08:45 > 0:08:48This week is her last chance to pass.
0:08:48 > 0:08:53She's in real danger of failing the whole course.
0:08:53 > 0:08:55It's great to nurture them and support them,
0:08:55 > 0:08:56and be kind to them,
0:08:56 > 0:08:59but at the end of the day, you also need the results from them.
0:08:59 > 0:09:02And I would not want to sign any student off
0:09:02 > 0:09:06as fit and competent to practice, if I wasn't 100% sure.
0:09:06 > 0:09:09- All right, my love. - Thank you very much.
0:09:09 > 0:09:10- See you later.- See you.
0:09:12 > 0:09:16Erm, we're going to do a sit-down with Aurelie, really.
0:09:16 > 0:09:18Just have a quick catch up,
0:09:18 > 0:09:21because we have our final interview
0:09:21 > 0:09:23at the end of this week,
0:09:23 > 0:09:25which is a huge thing for Aurelie.
0:09:28 > 0:09:31- Right, so the things that you've been referred on...- Mmm-hmm.
0:09:31 > 0:09:34- ..how do you think you're doing? - Erm, I think I'm doing OK.
0:09:34 > 0:09:35I think I'm doing OK.
0:09:35 > 0:09:39But I think there is areas where I can improve.
0:09:39 > 0:09:41- Like where?- My confidence.- Right.
0:09:41 > 0:09:45I think, like, I don't value my own opinion. If that makes sense?
0:09:45 > 0:09:48Like...I think, "Oh, I'm only a student."
0:09:48 > 0:09:52- But you're going towards a qualified midwife.- OK.
0:09:52 > 0:09:55So you have to...you have to step up a gear.
0:09:57 > 0:09:58Yeah.
0:09:58 > 0:10:01You need to demonstrate some skills for me in the next couple of days.
0:10:01 > 0:10:03I want to see you taking the lead. OK?
0:10:03 > 0:10:06SHE EXHALES
0:10:06 > 0:10:08- THEY LAUGH - Aw, you'll be all right!
0:10:08 > 0:10:09I hope you will, anyway.
0:10:09 > 0:10:13THEY LAUGH
0:10:15 > 0:10:16'I can't imagine how she feels.'
0:10:16 > 0:10:19Having a year out, then being referred,
0:10:19 > 0:10:22and then, this is the make or break for her.
0:10:22 > 0:10:24And it's not over yet.
0:10:24 > 0:10:28She's having to prove herself in every area that she goes to.
0:10:34 > 0:10:38The first mother today is 17-year-old Detrice.
0:10:38 > 0:10:39She's expecting her first baby.
0:10:39 > 0:10:42She's got 13 pairs of shoes.
0:10:42 > 0:10:45No, 14. You bought her a pair yesterday.
0:10:45 > 0:10:49Yeah, she's got 14 pairs of shoes.
0:10:49 > 0:10:54She's known for some time that her baby has a serious heart problem.
0:10:54 > 0:10:55'When we come to delivery,'
0:10:55 > 0:10:57they'll take the baby,
0:10:57 > 0:11:01and she is aware that it may need to go out to Alder Hey for surgery.
0:11:01 > 0:11:05But none of us will know the outcome until it's born.
0:11:05 > 0:11:08As you know, Detrice, you've come over from triage
0:11:08 > 0:11:11because the baby's heart rate is dropping.
0:11:11 > 0:11:14So we have to be cautious
0:11:14 > 0:11:16- and even more vigilant than ever.- Yeah.
0:11:16 > 0:11:21So I think the best thing would be to break your waters
0:11:21 > 0:11:23and make sure the baby is not distressed in there.
0:11:23 > 0:11:26- We wouldn't break somebody's waters if the trace was lovely.- Right.
0:11:26 > 0:11:28We wouldn't intervene.
0:11:28 > 0:11:31But this trace is abnormal, so we're not going to sit and do nothing.
0:11:31 > 0:11:36Detrice has agreed to let Aurelie break her waters.
0:11:36 > 0:11:38What things are we thinking about?
0:11:38 > 0:11:39- Cord.- Cord.- The head...
0:11:39 > 0:11:44If it's possible, you don't.
0:11:44 > 0:11:45- OK?- OK.
0:11:45 > 0:11:47- You feel confident?- Yes.
0:11:47 > 0:11:48- Sure?- Yes.- OK.
0:11:50 > 0:11:53Use your gas, Detrice.
0:11:53 > 0:11:55You don't need to have a...
0:11:55 > 0:11:58listen, you don't need to have pain for this procedure.
0:11:58 > 0:11:59Use your gas.
0:11:59 > 0:12:01Because it will help to relax you.
0:12:01 > 0:12:04We're going to do an examination to see where the head is. OK, my love?
0:12:05 > 0:12:08All right. Relax yourself. Relax.
0:12:10 > 0:12:11Cold jelly.
0:12:11 > 0:12:15- SHE MOANS - Keep breathing your gas, Detrice.
0:12:15 > 0:12:18That's it. OK.
0:12:21 > 0:12:23You're doing fantastic.
0:12:26 > 0:12:29This is the hard part. Once this is done.
0:12:29 > 0:12:31SHE MOANS
0:12:34 > 0:12:36Detrice, they're just a little bit difficult for Aurelie,
0:12:36 > 0:12:38so I'm just going to do them, OK?
0:12:40 > 0:12:42You did very well, OK?
0:12:42 > 0:12:45Are you going to use that gas?
0:12:47 > 0:12:49OK, darling.
0:12:55 > 0:12:59All right, those waters have gone now. OK?
0:12:59 > 0:13:03All right, I'll go and find you some cushions, OK?
0:13:03 > 0:13:05'When you're working with a mentor,'
0:13:05 > 0:13:08sometimes you can still feel them in the back, looking.
0:13:08 > 0:13:10For some people that might be OK,
0:13:10 > 0:13:12but for me, under pressure, it's like...
0:13:12 > 0:13:14it's like this burden on your shoulder
0:13:14 > 0:13:16you're just carrying constantly.
0:13:16 > 0:13:19And it's like, "Right, I need to make sure I'm doing it right,
0:13:19 > 0:13:20"because the mentor's watching."
0:13:20 > 0:13:24Then you get, I need to make sure you do things right,
0:13:24 > 0:13:27and make sure whenever your mentor is looking, you don't look worried.
0:13:27 > 0:13:28Make sure you're smiling.
0:13:28 > 0:13:32So you have all this continuous tick list that you have to do!
0:13:34 > 0:13:36'You have to be certain that no harm
0:13:36 > 0:13:38'comes to these women and their babies.'
0:13:38 > 0:13:42That is my priority, and my student comes secondary to that.
0:13:42 > 0:13:45I need to know the woman is safe, the care is safe,
0:13:45 > 0:13:47and that is what this job is all about.
0:14:01 > 0:14:03And it's sucked back in.
0:14:03 > 0:14:0522-year-old Jess has clocked up her 40 births,
0:14:05 > 0:14:08and has just completed her training as a midwife.
0:14:08 > 0:14:11I'd press the buzzer to let someone know what was going on.
0:14:11 > 0:14:14Put the back of the bed down, and then elevate her legs.
0:14:14 > 0:14:15There was a time in first year
0:14:15 > 0:14:17when we were learning about women's parts
0:14:17 > 0:14:20and I had diagrams on my bedroom wall
0:14:20 > 0:14:21in first year of, obviously,
0:14:21 > 0:14:25the vagina and the penis and everything like that.
0:14:25 > 0:14:28And, obviously, whoever came into my room was like, "What is that?!"
0:14:28 > 0:14:31And then you pull down.
0:14:31 > 0:14:35To deliver the shoulders. So the shoulders are not delivering.
0:14:35 > 0:14:39- Yeah.- So you've confirmed you've got shoulder dystocia.
0:14:39 > 0:14:40I remember a lecture we had
0:14:40 > 0:14:43and it was about how your body changes during pregnancy,
0:14:43 > 0:14:46and that scared me. I thought, "I'm never going to get pregnant."
