0:00:02 > 0:00:03Hello, Ward Four. Midwife speaking.
0:00:03 > 0:00:05SHE SCREAMS
0:00:05 > 0:00:07Don't panic, it's going to be over soon.
0:00:07 > 0:00:09With the highest birth rate in 40 years...
0:00:09 > 0:00:11Look what you've done! Oh, my God!
0:00:11 > 0:00:14Oh, congratulations!
0:00:14 > 0:00:15BABY CRIES
0:00:15 > 0:00:18..midwives are under more pressure than ever before.
0:00:18 > 0:00:19You are kidding me!
0:00:19 > 0:00:22We have a lady on the table in theatre waiting to come out.
0:00:22 > 0:00:25We filmed in busy maternity departments
0:00:25 > 0:00:27in Birmingham, Manchester and Cardiff...
0:00:27 > 0:00:296.11, I reckon.
0:00:29 > 0:00:31He's about 6.11 and a half.
0:00:31 > 0:00:33Oh, wow!
0:00:33 > 0:00:35..as the midwives deliver the next generation...
0:00:35 > 0:00:37The scary bit is, you're all going to be midwives.
0:00:37 > 0:00:39THEY CHEER
0:00:39 > 0:00:40..with care...
0:00:40 > 0:00:42Oh, please help me.
0:00:42 > 0:00:44We're here, we're here, we're here.
0:00:44 > 0:00:45..and dedication.
0:00:45 > 0:00:49My baby's life is in your guys' hands. That's it now.
0:00:49 > 0:00:52Not good for the stress levels, this job, at all.
0:00:52 > 0:00:54You'll be absolutely fine, I told you I'll be with you, OK?
0:00:54 > 0:00:56It does touch you.
0:00:56 > 0:00:57This is the reason we do what we do.
0:00:57 > 0:00:59It's all right, it's OK.
0:00:59 > 0:01:01You smell nice.
0:01:01 > 0:01:02It's more than a job, it's...
0:01:02 > 0:01:05you're part of somebody's life and they never forget you.
0:01:17 > 0:01:19It's the start of the week on the delivery unit
0:01:19 > 0:01:22at the University Hospital of Wales, in Cardiff.
0:01:22 > 0:01:24WOMAN SCREAMS
0:01:26 > 0:01:29It's the busiest labour ward in Wales,
0:01:29 > 0:01:31delivering up to 100 babies a week.
0:01:31 > 0:01:33OK, baby, welcome to Cardiff.
0:01:33 > 0:01:36BABY CRIES Oh, he doesn't like that.
0:01:36 > 0:01:38'Ultimately, our aim is to achieve'
0:01:38 > 0:01:40a vaginal birth for women, keep them nice and healthy,
0:01:40 > 0:01:43with the end result being a lovely, healthy baby.
0:01:43 > 0:01:46But we're a nation struggling to cope
0:01:46 > 0:01:48with the pain of natural delivery. WOMAN SCREAMS
0:01:48 > 0:01:51OK, don't panic, I know it's sore, it's going to be over soon.
0:01:51 > 0:01:53It's so bad! It's really bad,
0:01:53 > 0:01:55but it's going to be over really soon, OK?
0:01:55 > 0:01:57SHE CRIES
0:01:57 > 0:01:58An increasing number of women
0:01:58 > 0:02:01want drugs and anaesthetics to take the pain away.
0:02:01 > 0:02:03There are women that come through the door here
0:02:03 > 0:02:06who have made the decision before labour that they want an epidural.
0:02:06 > 0:02:10Like maternity units across the UK,
0:02:10 > 0:02:13Cardiff has seen epidurals double over the last 20 years.
0:02:13 > 0:02:18Nobody wants to feel pain nowadays.
0:02:18 > 0:02:20Only a quarter of women having an epidural
0:02:20 > 0:02:23go on to have a natural, unassisted delivery.
0:02:23 > 0:02:26I think epidurals can be seen as the easy option,
0:02:26 > 0:02:29but it's not always the best option for your labour.
0:02:29 > 0:02:30It prolongs labour,
0:02:30 > 0:02:34and the chances for instrumental delivery is very high.
0:02:34 > 0:02:37For the midwives, it's a battle to persuade women
0:02:37 > 0:02:39to suffer the pains of labour.