0:14:46 > 0:14:47I texted my mum and said,
0:14:47 > 0:14:50"You're never going to get grandchildren out of me!"
0:14:50 > 0:14:52Put your two fingers at the bottom
0:14:52 > 0:14:54of the anterior part of the posterior shoulder
0:14:54 > 0:14:56and try and dislodge. That's the Wood's screw.
0:14:56 > 0:14:58And then the baby will come out.
0:14:58 > 0:15:00- Yeah.- Whee!
0:15:00 > 0:15:02And hand to the paediatrician.
0:15:06 > 0:15:09It's Jess's first shift as a qualified midwife.
0:15:10 > 0:15:14Helen! Look!
0:15:14 > 0:15:18- Ooh! You're a real midwife! Congratulations!- Scary!
0:15:18 > 0:15:22- It's my first shift. - Oh, is this your first day? Oh!
0:15:22 > 0:15:24Oh, I'm shaking now!
0:15:24 > 0:15:27- Why?!- I don't know!
0:15:27 > 0:15:30It is very different going from a white uniform to a blue uniform.
0:15:30 > 0:15:32Not just because of the colour, obviously,
0:15:32 > 0:15:35but just because your responsibilities completely change.
0:15:35 > 0:15:38The buck sort of stops with you, really,
0:15:38 > 0:15:42and you have to live up to everything you've trained to be.
0:15:42 > 0:15:44And everything that you've learned at university.
0:15:44 > 0:15:47Everything you've come across in that three years of training,
0:15:47 > 0:15:49it's now all on your shoulders.
0:15:49 > 0:15:52And that's really where it starts, on your first day.
0:15:52 > 0:15:56Her first day is on the antenatal ward.
0:15:56 > 0:15:58SHE KNOCKS ON DOOR
0:15:58 > 0:15:59Stacey? Hiya!
0:15:59 > 0:16:01I'm Jess. I'm the midwife.
0:16:01 > 0:16:04I'm just going to pop you on the monitor. Is that all right?
0:16:04 > 0:16:08Stacey has been admitted with high blood pressure.
0:16:08 > 0:16:10How many weeks are you now, Stacey?
0:16:10 > 0:16:13- 37 tomorrow.- 37? Oh, that's nice.
0:16:13 > 0:16:16- Do you know what you're having? - A girl.
0:16:16 > 0:16:19Girl. Aw! Has she got a name yet?
0:16:19 > 0:16:21- Perry. - Perry? Oh, that's original!
0:16:21 > 0:16:23I haven't heard that.
0:16:25 > 0:16:27'Especially as a newly qualified,
0:16:27 > 0:16:30'you feel completely thrown out of your comfort zone into the deep end.
0:16:30 > 0:16:32'Even though people are around to say, "Am I doing this right?"
0:16:32 > 0:16:34'You feel like you can't ask,
0:16:34 > 0:16:36'because everyone's got as much work
0:16:36 > 0:16:38'and everyone's as stressed as each other.'
0:16:38 > 0:16:42- So, yeah, this is my first shift today as a midwife.- OK.
0:16:42 > 0:16:45- Oh, right, OK.- But I trained here.
0:16:45 > 0:16:48So I know all the bits and bobs and the people and everything,
0:16:48 > 0:16:50- so it's quite nice.- OK.
0:16:52 > 0:16:54It's just scary being in a different colour!
0:16:54 > 0:16:57- SHE LAUGHS Yeah!- But, yeah.
0:16:57 > 0:16:59- Are you excited?- Yeah.
0:16:59 > 0:17:02- Will you be doing deliveries and that?- Yeah.
0:17:02 > 0:17:04But I'm not in the delivery unit yet.
0:17:08 > 0:17:11- OK. A quick feel of your tummy. - Ooh, your hands are cold!
0:17:11 > 0:17:14- Sorry!- Oh, God!- Sorry.
0:17:14 > 0:17:17- Have you been having any tightenings or anything?- Yeah.
0:17:17 > 0:17:19It's tightening up now, actually.
0:17:19 > 0:17:20- Yeah.- Can you feel that?
0:17:20 > 0:17:23OK. Buzz if you need me, all right?
0:17:36 > 0:17:40The midwife course is so tough that across the country,
0:17:40 > 0:17:41one in ten drop out.
0:17:41 > 0:17:45Hospital shifts mean students work weekends and nights.
0:17:45 > 0:17:48I soon learned that I couldn't go out as much as I wanted to,
0:17:48 > 0:17:50if I wanted to give fully.
0:17:50 > 0:17:53You can't come into clinic tired, or having gone on a night out,
0:17:53 > 0:17:54because it doesn't work out.
0:17:54 > 0:17:57Getting up early in the morning,
0:17:57 > 0:17:59and your flatmates are still in bed at 10, 11,
0:17:59 > 0:18:02go in for an hour of lectures and come back,
0:18:02 > 0:18:04and you've been and done a whole day at university
0:18:04 > 0:18:05and a whole day of clinic.
0:18:08 > 0:18:10Today, Chloe is being mentored by Jenna,
0:18:10 > 0:18:13who qualified just 15 months ago herself.
0:18:13 > 0:18:16So honestly, I remember my first two handovers.
0:18:16 > 0:18:19It's like, literally, like someone speaking a different language.
0:18:19 > 0:18:20- Oh, no! OK.- It really is.
0:18:20 > 0:18:22And you will pick up on it,
0:18:22 > 0:18:25and you'll notice that people say things that you don't even...
0:18:25 > 0:18:27you don't question it, because they say it
0:18:27 > 0:18:28as if you should know what it is,
0:18:28 > 0:18:30and you feel silly sometimes questioning it.
0:18:30 > 0:18:32Yeah, OK.
0:18:32 > 0:18:35The difficult thing is you're meant to focus on normal midwifery.
0:18:35 > 0:18:37Normal deliveries, normal antenatal.
0:18:37 > 0:18:39Everything is meant to be normal.
0:18:39 > 0:18:42Now, obviously, especially in a high-risk hospital like this,
0:18:42 > 0:18:43normal is quite rare.
0:18:43 > 0:18:45It's lovely, but it's rare!
0:18:47 > 0:18:50SHE KNOCKS ON DOOR
0:18:50 > 0:18:52Jenna is taking Chloe to see Emma.
0:18:52 > 0:18:53Hello!
0:18:53 > 0:18:57She's now been on the delivery unit for three days,
0:18:57 > 0:18:59but there's still no sign of the baby.
0:19:02 > 0:19:05'I think they've just had a really long, hard time,
0:19:05 > 0:19:09'and they're both shattered, and they've both had enough.'
0:19:09 > 0:19:14She's been actively having contractions since 8:30 last night.
0:19:14 > 0:19:17So...thank God for an epidural in this case!
0:19:17 > 0:19:19SHE LAUGHS
0:19:19 > 0:19:22- Are you happy getting the bed ready whilst I...?- What do I do?
0:19:22 > 0:19:25- So you want the legs up first. - Right, OK.
0:19:25 > 0:19:27And then the back down, so she's not quite flat,
0:19:27 > 0:19:29- but she's almost flat.- OK.
0:19:29 > 0:19:31- OK?- Yeah.
0:19:31 > 0:19:32BED RUMBLES
0:19:32 > 0:19:34- JENNA LAUGHS - They go with a bit of a jerk!
0:19:34 > 0:19:35Gosh!
0:19:37 > 0:19:39- Are you all right?- No. Put it back.
0:19:39 > 0:19:41- Up a little?- Yeah.
0:19:42 > 0:19:45And then, Emma, do you want to move your pillow?
0:19:45 > 0:19:46Yeah, I need to.
0:19:46 > 0:19:49I'll pop you back up. Sorry!
0:19:49 > 0:19:51Emma's been asking for a Caesarean.
0:19:51 > 0:19:54Jenna wants to find out whether she's any closer to giving birth.
0:19:54 > 0:19:57Moment of truth!
0:19:57 > 0:20:00- You happy for me to go ahead? - Mmm-hmm.- OK.
0:20:05 > 0:20:08The head's come down a little bit.
0:20:08 > 0:20:12Erm, but it has now got a bit of swelling on it.