0:02:39 > 0:02:41I always say to women that, you know,
0:02:41 > 0:02:43this is the only time in your life that pain's a good thing
0:02:43 > 0:02:45and you get something at the end of it.
0:02:45 > 0:02:47You're hurting me.
0:02:47 > 0:02:49You do forget about it. Otherwise, you wouldn't come back.
0:02:53 > 0:02:58Every day, women arrive on the unit believing they're in labour.
0:02:58 > 0:03:02Midwife Karen Lonsdale has been a senior coordinator
0:03:02 > 0:03:04for over ten years. Karen's job is to assess
0:03:04 > 0:03:07which expectant mothers are actually in labour
0:03:07 > 0:03:09and those who are not.
0:03:09 > 0:03:12The general rule, I suppose, as a midwife,
0:03:12 > 0:03:14is if you look at somebody and they're flushed,
0:03:14 > 0:03:16they can't speak through their contractions,
0:03:16 > 0:03:18they're bent over at the desk unable to walk,
0:03:18 > 0:03:21generally, you would assume that they are in labour.
0:03:21 > 0:03:24That's not always the case, the only way that you can really tell
0:03:24 > 0:03:27is by examining women and seeing how dilated the cervix is.
0:03:29 > 0:03:32Ruth Leonard is one of the team's most experienced midwives,
0:03:32 > 0:03:36working alongside Karen for the last 15 years.
0:03:36 > 0:03:39It says here... Can I just have a quick look?
0:03:39 > 0:03:41She's awaiting the arrival of a young woman
0:03:41 > 0:03:43who's phoned to say she's in labour.
0:03:43 > 0:03:44Ten o'clock, she's contracting,
0:03:44 > 0:03:47so she could well...come in and deliver the baby.
0:03:50 > 0:03:51In the middle of the night,
0:03:51 > 0:03:54Kayleigh and her partner, Dan, have rushed in by taxi.
0:03:54 > 0:03:59Hello, Kayleigh, I'm Ruth. Pleased to meet you.
0:03:59 > 0:04:02We're just down this end, would you like to follow me?
0:04:03 > 0:04:06This is the second time in the last three days that Kayleigh's come in
0:04:06 > 0:04:09believing she's about to have her baby.
0:04:09 > 0:04:11How many false alarms have you had?
0:04:11 > 0:04:14You've been in once, have you? Once, yeah. OK.
0:04:14 > 0:04:18OK, let's hope it's the real thing this time. Feel good?
0:04:18 > 0:04:21Yeah, fingers crossed.
0:04:21 > 0:04:23I'm not going home without a baby.
0:04:26 > 0:04:28Kayleigh isn't due for another two weeks,
0:04:28 > 0:04:30but both her previous two children came early.
0:04:30 > 0:04:32Contractions feel good.
0:04:32 > 0:04:35Woo-hoo! It could be this time,
0:04:35 > 0:04:37but we won't know for sure until I assess things
0:04:37 > 0:04:39and see what's happening.
0:04:39 > 0:04:41I think this is labour.
0:04:41 > 0:04:44The contractions are good, it just feels right,
0:04:44 > 0:04:46the baby's head is low...
0:04:46 > 0:04:48But obviously, I won't be able to say 100%
0:04:48 > 0:04:53until I examine her internally and find out how open her cervix is.
0:04:53 > 0:04:55But I think this is it.
0:04:55 > 0:04:58This birth, I'd like it to be like my last one.
0:04:58 > 0:05:00An hour and 40 minutes, or less.
0:05:02 > 0:05:04Recently married,
0:05:04 > 0:05:09this will be Kayleigh's first baby with care worker Dan.
0:05:09 > 0:05:12We met a year ago on social networking sites.
0:05:13 > 0:05:16On Facebook. Yeah, Facebook.
0:05:16 > 0:05:17SHE LAUGHS
0:05:17 > 0:05:20Facebook, then Starbucks. Yeah. And now here.
0:05:22 > 0:05:26I want to cut the cord, if I can, if they let me.
0:05:26 > 0:05:27I'm quite nervous about that,
0:05:27 > 0:05:30but if they let me cut the cord, I'll be ecstatic with that.
0:05:30 > 0:05:32Just don't pass out.
0:05:44 > 0:05:47Amy Simes is a newly qualified midwife
0:05:47 > 0:05:52and has been on the delivery unit for less than a year.
0:05:52 > 0:05:54Hiya, Leah, is it? Yeah.
0:05:54 > 0:05:57She's been assigned to 20-year-old care assistant Leah
0:05:57 > 0:05:59and her partner, Bobby.
0:05:59 > 0:06:02So this is your second baby? Yeah. Yeah?
0:06:02 > 0:06:04So what are you feeling at the moment, then?
0:06:04 > 0:06:06What... You know, you've rang up and you've said that
0:06:06 > 0:06:08you're feeling contractions and things.
0:06:08 > 0:06:10Yeah, every three to five minutes.
0:06:10 > 0:06:13If it's OK with you, I'd like to have a feel of your tummy.
0:06:13 > 0:06:16If you're not in labour at the moment,
0:06:16 > 0:06:18we would probably recommend at this stage
0:06:18 > 0:06:21that you go back home... Yeah. ..and try to relax
0:06:21 > 0:06:24until things really increase more again, all right? Yeah.
0:06:26 > 0:06:29Well, you seem to be coping really well, you know...
0:06:29 > 0:06:31That makes me think that I'm not in labour then.
0:06:31 > 0:06:33No, not necessarily.
0:06:33 > 0:06:34Everyone copes differently,
0:06:34 > 0:06:37and I think sometimes on your second baby, third baby,
0:06:37 > 0:06:38you're more experienced then.
0:06:38 > 0:06:41So you've had one delivery, you know what the pain's going to feel like,
0:06:41 > 0:06:43you know what to expect,
0:06:43 > 0:06:45and so often, you can deal with it a little bit better.
0:06:45 > 0:06:48OK. All right? So if you're not in labour yet,
0:06:48 > 0:06:51you're sort of making slow progress towards the way. OK.
0:06:51 > 0:06:54All right? So don't be too disheartened.
0:06:54 > 0:06:57'Some people, I think they tend to worry a little bit.'
0:06:57 > 0:07:01I mean, nobody wants to deliver a baby at home, do they, really?
0:07:01 > 0:07:05And I think there's a security feeling of being in hospital,
0:07:05 > 0:07:07if that was your planned intention.
0:07:07 > 0:07:10Women contract very well in their own environment
0:07:10 > 0:07:13and then any transfer to hospital or any kind of emotional stress
0:07:13 > 0:07:15and those contractions then taper off
0:07:15 > 0:07:17and the process of labour actually slows down,
0:07:17 > 0:07:20so any woman that comes in and isn't in labour,
0:07:20 > 0:07:22then home is certainly the best place for them to be.
0:07:25 > 0:07:29Ruth must examine Kayleigh to see if she's in established labour.
0:07:29 > 0:07:32So, obviously, if you're not in labour,
0:07:32 > 0:07:35then you're going home, I think.
0:07:35 > 0:07:38I hope this is it now for you.
0:07:38 > 0:07:39Yeah.
0:07:41 > 0:07:43If you can bend your knees up.
0:07:47 > 0:07:50That's your toe, sorry, Dan. I'm standing on his foot.
0:07:54 > 0:07:56Right, so what I can feel is your waters are still there.
0:07:56 > 0:08:00The baby's head is down, your cervix is open a little bit,
0:08:00 > 0:08:04but, unfortunately...
0:08:04 > 0:08:07I don't think you're in established labour. Yeah.
0:08:07 > 0:08:12So if you wanted to go off for a little walk
0:08:12 > 0:08:15and see what happens for a little bit,
0:08:15 > 0:08:17if you wanted to go back home, you can.
0:08:17 > 0:08:20OK, I'll just go for a walk, if that's OK?
0:08:20 > 0:08:22That's fine, that's fine.
0:08:22 > 0:08:24Are you disappointed?
0:08:24 > 0:08:26A little. Aw!
0:08:30 > 0:08:32Leah's mum, Maggie, has arrived,
0:08:32 > 0:08:34anticipating the arrival of another grandchild.
0:08:34 > 0:08:37Have the assessment and we'll have an indication of what's happening.
0:08:37 > 0:08:39So excited!
0:08:40 > 0:08:43Keep breathing, Leah, nice deep breaths.
0:08:43 > 0:08:46So I'm just going to do a little assessment now, OK?
0:08:46 > 0:08:48It's just a gentle internal examination.