0:20:12 > 0:20:14- FATHER: The head has? - The head. It's fine.
0:20:14 > 0:20:15It's completely normal.
0:20:15 > 0:20:18But when your cervix isn't opening any more,
0:20:18 > 0:20:20what we don't want is to keep on going, keep on going,
0:20:20 > 0:20:23keep on going, and it just gets bigger and bigger and bigger.
0:20:23 > 0:20:26So, obviously, I'll go and let the doctors know.
0:20:26 > 0:20:28With no progress, or very slow progress,
0:20:28 > 0:20:31I would say that now is the time to say,
0:20:31 > 0:20:33- "Enough's enough." - Yeah, get it on.
0:20:33 > 0:20:35Yeah? Are you happy with that?
0:20:35 > 0:20:37- Yeah.- Yeah. Okey-doke.
0:20:37 > 0:20:40Right, well, we'll go and speak to everyone. Get things sorted.
0:20:40 > 0:20:43Make a plan. See what they're all up to.
0:20:43 > 0:20:45- OK.- And then we'll get going.
0:20:45 > 0:20:47- Yeah, that's fine.- Yeah? OK.
0:20:47 > 0:20:50- Feels all right?- Yeah.
0:20:50 > 0:20:51Good.
0:20:51 > 0:20:56I've never seen a C-section before, so it'll be the first time.
0:20:56 > 0:20:58INTERVIEWER: Is that a bit nerve-wracking?
0:20:58 > 0:21:02Yeah. It's quite exciting as well! SHE GIGGLES
0:21:04 > 0:21:0720 minutes later, the doctor's been to see Emma,
0:21:07 > 0:21:10and there's a change of plan.
0:21:10 > 0:21:13'You know, I've just gone and spoken to the doctor,'
0:21:13 > 0:21:16who said ultimately, we're going to make her wait another four hours,
0:21:16 > 0:21:18because the baby's fine, and she's fine.
0:21:18 > 0:21:21Now my job is to SOFTLY explain that her.
0:21:26 > 0:21:28Why do they want to wait for four hours?
0:21:32 > 0:21:36Erm, right, don't take this word directly from me.
0:21:36 > 0:21:39Because that registrar examined Emma,
0:21:39 > 0:21:42and her physical progression...
0:21:42 > 0:21:44physically, she's OK... the doctor thinks
0:21:44 > 0:21:47it's worth now waiting the three hours
0:21:47 > 0:21:50to examine her again, to see if she's got herself into active labour.
0:21:50 > 0:21:53OK? So in three hours, if they examine her again
0:21:53 > 0:21:56and she hasn't progressed, they'll go to section.
0:21:56 > 0:21:59But the doctor don't think he wants to put her through
0:21:59 > 0:22:02a major operation if she's going to progress, if you see how I mean?
0:22:02 > 0:22:05But just wait for her to come in and see what she says,
0:22:05 > 0:22:10because that's only the information I've heard, OK?
0:22:10 > 0:22:13I don't want to say the wrong thing in case it was wrong.
0:22:13 > 0:22:15So I tried to give them the answer the best I could,
0:22:15 > 0:22:19hoping in my mind that I was telling them the right thing.
0:22:19 > 0:22:20Which I think I did.
0:22:23 > 0:22:25'The problem is, examinations can be subjective.'
0:22:25 > 0:22:30So from my point of view, I feel awful that I've told her,
0:22:30 > 0:22:31"Well, I don't think you have progressed,
0:22:31 > 0:22:34"which means we're probably going to a section."
0:22:34 > 0:22:36And then the doctor's come in and said,
0:22:36 > 0:22:38"Well, I think you have progressed."
0:22:38 > 0:22:42As a professional, the decision that they're making is completely right.
0:22:42 > 0:22:43And that's the difficulty.
0:22:43 > 0:22:44So from my point of view...
0:22:44 > 0:22:48an apology, and just going from there.
0:22:50 > 0:22:53The reason everything has changed is because my examination
0:22:53 > 0:22:55and the doctor's examination didn't match up.
0:22:57 > 0:23:00Now, I'm not saying he's wrong, and he's not saying I'm wrong,
0:23:00 > 0:23:04- but one of us is wrong. - I just don't understand it.
0:23:04 > 0:23:06They ask you what you want and you tell them,
0:23:06 > 0:23:08they come back and tell you you're having something else.
0:23:08 > 0:23:09I don't see the point of them
0:23:09 > 0:23:12even giving you the option, to be honest with you.
0:23:12 > 0:23:14Yeah.
0:23:14 > 0:23:19They've told us twice that we might be going for this operation,
0:23:19 > 0:23:21and now we're not. So it's just...
0:23:21 > 0:23:23it's just confusing.
0:23:23 > 0:23:27All I can do is apologise for the inconsistency of our examinations.
0:23:27 > 0:23:29Of mine and the doctor's examinations.
0:23:29 > 0:23:31The fact that they don't match up.
0:23:33 > 0:23:35It's not our choice, is it?
0:23:35 > 0:23:38- Knock her out. - THEY LAUGH
0:23:41 > 0:23:44'It was really interesting, seeing Jenna saying one thing,'
0:23:44 > 0:23:47and the doctor saying another.
0:23:47 > 0:23:51And how the doctor said, "We're not going to section her yet,"
0:23:51 > 0:23:54and Jenna thinking, as a professional in her own right, something else.
0:23:54 > 0:23:58As a midwife, you're going to have doctors,
0:23:58 > 0:24:01and everyone's going to disagree at some point.
0:24:01 > 0:24:03Everyone does things differently,
0:24:03 > 0:24:07and I think you've got to accept that, working in a unit like this.
0:24:10 > 0:24:13Jess has just started her shift.
0:24:13 > 0:24:16OK, now, I just need to listen to baby,
0:24:16 > 0:24:18- then finish the checklist, and then we can walk over.- OK.
0:24:18 > 0:24:20You all right to leave your bags here?
0:24:20 > 0:24:22Because you'll be coming back to this bed.
0:24:22 > 0:24:23- Yeah, yeah.- Yeah? OK.
0:24:23 > 0:24:2629-year-old Natalie has been admitted for a Caesarean section.
0:24:26 > 0:24:29Jess has been assigned as her midwife.
0:24:29 > 0:24:31'Yeah, since I've been qualified,'
0:24:31 > 0:24:35this is the first Caesarean I've had to do.
0:24:35 > 0:24:37I just hope it goes well.
0:24:37 > 0:24:40I've done loads of Caesareans when I was a student,
0:24:40 > 0:24:43but obviously, you've always got that support of your mentor there.
0:24:43 > 0:24:45But, yeah, it should be OK today.
0:24:45 > 0:24:47There's enough midwives on the delivery unit
0:24:47 > 0:24:48if something were to happen.
0:24:48 > 0:24:51There's always numbers to ring. There's always people to ask.
0:24:51 > 0:24:52So it'll be fine.
0:24:52 > 0:24:57OK, one question. If it's breach, do we need a Paed at delivery?
0:24:57 > 0:25:00No, not necessarily. But you will need...
0:25:00 > 0:25:02Yeah, yeah, yeah.
0:25:03 > 0:25:04- OK. That's fine.- OK, good luck!
0:25:04 > 0:25:06- Thank you!- See you later! Bye!
0:25:06 > 0:25:09I don't know who they're saying good luck for, you or me!
0:25:09 > 0:25:11THEY LAUGH They're making me scared!
0:25:11 > 0:25:13It'll be fine!
0:25:13 > 0:25:15Everybody says good luck!
0:25:15 > 0:25:18- You think, "Why are they saying that?!"- Hmmm!
0:25:18 > 0:25:21- Yeah, so this is the delivery unit.- Yeah.
0:25:21 > 0:25:24And the theatres are right at the back.
0:25:24 > 0:25:27'No matter how nervous you are, and no matter how anxious you are,'
0:25:27 > 0:25:32in yourself, you have to go into that room and be all happy, smiley.
0:25:32 > 0:25:35Pretend you've done them for years as a qualified midwife,
0:25:35 > 0:25:38even though it's my first one.