0:08:48 > 0:08:50I'll do it between contractions.
0:08:50 > 0:08:53So I'll just get my bits ready.
0:08:53 > 0:08:56So established labour's beyond four centimetres dilated.
0:08:56 > 0:08:59Yeah, I think that's the biggest question that any, like,
0:08:59 > 0:09:02any woman in labour, they just want to know.
0:09:02 > 0:09:04Just give me the good news.
0:09:04 > 0:09:07Do you want it to be as high a number as possible?
0:09:07 > 0:09:10I think if I'm three or four, I'll be really happy with that.
0:09:10 > 0:09:13Do you want to be four? Yeah.
0:09:13 > 0:09:14Can you lift the sheets up for me?
0:09:14 > 0:09:16So I've got some cold jelly on my fingers now,
0:09:16 > 0:09:18so it's a bit of a strange sensation.
0:09:18 > 0:09:23Try and relax for me, it makes the examination easier, all right? OK...
0:09:24 > 0:09:27You're doing so well. OK.
0:09:29 > 0:09:31You're seven centimetres dilated.
0:09:31 > 0:09:35Seven? I know, I was in shock myself, cos you seem so calm.
0:09:35 > 0:09:37I thought, "OK." But, yeah...
0:09:37 > 0:09:40Oh, my gosh. That's really good news though.
0:09:40 > 0:09:42So that means you're in labour and obviously,
0:09:42 > 0:09:45you're not going to be going home. Do you want to start gas now?
0:09:45 > 0:09:47Yes, please. Yeah?
0:09:47 > 0:09:49Just a little.
0:09:49 > 0:09:50That's amazing!
0:09:52 > 0:09:54That's literally...
0:09:54 > 0:09:56All on your own, you are just amazing, aren't you?
0:09:56 > 0:09:59Oh, don't rub my make up off.
0:09:59 > 0:10:01I thought I was taking her home. She seems so calm and relaxed.
0:10:01 > 0:10:04I was ready to come home though.
0:10:04 > 0:10:07I bet you haven't been this calm and relaxed at home though, have you?
0:10:07 > 0:10:11Flippin' hell. THEY CHUCKLE
0:10:11 > 0:10:13Wow!
0:10:13 > 0:10:17I totally didn't expect her to be seven centimetres, that's amazing.
0:10:17 > 0:10:20Just goes to show sometimes, women can come in
0:10:20 > 0:10:22and really look so calm and cool...
0:10:22 > 0:10:26She's seven, so I'm just going to go and tell everyone what's happening
0:10:26 > 0:10:28and then I'll come back and finish off with her.
0:10:33 > 0:10:36Kayleigh has spent the last couple of hours doing laps of the hospital
0:10:36 > 0:10:39in the hope of stimulating labour.
0:10:39 > 0:10:42I think she just feels a bit deflated,
0:10:42 > 0:10:44because you think, "Oh, I'm having pain,
0:10:44 > 0:10:47"I've had pain since 11 o'clock last night,"
0:10:47 > 0:10:49and no baby yet.
0:10:49 > 0:10:52And when she had such a quick delivery with the second baby,
0:10:52 > 0:10:55I think she just thought she was established in labour
0:10:55 > 0:10:58when she came in and she's just a bit gutted, really.
0:11:02 > 0:11:06Three hours later, Kayleigh is re-examined.
0:11:06 > 0:11:08Fingers crossed.
0:11:08 > 0:11:10Yeah, hopefully.
0:11:13 > 0:11:16It's more or less the same as when I examined you three hours ago,
0:11:16 > 0:11:22so I think what I'll do is send you down to the ward
0:11:22 > 0:11:25and I'll take you off the monitor. OK. All right?
0:11:25 > 0:11:29Right, are you going to come to the ward with me, then?
0:11:29 > 0:11:31'I'm taking her down to the ward'
0:11:31 > 0:11:32because she is frightened to go home.
0:11:32 > 0:11:34Just basically, she knows we're here,
0:11:34 > 0:11:39she's got a cubicle on her own and she's got midwives round her.
0:11:43 > 0:11:45With Leah's labour progressing,
0:11:45 > 0:11:48midwife Amy runs through her birth plan.
0:11:48 > 0:11:51Leah's determined to have a natural delivery
0:11:51 > 0:11:54with only gas and air for pain relief.