0:25:38 > 0:25:39- Are we ready?- No.
0:25:39 > 0:25:43Oh! I got a phone call saying we were! Hmmm...
0:25:43 > 0:25:46- Hmmm, not ready yet.- That's all right, don't worry!- Just take a seat.
0:25:46 > 0:25:48INTERVIEWER: Is this where you're going to come?
0:25:48 > 0:25:51Yeah, this is where I'll bring the baby, straight afterwards.
0:25:51 > 0:25:54And then we'll take it back in to Dad, obviously.
0:25:54 > 0:25:55And Dad can hold it.
0:26:04 > 0:26:06There's always that thought of, "I'm the only one in this room,
0:26:06 > 0:26:09"if that baby comes out not crying, not breathing."
0:26:09 > 0:26:13It's going to be my responsibility to resuscitate that baby.
0:26:16 > 0:26:18I really hope it comes out crying!
0:26:18 > 0:26:20'That's when you feel like a newly-qualified midwife.
0:26:20 > 0:26:23'You feel like you're completely on your own in that room,
0:26:23 > 0:26:24'even though it's full of people.
0:26:24 > 0:26:28'You're the only one with that particular skill who could do that.'
0:26:57 > 0:26:59He's a good size!
0:27:00 > 0:27:03BABY CRIES
0:27:06 > 0:27:07Thank you.
0:27:11 > 0:27:14Thank you very much. Come on, baby.
0:27:17 > 0:27:20I'm just going to take him over there and dry him off, OK?
0:27:20 > 0:27:22He's perfect!
0:27:22 > 0:27:26Thank you very much for crying straight away!
0:27:26 > 0:27:28Yes!
0:27:28 > 0:27:32Oh, that was the best feeling in the world!
0:27:32 > 0:27:35Eh? You're beautiful!
0:27:38 > 0:27:41That was... I was very scared!
0:27:44 > 0:27:45I'm shaking now!
0:27:45 > 0:27:48Oh, I'm shaking!
0:27:50 > 0:27:53That was something else! Come on.
0:27:56 > 0:27:59Aw! Aw!
0:28:01 > 0:28:04Say hello to the world!
0:28:11 > 0:28:14- There you go!- Oh!- Oh!
0:28:14 > 0:28:18- Did you weigh him?- Oh, no, I haven't weighed him. I'll pop him back in.
0:28:18 > 0:28:21- Let me see?- I'll take him back in a minute and weigh him
0:28:21 > 0:28:23- and put his bands on and things, OK? - Let me see you!
0:28:23 > 0:28:25Oh!
0:28:25 > 0:28:28- Congratulations! He's beautiful! - Thank you!
0:28:39 > 0:28:42- BABY CRIES - All right!
0:28:42 > 0:28:45I can't believe I was at the delivery!
0:28:45 > 0:28:49- Put it that way! - SHE LAUGHS
0:28:49 > 0:28:52What's this one going to be called?
0:28:52 > 0:28:56- Vincent.- Vincent? That's a cool name!
0:28:56 > 0:28:59- I only qualified in September.- Yeah.
0:28:59 > 0:29:03And that was my first Caesarean without another midwife there.
0:29:03 > 0:29:05I'm telling you now! So thank you!
0:29:05 > 0:29:07It's all right! Well done! You did really well!
0:29:07 > 0:29:08No, YOU did really well!
0:29:08 > 0:29:11Do you feel better now you've done it, though?
0:29:11 > 0:29:13- I feel better now I've done it, yeah.- Was you really scared?
0:29:13 > 0:29:17I was a bit nervous when I looked round
0:29:17 > 0:29:19and realised I was the only midwife in there.
0:29:19 > 0:29:22Well, it was good! Well done!
0:29:22 > 0:29:26But then he came out crying, so he's made my day!
0:29:26 > 0:29:28How's that? OK?
0:29:32 > 0:29:33- That's OK.- OK.
0:29:33 > 0:29:39But this baby is quite compensated with its gases.
0:29:39 > 0:29:41- OK.- You see here and here?
0:29:41 > 0:29:43So what does that mean?
0:29:43 > 0:29:46- It means it was probably on the perineum a little bit too long.- OK.
0:29:46 > 0:29:48And it's...
0:29:48 > 0:29:53Don't you find it, like...how a baby comes from one egg and one sperm?
0:29:53 > 0:29:55- Yeah, it's amazing. - And a baby comes out.
0:29:55 > 0:29:56And then when you palpate a woman...
0:29:56 > 0:29:59- You can't imagine, that surreal... - No, you can't. And it kicks you.
0:29:59 > 0:30:03I thought one day, "Oh, my God!
0:30:03 > 0:30:07"One moment of passion leads to extreme pain for the woman
0:30:07 > 0:30:09"at the other end!" SHE GIGGLES
0:30:09 > 0:30:12- True.- Yeah! SHE GIGGLES
0:30:26 > 0:30:28She's a good girl, isn't she?
0:30:30 > 0:30:31It's early Friday morning,
0:30:31 > 0:30:34and Aurelie has come to visit Detrice,
0:30:34 > 0:30:36who gave birth to a baby daughter last night.
0:30:38 > 0:30:40The baby is in a critical condition
0:30:40 > 0:30:44and needs heart surgery as soon as she's strong enough.
0:30:44 > 0:30:47Does she look like Daddy, or you?
0:30:47 > 0:30:49- Dad.- Dad.
0:30:49 > 0:30:52The doctor I saw this morning was like,
0:30:52 > 0:30:54"Well, I can't give you a percentage
0:30:54 > 0:30:57"on if she'll survive or not."
0:30:59 > 0:31:02But hopefully, touch wood, she'll be fine,
0:31:02 > 0:31:04and I'll be allowed to take her home.
0:31:04 > 0:31:06All right! I know you don't like it!
0:31:06 > 0:31:10- AURELIE LAUGHS - She's called Darcy May Kelly Marie.
0:31:17 > 0:31:21Being on the Intensive Neo-Natal Unit was a challenge.
0:31:21 > 0:31:25Just to hear all the machines and just these...
0:31:26 > 0:31:30..babies so vulnerable...
0:31:30 > 0:31:32it sort of shook me a bit.
0:31:32 > 0:31:33I was pretty scared.
0:31:33 > 0:31:37It's a very emotional side of midwifery,
0:31:37 > 0:31:40and if you're not quite emotionally...
0:31:40 > 0:31:43stable, I could say, you could find yourself crying
0:31:43 > 0:31:45at the end of every shift, to be honest.
0:31:45 > 0:31:48Just worried about what's going to happen, really.
0:31:48 > 0:31:52- But hopefully, she should be OK. - Yeah.
0:31:52 > 0:31:55And we know they're doing their best.
0:31:55 > 0:31:58- So at least we know, you know what I mean?- Yeah.
0:31:58 > 0:31:59She's going to the best places
0:31:59 > 0:32:02and the proper people are looking after her.
0:32:02 > 0:32:05Aurelie has experienced trauma before.
0:32:05 > 0:32:08In the Congo, where she grew up.
0:32:11 > 0:32:13One of my friends' mums died after giving birth.
0:32:15 > 0:32:16It was hard.
0:32:16 > 0:32:18I struggled a lot.
0:32:18 > 0:32:20It's quite emotional.
0:32:20 > 0:32:23Even thinking about it right now, I can picture the corpse
0:32:23 > 0:32:26and it's quite...yeah.
0:32:26 > 0:32:29It's a shock.
0:32:31 > 0:32:34Back home, we don't have such a thing as the NHS.
0:32:34 > 0:32:37So if you don't have health insurance, basically,
0:32:37 > 0:32:39or if you don't have the money to pay for your care,
0:32:39 > 0:32:42you basically will be left untreated.
0:32:42 > 0:32:48It's been her dream to one day return to the Congo as a midwife.
0:32:48 > 0:32:52I would love to go home and work with women.
0:32:52 > 0:32:55Especially for those ones who can't attend hospital,
0:32:55 > 0:32:58because they may not be able to afford it.