0:11:54 > 0:11:56If you feel that the gas doesn't become enough,
0:11:56 > 0:12:00the only other available options at the moment would be pethadine,
0:12:00 > 0:12:02which is the injection in the leg,
0:12:02 > 0:12:05and then progressing from that would be an epidural,
0:12:05 > 0:12:07which is the spinal in your back that makes you numb
0:12:07 > 0:12:11from the tummy down. So if you feel that the gas and air
0:12:11 > 0:12:13is not enough for you at any point,
0:12:13 > 0:12:17then let me know and we can talk about other options.
0:12:17 > 0:12:20Leah's tag team of support has been boosted
0:12:20 > 0:12:24by the arrival of her sisters, Athena and Sarah.
0:12:24 > 0:12:26How you doing on there, then?
0:12:26 > 0:12:28Me and my other sisters didn't look like this.
0:12:28 > 0:12:30How many kids have you got?
0:12:30 > 0:12:33I've got one, my other sister's got two.
0:12:33 > 0:12:34We didn't look like this.
0:12:34 > 0:12:37Yesterday, last night, I did my fake tan
0:12:37 > 0:12:39cos I was like, "It could be any minute."
0:12:39 > 0:12:40THEY LAUGH
0:12:40 > 0:12:42Obviously, I'm overdue.
0:12:42 > 0:12:45And then this morning, I just plastered my make up on.
0:12:45 > 0:12:47I said, "As long as I can do my make up, I don't care."
0:12:47 > 0:12:51I think a woman should be presentable. I don't know...
0:12:51 > 0:12:53Hello. Hello.
0:12:53 > 0:12:56Leah must continue with a new midwife.
0:12:56 > 0:12:58Just having a contraction a minute.
0:12:58 > 0:13:00Amy's shift is ending and she hands over to Cara.
0:13:00 > 0:13:02She's declined any other analgesia,
0:13:02 > 0:13:05she's only using entonox intermittently,
0:13:05 > 0:13:06not with every contraction. OK.
0:13:06 > 0:13:09You're going to come right in now and steal my lovely delivery.
0:13:09 > 0:13:10THEY LAUGH
0:13:10 > 0:13:12You can stay if you want! No, it's all right.
0:13:12 > 0:13:14Aw!
0:13:14 > 0:13:17Best of luck, guys, both of you, all right?
0:13:17 > 0:13:19ALL: Bye!
0:13:21 > 0:13:23Cara is also newly qualified,
0:13:23 > 0:13:26starting on this unit just seven months ago.
0:13:26 > 0:13:28Well done.
0:13:28 > 0:13:30You're doing fab, you're doing really well.
0:13:33 > 0:13:34Well done.
0:13:34 > 0:13:37But just ten minutes into Cara's shift,
0:13:37 > 0:13:39Leah wants to change her birth plan.
0:13:39 > 0:13:41You're doing fab.
0:13:41 > 0:13:43Can I have an epidural?
0:13:43 > 0:13:44Do you want an epidural?
0:13:44 > 0:13:46You sure, Leah? You sure?
0:13:46 > 0:13:48Yeah, I think I need one.
0:13:48 > 0:13:51Why? Why's that? It's so painful.
0:13:51 > 0:13:54Sometimes, when you're coming up to being fully dilated,
0:13:54 > 0:13:56you get this feeling of, "Oh, I can't do this any more."
0:13:56 > 0:13:58And you just lose it and you think,
0:13:58 > 0:14:01"Oh, I need more pain relief," or, "I don't want to do it any more,"
0:14:01 > 0:14:03and you just start to feel like you're giving up.
0:14:03 > 0:14:06But then, shortly after that... And we call that a transitional phase...
0:14:06 > 0:14:07That's where she's reaching now?
0:14:07 > 0:14:10And just shortly after that, all of a sudden,
0:14:10 > 0:14:11they just start pushing.
0:14:11 > 0:14:14Go on, breathe, Leah, please breathe.
0:14:14 > 0:14:16I don't want to do it. Go on, breathe, Leah, come on.
0:14:16 > 0:14:19You can do it, you have been doing it and you are doing it.
0:14:19 > 0:14:21I want an epidural, please. I can't cope.
0:14:21 > 0:14:23What I'll do... All right, darling. You're doing absolutely fab.