0:32:58 > 0:33:01I would love to just have a little village
0:33:01 > 0:33:04or community antenatal class,
0:33:04 > 0:33:06where women may come for free.
0:33:06 > 0:33:09If it prevents the death rate of mothers, maternal deaths,
0:33:09 > 0:33:13and neonatal deaths, then that would make me happy.
0:33:13 > 0:33:15That would be my reward.
0:33:15 > 0:33:18That I've passed on what I've learnt.
0:33:18 > 0:33:20That's the plan for the future.
0:33:20 > 0:33:23But at the moment,
0:33:23 > 0:33:26she knows she's in danger of failing her second year.
0:33:26 > 0:33:28That was just your mucus plug, OK?
0:33:28 > 0:33:30So what happens is in the neck of the womb...
0:33:30 > 0:33:33Kamika is 37 weeks pregnant.
0:33:33 > 0:33:38She's worried her baby is not moving.
0:33:38 > 0:33:42- Is it your first baby?- Yes.
0:33:42 > 0:33:44Are you excited?
0:33:44 > 0:33:47HE LAUGHS No!
0:33:47 > 0:33:48No?!
0:33:48 > 0:33:50Bet you are, really!
0:33:54 > 0:33:58He's not as active as he normally is.
0:33:58 > 0:33:59- Not as active?- Yeah.
0:33:59 > 0:34:02All right. When you say, "Not as active as before..."
0:34:02 > 0:34:07Kamika's notes show there have been concerns about the baby's size.
0:34:07 > 0:34:09Aurelie needs to assess whether she's safe to go home
0:34:09 > 0:34:12or needs further medical attention.
0:34:13 > 0:34:15No pressure!
0:34:15 > 0:34:17AURELIE LAUGHS
0:34:17 > 0:34:21'Aurelie's really got exceptionally good skills with the women.
0:34:21 > 0:34:24'She's a calming person, which you pass on to the women.
0:34:24 > 0:34:26'If you're a lovely, calm person,'
0:34:26 > 0:34:29you can calm a woman in the throes of labour.
0:34:29 > 0:34:32And those are skills that you want your student to have.
0:34:32 > 0:34:36But obviously, things that I do worry about with Aurelie
0:34:36 > 0:34:38is when we're under pressure.
0:34:38 > 0:34:41Something might be wrong with the baby's heart rate, trace,
0:34:41 > 0:34:46or the woman, and then that pressure increases.
0:34:46 > 0:34:49As a student, you're trying to learn to deal with learning the skill,
0:34:49 > 0:34:53applying the skill, and dealing with stress all at once.
0:34:53 > 0:34:54And that takes time.
0:34:54 > 0:34:58'When you've got somebody who's scared,'
0:34:58 > 0:35:01they don't care if you have to pass something or not.
0:35:01 > 0:35:03They just want you to deliver the care and be nice to them.
0:35:03 > 0:35:05So that's why even if I have to pass it, I'm like,
0:35:05 > 0:35:08"Yes, I have to pass it." I acknowledge that.
0:35:08 > 0:35:11But I make sure that I don't put that in front of the woman.
0:35:13 > 0:35:16It's the last day of her assessment.
0:35:17 > 0:35:20Yeah, sounds fine.
0:35:20 > 0:35:23- So, give us your plan of action, please.- Plan of action...
0:35:23 > 0:35:26Her body is just progressing by itself,
0:35:26 > 0:35:29so there would be no need of keeping her in hospital.
0:35:29 > 0:35:32We would just end up medicalising her.
0:35:36 > 0:35:41The baby's not moving the same tonight as it usually does.
0:35:41 > 0:35:42That's...
0:35:42 > 0:35:45- not normal, is it?- No.
0:35:45 > 0:35:47Normally, if she was low-risk,
0:35:47 > 0:35:50and we've listened in, we might be happy with that.
0:35:50 > 0:35:54- But this lady's got some risk factors, hasn't she?- Yes.
0:35:54 > 0:35:58Because she's having growth scans for small for gestational age.
0:35:58 > 0:36:01So I wouldn't be happy for her to go home until...what?
0:36:01 > 0:36:03She'd been reviewed by the doctor.
0:36:03 > 0:36:06Well, first of all, let's get her checked out.
0:36:06 > 0:36:10Because if we send her home, and anything were to happen,
0:36:10 > 0:36:12we wouldn't feel good about that, would we?
0:36:12 > 0:36:15So there's nothing wrong, don't want you to panic.
0:36:15 > 0:36:17I don't want you to worry,
0:36:17 > 0:36:22because we do this routinely for all women in similar situations to you.
0:36:22 > 0:36:24If it's OK with you, we'll get a room free
0:36:24 > 0:36:26where we've got the comfy bed
0:36:26 > 0:36:29and we'll pop you on the proper monitor, you know?
0:36:29 > 0:36:31But again, check it. All right?
0:36:31 > 0:36:33So if you just have a seat in the waiting room
0:36:33 > 0:36:35till we've got a room free for you.
0:36:35 > 0:36:39Yeah? And you can carry on eating your little snack bag there!
0:36:39 > 0:36:42You've got to stock up! You're going to be a dad, eh?!
0:36:42 > 0:36:45All right. We'll get you a nice, comfy room.
0:36:50 > 0:36:52Oh, God!
0:36:52 > 0:36:58That's it. I've actually just pretty much ruined my chance.
0:36:58 > 0:37:00- Look at her risk!- I know!
0:37:00 > 0:37:03'You do have to get tough, I'm afraid.'
0:37:03 > 0:37:04Because you can't afford mistakes.
0:37:04 > 0:37:06You can't afford to make error here.
0:37:06 > 0:37:09These are people's lives. These are people's babies.
0:37:09 > 0:37:12And if somebody comes into that department bleeding,
0:37:12 > 0:37:15or reduced baby movements,
0:37:15 > 0:37:19she could be in serious need of attention,
0:37:19 > 0:37:21and if you fail to recognise...
0:37:21 > 0:37:23that's somebody's life.
0:37:23 > 0:37:25That's somebody's baby.
0:37:30 > 0:37:32Just take deep breaths.
0:37:32 > 0:37:35Just breathe through it, Gemma. That's it.
0:37:35 > 0:37:37Just got a lot of pressure?
0:37:37 > 0:37:40Chloe has been on the delivery unit for three weeks.
0:37:40 > 0:37:42- It's a good sign. - 'Chloe's doing really well.'
0:37:42 > 0:37:44And obviously, the more she does things,
0:37:44 > 0:37:46the more confident she'll become.
0:37:48 > 0:37:51SHE GROANS That's it, Gemma.
0:37:51 > 0:37:53Keep breathing that gas.
0:37:57 > 0:38:00- That's it.- Shit, shit, shit!
0:38:00 > 0:38:04Gemma is nine days overdue, and expecting her first baby.
0:38:04 > 0:38:07She's now been in labour for 30 hours.
0:38:09 > 0:38:10Oh, God!
0:38:10 > 0:38:12That's it.
0:38:12 > 0:38:17- SHE LAUGHS - What?!
0:38:17 > 0:38:20Diamorphine, it doesn't actually get rid of the pain, does it?
0:38:20 > 0:38:22It just knocks the edge off them.
0:38:22 > 0:38:24- I don't believe that. - CHLOE LAUGHS
0:38:24 > 0:38:25'I think that sometimes,
0:38:25 > 0:38:27'it's nice to leave a student in the room with the woman.'
0:38:27 > 0:38:31So I just tend to sort of bob out for 10-15 minutes,
0:38:31 > 0:38:34and just let them have a bit of time.
0:38:34 > 0:38:36SHE KNOCKS ON DOOR
0:38:36 > 0:38:39Hi! It's only Faith. Are you OK?
0:38:39 > 0:38:42We're just going to have a feel of your tummy, Gemma. All right?
0:38:42 > 0:38:45And just make sure that baby's in a good position.
0:38:45 > 0:38:48Straighten your legs out, yeah.
0:38:48 > 0:38:51Midwifery is a very hands-on thing, and it's about developing skills.
0:38:51 > 0:38:54And the only way you can develop those is by actually doing it.
0:38:54 > 0:38:59Chloe's about to face one of the big milestones for a student midwife.
0:38:59 > 0:39:01An internal examination.
0:39:01 > 0:39:04- Have you done many of these, Chloe? - I haven't done any.
0:39:04 > 0:39:07It's really about trying to encourage somebody to do it.
0:39:07 > 0:39:09Because they're scared. It's a very intimate procedure,
0:39:09 > 0:39:12and if it's something they've never done before,
0:39:12 > 0:39:14it's about just trying to reassure them,
0:39:14 > 0:39:16and saying, "No, you have to have a go.
0:39:16 > 0:39:18"Don't worry if you don't know what you're feeling.
0:39:18 > 0:39:21"It doesn't matter. It's just the fact that you're having a go."
0:39:21 > 0:39:23It just comes with practise.
0:39:23 > 0:39:26Is it OK if Chloe just examines you first?
0:39:26 > 0:39:28Just so she can see?
0:39:28 > 0:39:31- What size gloves do you wear? Small? - Small.
0:39:31 > 0:39:32Right, you pop these ones on, then.
0:39:32 > 0:39:35Everybody's got to learn, yeah.
0:39:35 > 0:39:36So this is this hand. Yeah.
0:39:36 > 0:39:38GEMMA: Do you want my feet together?
0:39:38 > 0:39:40In a minute, yeah.
0:39:40 > 0:39:44That's it. And then your other hand.
0:39:44 > 0:39:46Now, the first time you do an examination,
0:39:46 > 0:39:49you probably won't feel very much, but it's just experience.
0:39:49 > 0:39:51So don't worry about it, OK?
0:39:58 > 0:40:02Take some nice, deep breaths, and just try and relax, OK?
0:40:02 > 0:40:04- So, like this?- Yeah.
0:40:04 > 0:40:05- All right? Go on.- Like this?
0:40:05 > 0:40:07Yeah, don't be frightened.
0:40:07 > 0:40:09- You won't hurt her! - CHLOE LAUGHS
0:40:09 > 0:40:11- And if you do...- Don't worry.
0:40:11 > 0:40:13Students are always really gentle,
0:40:13 > 0:40:16whereas the midwives are not so gentle!
0:40:16 > 0:40:19- I can feel the baby's head.- OK.
0:40:19 > 0:40:21Keep going, up a bit higher and round the back.
0:40:21 > 0:40:24If you can feel the baby's head.
0:40:24 > 0:40:28- Yeah, I can definitely feel the baby's head.- Can you feel any water?
0:40:28 > 0:40:30Any membrane there?
0:40:30 > 0:40:32Any bulging membrane or anything?
0:40:32 > 0:40:34It's difficult, so don't...
0:40:39 > 0:40:41It feels like...
0:40:41 > 0:40:44- spongy, kind of.- OK.
0:40:44 > 0:40:49If you think about...like, feeling your top lip, almost.
0:40:49 > 0:40:51You know that feeling? Like a ridge?
0:40:51 > 0:40:53- Can you feel anything?- Yeah.
0:40:53 > 0:40:56Can you feel any, like, cervix bit?
0:40:56 > 0:41:02- It feels a bit...it's so hard to describe.- It just feels hard.
0:41:02 > 0:41:04Just hard like the head?
0:41:04 > 0:41:07And then on the side of baby's head,
0:41:07 > 0:41:10is the cervix, from twelve o'clock...
0:41:10 > 0:41:12- Oh, yeah!- ..it's on one side.
0:41:12 > 0:41:14- Oh, yeah!- Can you feel it?- Yeah.
0:41:14 > 0:41:17So she's still got a bit of the cervix left,
0:41:17 > 0:41:19so that's why I'm saying she's nine.
0:41:19 > 0:41:23- OK.- Because if she was ten, there wouldn't be any.
0:41:23 > 0:41:24- OK.- Yeah?- Yeah.
0:41:24 > 0:41:27- All right? Well done.- Thank you.
0:41:27 > 0:41:28- Yeah?- Yeah.
0:41:28 > 0:41:31Right, fine. Well done.
0:41:33 > 0:41:36Gemma's almost ready to start pushing.
0:41:36 > 0:41:42This could be one of the 40 births Chloe needs to qualify as a midwife.
0:41:42 > 0:41:45If she's pushing at half three, I'm SO going to ask to stay.
0:41:45 > 0:41:48I can just add it onto my hours. It won't matter.
0:41:48 > 0:41:49I don't think, anyway.
0:41:49 > 0:41:53What I tend to do with students that haven't had a delivery yet
0:41:53 > 0:41:56is do something called hands on hands.
0:41:56 > 0:41:57So she will put her hands on,
0:41:57 > 0:42:00and then I will put my hands over the top,
0:42:00 > 0:42:04and help to deliver the baby, really.
0:42:11 > 0:42:14Oh, my God!
0:42:14 > 0:42:17Three hours later, Faith discovers the baby is in a tricky,
0:42:17 > 0:42:23back to back position, making a normal delivery much harder.
0:42:23 > 0:42:25Oh, Mum!
0:42:25 > 0:42:27Fucking...sorry!
0:42:27 > 0:42:30The doctor will decide what happens next.
0:42:30 > 0:42:34Hello? I've got Louise, the doctor, with me, OK?
0:42:34 > 0:42:35She's just come in to have a look at you.
0:42:35 > 0:42:39So what we need to do is think about what we're going to do next.
0:42:39 > 0:42:41If this is going to happen vaginally or not.
0:42:41 > 0:42:44It doesn't sound like it, but we just need to double check for you.
0:42:44 > 0:42:47Is that all right? HEART MONITOR BEEPS LOUDLY
0:42:47 > 0:42:50OK, I want you to just get it out now!
0:42:50 > 0:42:55Listen, we just want to make sure.
0:42:55 > 0:42:58Oh, bloody hell! Sorry!
0:42:58 > 0:43:01Oh, just get it out!
0:43:01 > 0:43:03OK, Gemma?
0:43:03 > 0:43:06Just as Faith says, you're still only nine centimetres.
0:43:06 > 0:43:09And that's because baby's facing back to your back.
0:43:09 > 0:43:11You're telling me that you've had enough,
0:43:11 > 0:43:12and so what we're going to do is
0:43:12 > 0:43:14I'm going to have a word with our consultant,
0:43:14 > 0:43:17and see if he's happy for us to do a Caesarean section.
0:43:17 > 0:43:20- Is that what you want? - Oh, just get it out, please!
0:43:20 > 0:43:22Is that all right?
0:43:22 > 0:43:25CHLOE: There's a tissue there if you want it.
0:43:25 > 0:43:27GEMMA SOBS
0:43:27 > 0:43:31Oh, I hate it!
0:43:36 > 0:43:39This is the first time Chloe will be given
0:43:39 > 0:43:42the responsibility of taking the baby once it's delivered.
0:43:42 > 0:43:44- Yeah, get some gloves from there. - OK, yeah.
0:43:44 > 0:43:48But the key is, in theatre, don't touch anything blue.
0:43:48 > 0:43:51- I'll tell you, but just stand away from the table.- OK.
0:43:51 > 0:43:54Don't touch any of the doctors that are in their gowns and stuff.
0:43:54 > 0:43:56- Just try and stay away from them. - OK.
0:43:59 > 0:44:02- This is the one I should use, isn't it?- Yeah.
0:44:10 > 0:44:13Do I show Gemma the baby, or just take it straight through?
0:44:21 > 0:44:24They're the waters?
0:44:29 > 0:44:30Get ready.
0:44:30 > 0:44:34Just bring your hands a bit closer together.
0:44:52 > 0:44:53Oh, I hope not!
0:45:03 > 0:45:05DOCTOR: I might need some help.
0:45:05 > 0:45:07What, from down below?
0:45:10 > 0:45:15The baby is so low in the birth canal that it needs a push.
0:45:15 > 0:45:16Can you get my fingers now?
0:45:19 > 0:45:22Hello, baby!
0:45:22 > 0:45:25- So...- Oh!- You all right?
0:45:25 > 0:45:27Just hold it down. Big enough!