0:14:23 > 0:14:25What I need to do, I'm just going to pop out.
0:14:25 > 0:14:29Press that if you need me, and I'll just be outside having a quick chat.
0:14:29 > 0:14:30That's fine. OK?
0:14:35 > 0:14:37My lady is now requesting an epidural.
0:14:37 > 0:14:40OK, has she been examined again? No, I was going to say,
0:14:40 > 0:14:42should I just examine her again and find out what's going on?
0:14:42 > 0:14:45Examine her again and see what she's doing,
0:14:45 > 0:14:47then we'll have a little chat with her
0:14:47 > 0:14:49and decide about what we're going to do, OK?
0:14:49 > 0:14:53Baby's head is so close to delivering and it's nice and low,
0:14:53 > 0:14:56so the overwhelming urge to push is going to be there.
0:14:56 > 0:14:59If you start an epidural, that urge isn't always there.
0:14:59 > 0:15:03In fact, in my experience, more often than not, it's not there.
0:15:03 > 0:15:06'It does increase your chances of having an assisted delivery
0:15:06 > 0:15:09'because she won't have the urge to push
0:15:09 > 0:15:11'and she won't be doing what her body's naturally telling her to do.
0:15:11 > 0:15:14'You've got to sort of feel out whether that is actually'
0:15:14 > 0:15:17what she had in mind for herself because you don't want somebody
0:15:17 > 0:15:19saying something in the heat of the moment
0:15:19 > 0:15:21'and then you going ahead with something
0:15:21 > 0:15:23'and it not actually being what they wanted,
0:15:23 > 0:15:25'and for them to feel disappointed afterwards.
0:15:25 > 0:15:29'And if you're responsible for that, it's not a nice feeling.'
0:15:31 > 0:15:34Because initially, she didn't want to have to, you know,
0:15:34 > 0:15:36have an epidural if she didn't think she needed it.
0:15:36 > 0:15:39I think she would always kick herself if she had an epidural.
0:15:39 > 0:15:41Well, I've just spoken to my...
0:15:41 > 0:15:43Are you OK if I just explain to you?
0:15:43 > 0:15:45It might be a good idea for us
0:15:45 > 0:15:47to actually just re-examine first, just to see where we're at.
0:15:47 > 0:15:49Because you might feel completely different
0:15:49 > 0:15:52when you know there's some light at the end of the tunnel.
0:15:52 > 0:15:53I'll just bring this sheet back a little
0:15:53 > 0:15:55and have a little look, OK, hun?
0:15:55 > 0:15:57SHE MOANS
0:15:57 > 0:15:59Sorry, sweetie, I know that's not very nice.
0:15:59 > 0:16:01Just having a good feel around baby's head.
0:16:01 > 0:16:04I can't feel any cervix there at all and your waters have just gone.
0:16:04 > 0:16:06SHE SCREAMS
0:16:06 > 0:16:08Your waters have just gone. OK? OK?
0:16:08 > 0:16:10So I think you're well on your way.
0:16:10 > 0:16:12Leah, don't be frightened of it,
0:16:12 > 0:16:14if you need to push, you just go with it.
0:16:14 > 0:16:16SHE SCREAMS
0:16:16 > 0:16:19Leah sets about pushing without an epidural.
0:16:19 > 0:16:21Just go with it, you're doing fab.
0:16:21 > 0:16:23SHE MOANS
0:16:23 > 0:16:25Where's the epidural?
0:16:25 > 0:16:26Well, you're pushing now
0:16:26 > 0:16:28and by the time we get an anaesthetist down here,
0:16:28 > 0:16:30you'll probably have delivered this baby.
0:16:30 > 0:16:35Don't be frightened. I can't do it! You can, you can. Leah, you can.
0:16:35 > 0:16:38Just go with what your body's telling you to do.
0:16:38 > 0:16:41Oh, I'm so tired. I know, I know you are, but this is the final bit,
0:16:41 > 0:16:43you haven't got long to go at all.
0:16:43 > 0:16:44SHE MOANS
0:16:44 > 0:16:48But after 40 minutes, there's still no sign of the baby's head.
0:16:48 > 0:16:50I just need to keep the doctors informed just so they know,
0:16:50 > 0:16:52cos if you're getting exhausted as well,
0:16:52 > 0:16:55your pushing isn't going to be as good.