0:45:27 > 0:45:31BABY CRIES
0:45:31 > 0:45:34DOCTOR: Hello, baby! All right?
0:45:34 > 0:45:37- There we go. - So go show her it, yeah?- Yeah.
0:45:39 > 0:45:41Here you are! Congratulations! OK?
0:45:41 > 0:45:43- Oh, I did it!- I know!
0:45:43 > 0:45:46We'll just take her and give her a rub off, all right?
0:45:46 > 0:45:47Congratulations!
0:45:55 > 0:45:56Right. Oh, dear!
0:45:56 > 0:45:58Look at all that hair!
0:46:04 > 0:46:07- So what happened there was because she'd been in labour...- Oh, my God!
0:46:07 > 0:46:09..her head had got low, and it was a bit stuck.
0:46:09 > 0:46:12So that's why I just had to go underneath and give Louise a hand.
0:46:12 > 0:46:15Push baby back up for her.
0:46:15 > 0:46:17Oh! Come on!
0:46:17 > 0:46:18- Just pop a nappy on her.- OK.
0:46:18 > 0:46:21And we'll just take her straight to Mum and Dad.
0:46:21 > 0:46:23- OK.- Yeah?
0:46:23 > 0:46:25So I hand her to Dad, yeah?
0:46:25 > 0:46:26Yeah, give her to Daddy.
0:46:28 > 0:46:30Here you are, Daddy!
0:46:30 > 0:46:32Congratulations to you both.
0:46:32 > 0:46:34Have you got her?
0:46:34 > 0:46:35- Yeah, I've got her.- OK. Sorry!
0:46:35 > 0:46:40Hey, you! I know!
0:46:40 > 0:46:43'Chloe was great. She was really, really good.'
0:46:43 > 0:46:46At the end, she came up to me and she went, "Oh, my God!"
0:46:46 > 0:46:47I said, "What?" She said,
0:46:47 > 0:46:49"I've just seen your ovaries. They're amazing!"
0:46:49 > 0:46:51- SHE LAUGHS - I was like, "What?!"
0:46:51 > 0:46:54And she said, "And your fallopian tubes, and your bladder,
0:46:54 > 0:46:56"and everything! It looks great!"
0:46:56 > 0:46:57I was like, "OK..."
0:46:57 > 0:46:59We'll let you have a little cuddle,
0:46:59 > 0:47:01and then we'll go dress her and everything, all right?
0:47:01 > 0:47:04'I was so worried that I was just going to drop the baby'
0:47:04 > 0:47:06straight through the towel! Or slip on something!
0:47:06 > 0:47:08Because that's someone's baby, you know?
0:47:08 > 0:47:12I think it's the worst fear you can have,
0:47:12 > 0:47:16but, you know, you just grab hold of it and take it through.
0:47:16 > 0:47:17You're careful with a baby.
0:47:17 > 0:47:20There's something instinctive inside of you,
0:47:20 > 0:47:23that you're careful with someone else's baby.
0:47:23 > 0:47:25I don't think that'll ever happen.
0:47:25 > 0:47:27Touch wood. It won't ever happen.
0:47:40 > 0:47:42After a week on the delivery unit,
0:47:42 > 0:47:45tonight Aurelie will learn if she's passed or failed.
0:47:48 > 0:47:51It's not very professional,
0:47:51 > 0:47:52I'm walking in with a brew!
0:47:52 > 0:47:54Hello!
0:47:54 > 0:47:58OK, so, let's go back to the beginning.
0:47:58 > 0:48:02- Final interview, yeah?- I know, yeah.
0:48:02 > 0:48:04How do you feel you've done?
0:48:04 > 0:48:06Erm, I think I've increased my confidence.
0:48:06 > 0:48:07Yeah.
0:48:07 > 0:48:10And the fact that I've been placed under a lot of pressure
0:48:10 > 0:48:12has sort of moulded me to know
0:48:12 > 0:48:16when I need to sort of step out of my comfort zone
0:48:16 > 0:48:17and put on my midwife hat.
0:48:17 > 0:48:20- And just be like, "Right, we have to do this."- Yeah.
0:48:20 > 0:48:23The problem we have is, the pressure is on me too,
0:48:23 > 0:48:26because, we see, we've got lots of skills referred here
0:48:26 > 0:48:28that we have to pass, or I have to fail you.
0:48:28 > 0:48:33So it's massive, isn't it, today for you? OK.
0:48:33 > 0:48:36So basically, I've put, Aurelie,
0:48:36 > 0:48:39that I've found it a pleasure to work alongside you, OK?
0:48:39 > 0:48:41Oh, thank you.
0:48:41 > 0:48:45I think you're very kind and empathetic towards the women.
0:48:45 > 0:48:49The women in your care have fed this back, and that speaks volumes.
0:48:49 > 0:48:53When the women notice a student midwife being kind,
0:48:53 > 0:48:55because often, they're in pain,
0:48:55 > 0:48:57and they don't really want to give feedback,
0:48:57 > 0:48:59because they're busy with other things.
0:48:59 > 0:49:02I think you're learning from your experiences,
0:49:02 > 0:49:06and when you have done things wrong and I've challenged you after it,
0:49:06 > 0:49:08you've remembered, OK?
0:49:08 > 0:49:12And that's reassuring. That's very reassuring to know.
0:49:12 > 0:49:16So that's a real good positive, OK?
0:49:16 > 0:49:19So this has been a really difficult time, and a difficult decision.
0:49:19 > 0:49:21It's probably one of my most difficult decisions
0:49:21 > 0:49:23to make as a mentor.
0:49:23 > 0:49:24Erm...
0:49:24 > 0:49:27but I am going to pass you, Aurelie.
0:49:27 > 0:49:29- Oh!- Erm...don't go soft on me now!
0:49:29 > 0:49:31No, I won't!
0:49:31 > 0:49:35I've been up all day with no sleep over this!
0:49:35 > 0:49:36I am going to pass you.
0:49:36 > 0:49:38When you can see potential in somebody,
0:49:38 > 0:49:41you shouldn't just write it off.
0:49:41 > 0:49:44I'm wishing you all the very best,
0:49:44 > 0:49:46but I have put, you know,
0:49:46 > 0:49:50year three is going to be very challenging.
0:49:50 > 0:49:53Very challenging for you.
0:49:53 > 0:49:57And you need to be honest, and you need to seek support.
0:49:57 > 0:50:00And if you're not coping with the demands of the profession,
0:50:00 > 0:50:01you need to seek support quickly.
0:50:01 > 0:50:03Don't struggle.
0:50:03 > 0:50:08Don't wait to do something that could be, you know, bad.
0:50:08 > 0:50:11So that's where we're at today.
0:50:11 > 0:50:14It's a pass, but you've got so much work to do.
0:50:14 > 0:50:17And I don't think I need to tell you that. I think you know.
0:50:18 > 0:50:22Cos year three, you've got all your exams and revision.
0:50:22 > 0:50:24- It's a very, very demanding course.- OK, OK.
0:50:24 > 0:50:27I think you need pushing a bit more.
0:50:27 > 0:50:29It may well be that you're very laidback.
0:50:29 > 0:50:33Ugh! Yeah...I passed!
0:50:33 > 0:50:36There's still another 18 months of training
0:50:36 > 0:50:39before Aurelie will get to wear a blue uniform.
0:50:39 > 0:50:42I'm positive, in that I really do think she can do it,
0:50:42 > 0:50:44but it's going to be the biggest challenge for Aurelie,
0:50:44 > 0:50:46this third year.
0:50:46 > 0:50:50So she needs to come out in third year, all guns blazing, ready to go.
0:50:50 > 0:50:53And really demonstrate those skills.
0:50:53 > 0:50:58'It saves lives. That's all that matters, to be honest.
0:50:58 > 0:51:00'And when it comes to saving lives,'
0:51:00 > 0:51:02it's not really about the midwife.
0:51:02 > 0:51:04It's about the woman and the baby.
0:51:04 > 0:51:07At the end of the day, if you're a midwife, it's not about you.
0:51:07 > 0:51:09It's not about how you feel, or how tired you are.
0:51:09 > 0:51:12It's about the woman. She is the most important thing.
0:51:12 > 0:51:14That's what she will remember for the rest of her life.
0:51:21 > 0:51:23Jess qualified four months ago.
0:51:23 > 0:51:25Today it's her first shift on the delivery unit.
0:51:25 > 0:51:30She hopes it's a chance to get her first normal delivery as a midwife.
0:51:32 > 0:51:35I've had in the past, you know, "How old are you, 16?
0:51:35 > 0:51:37"You look too young. You're not mature enough.
0:51:37 > 0:51:39"Oh, you're only just newly qualified?
0:51:39 > 0:51:41"We want somebody more senior."
0:51:41 > 0:51:44And if that's the case, then you do have to take a step back and say,
0:51:44 > 0:51:46"OK, I'll get you someone more senior."
0:51:48 > 0:51:52Kimberley has been in labour for 36 hours with her first baby.
0:52:00 > 0:52:04The baby's heart rate has been causing concern.
0:52:04 > 0:52:07HEART MONITOR BEEPS
0:52:09 > 0:52:12These things are so long by the end of it, it's ridiculous!
0:52:12 > 0:52:15JESS LAUGHS
0:52:15 > 0:52:18The baby's heart should be between 110-160, really.
0:52:18 > 0:52:21So if it's lower than 110 for longer than three minutes,
0:52:21 > 0:52:24we need to pull the emergency bell. But it just didn't get to that.
0:52:24 > 0:52:27It was about a minute, a minute and a half. It felt like ten!
0:52:27 > 0:52:30So I think he's a boy, because they all do that!
0:52:30 > 0:52:32SHE LAUGHS
0:52:32 > 0:52:36Do you want the gas and air for this, or are you OK?
0:52:39 > 0:52:44OK. All right, just take some deep breaths if you need to, OK?
0:52:54 > 0:52:58And the good news is, I can't feel any cervix.
0:52:58 > 0:53:01So that means you're fully dilated, OK?
0:53:01 > 0:53:02Great news!
0:53:06 > 0:53:08Basically, we're going to try and get her pushing.
0:53:08 > 0:53:11We need you to hold your breath, put your chin on your chest,
0:53:11 > 0:53:14and then push right down into your bottom.
0:53:14 > 0:53:17Like you've been constipated for about a month.
0:53:17 > 0:53:18I can't do it for that long.
0:53:18 > 0:53:21We'll be there, telling you to keep going, keep going.
0:53:21 > 0:53:22And then you take a quick breath in,
0:53:22 > 0:53:25and if the pain's still there, you push and push and push and push.
0:53:25 > 0:53:29And if the pain's still there, you push even more. OK?
0:53:33 > 0:53:36For Jess' first birth, this is not straightforward.
0:53:36 > 0:53:39There are signs the baby is in distress.
0:53:39 > 0:53:40That's it.
0:53:40 > 0:53:43And push right into your bottom, right into your bottom. That's it!
0:53:43 > 0:53:46That's it. Keep going, keep going, keep going, keep going!
0:53:46 > 0:53:51A doctor and extra midwives are on standby, in case of an emergency.
0:53:51 > 0:53:52That's it! That's it! That's it!
0:53:52 > 0:53:56Well done! Well done! Well done!
0:53:56 > 0:53:58Fantastic. And again. One more.
0:53:58 > 0:53:59Last one. Last one.
0:53:59 > 0:54:03Keep going, keep going, keep going, keep going!
0:54:03 > 0:54:05- DOCTOR: Excellent!- You're doing it!
0:54:05 > 0:54:07It's going to burn in a minute, OK?
0:54:07 > 0:54:10- I need you to breathe. - SHE PANTS
0:54:10 > 0:54:11Little pushes. Yeah. Little pushes.
0:54:11 > 0:54:13Little pushes. That's it, that's it.
0:54:13 > 0:54:16That's it. Well done! Well done!
0:54:16 > 0:54:20That's it. That is amazing!
0:54:20 > 0:54:22- You're so good!- That's fab.
0:54:22 > 0:54:24And have a rest, OK? Have a rest.
0:54:24 > 0:54:25We've got the head.
0:54:25 > 0:54:27OK.
0:54:28 > 0:54:29DOCTOR: Have you got one?
0:54:29 > 0:54:32OK, that's it. The baby's coming.
0:54:34 > 0:54:35- Keep going.- That's it.
0:54:35 > 0:54:37- Oh, there we go!- Hello!
0:54:37 > 0:54:39There we go. Congratulations!
0:54:41 > 0:54:45- You've done it!- Hello!
0:54:45 > 0:54:49There are concerns that the baby is not breathing properly.
0:54:51 > 0:54:53MIDWIFE: We'll just go and give him a little wake up.
0:54:53 > 0:54:56Can we have the cord gasses, please?
0:54:56 > 0:54:57Can you do that, and I'll...?
0:54:57 > 0:55:00I'll just give you an injection into your leg, OK?
0:55:01 > 0:55:03So I'm giving 33.
0:55:24 > 0:55:28No, he's OK. He's all right.
0:55:28 > 0:55:33I'm Vicky. I'm one of the sisters off the neonatal unit. All right?
0:55:33 > 0:55:35You can see him there.
0:55:35 > 0:55:37The baby is breathing again.
0:55:37 > 0:55:40But he's being sent to the neonatal unit to be monitored.
0:55:42 > 0:55:44- You did so well!- So did you!
0:55:44 > 0:55:46All right? You were great.
0:55:46 > 0:55:49I've done so many as a student, I've just never...
0:55:49 > 0:55:52Well, that's the thing. This one means the world to you, doesn't it?
0:55:52 > 0:55:54- Yeah.- OK? You're a star!
0:55:54 > 0:55:57- That baby will be fine as well. - Of course he will.
0:55:57 > 0:55:59He'll be fine. Thank you.
0:55:59 > 0:56:04So we're going to take him over, and we'll let you know when he's ready.
0:56:09 > 0:56:11JESS: That was amazing!
0:56:20 > 0:56:22It all happened so fast. I didn't think I'd get it.
0:56:22 > 0:56:24It came out in need of resuscitation and stuff.
0:56:24 > 0:56:27I've never seen that before, so that was pretty scary.
0:56:27 > 0:56:29But I was focusing more on her, really,
0:56:29 > 0:56:31because I knew people were already focusing on the baby,
0:56:31 > 0:56:33so...yeah, she'll do really well. She'll be fine.
0:56:33 > 0:56:34And that baby will be fine.
0:56:34 > 0:56:36It'll be back with her in a couple of days.
0:56:36 > 0:56:38She was amazing!
0:56:38 > 0:56:40She was amazing! Amazing!
0:56:40 > 0:56:43It was fantastic. I'm so proud of her.
0:56:43 > 0:56:45It was really good.
0:56:49 > 0:56:51I don't want to go back into the office yet,
0:56:51 > 0:56:53because I'll just cry again, so I'll wait a minute!
0:56:53 > 0:56:55SHE LAUGHS
0:56:55 > 0:57:00Oh! That's a better feeling than getting your 40th delivery.
0:57:00 > 0:57:04Getting your 40th delivery as a student is nothing compared
0:57:04 > 0:57:07to that feeling of doing it in a blue uniform.
0:57:12 > 0:57:14First baby, done! Done!
0:57:14 > 0:57:19- Yeah?- Yeah! First baby!
0:57:19 > 0:57:22I burst into tears! Burst into tears, yeah!
0:57:22 > 0:57:24Burst into tears.
0:57:24 > 0:57:27Oh, I just burst into tears!
0:57:27 > 0:57:29- She's finished now? - Yeah, I just burst into tears!
0:57:29 > 0:57:32That was amazing! That was my first baby in blue!
0:57:32 > 0:57:33- Oh, really?- Yeah!
0:57:33 > 0:57:35Oh, congratulations!
0:57:38 > 0:57:41I'll see you later, girlies.
0:57:41 > 0:57:42- Bye!- Bye!
0:58:44 > 0:58:47Subtitles by Red Bee Media Ltd