0:16:55 > 0:16:59She started pushing at quarter past eight. OK, so she's been pushing
0:16:59 > 0:17:02about 45 minutes now, OK, so I'll have a little look in.
0:17:04 > 0:17:06Hi, Leah, you're doing really well, I hear.
0:17:06 > 0:17:09I'll just have a little look and see where this baby's head is,
0:17:09 > 0:17:11if that's OK with you? Yeah.
0:17:12 > 0:17:16Big push down. Big, big push. Come on, really big push.
0:17:16 > 0:17:19Excellent, well done. Keep pushing, and again, another push down.
0:17:19 > 0:17:21That's it.
0:17:21 > 0:17:24Leah, we're just going to change your position, OK?
0:17:24 > 0:17:26Sometimes, when we change position,
0:17:26 > 0:17:28it just sort of helps the baby's head move
0:17:28 > 0:17:30and hopefully, it will come down a little more,
0:17:30 > 0:17:33cos you've been pushing for quite a while now. OK?
0:17:33 > 0:17:35Just roll over towards me.
0:17:35 > 0:17:38That's it. Right, right over.
0:17:38 > 0:17:39That's it, there we are.
0:17:39 > 0:17:41That's it, big push down. Big, big push. That's it.
0:17:41 > 0:17:43Let's have this leg up here. Well done.
0:17:43 > 0:17:46That's it, big push. Big, big push. Well done.
0:17:46 > 0:17:48Excellen! Well done. Well done.
0:17:48 > 0:17:50Big, big push down. Nice long pushes, Leah.
0:17:50 > 0:17:52Well done. That's it.
0:17:52 > 0:17:55Can you just pop over there? That's it.
0:17:55 > 0:17:58SHE GROANS
0:17:59 > 0:18:01Just go with it.
0:18:03 > 0:18:05Well done! Fabulous!
0:18:05 > 0:18:07SHE SCREAMS
0:18:07 > 0:18:11Go on, Leah! Come on, you're doing fab. That's it, well done!
0:18:11 > 0:18:13That's it. Big push now.
0:18:13 > 0:18:18Looking up at us, this baby. He's looking up? Yeah. Well done!
0:18:20 > 0:18:22SHE MOANS
0:18:22 > 0:18:24The reason for the difficult birth is now clear -
0:18:24 > 0:18:27the baby is positioned back to back,
0:18:27 > 0:18:30which is much more difficult for the mother to push out.
0:18:30 > 0:18:32Looking up at his mum.
0:18:32 > 0:18:35So next pain, big push and he'll be here.
0:18:35 > 0:18:37That's it. Here he comes...
0:18:37 > 0:18:39There he is!
0:18:40 > 0:18:44There he is! Lovely, congratulations!
0:18:44 > 0:18:46Oh, he's here!
0:18:47 > 0:18:50BABY CRIES
0:18:51 > 0:18:53Well done!
0:18:54 > 0:18:57Let's just have a little look at him,
0:18:57 > 0:18:59and Dad's going to cut the cord as well.
0:18:59 > 0:19:02Just check it's a boy. He is a boy. Hello.
0:19:02 > 0:19:05Right, Dad, you're going to cut between the yellow bit.
0:19:06 > 0:19:08Sorry, honey.
0:19:08 > 0:19:10Look at you...
0:19:11 > 0:19:12There you are.
0:19:12 > 0:19:14Amazing!
0:19:17 > 0:19:18Hello.
0:19:23 > 0:19:26BABY CRIES
0:19:26 > 0:19:27Sorry, honey.
0:19:29 > 0:19:31You're an absolute star.
0:19:31 > 0:19:36Pushing a baby out facing up is hard work, really hard work,
0:19:36 > 0:19:39so that's why it just took that little bit extra time.
0:19:41 > 0:19:43That was incredible. Yeah.
0:19:43 > 0:19:47You were so amazing. Brave. You were absolutely amazing, Leah.
0:19:47 > 0:19:48There we are.
0:19:48 > 0:19:50BABY CRIES
0:19:50 > 0:19:52Oh, he doesn't like that.
0:19:53 > 0:19:558.13.
0:19:55 > 0:19:58Oh, he wants to give you a kiss, he's all pouting ready. Mwah. Oh!
0:20:00 > 0:20:02Isn't he lovely? Is that your baby brother?
0:20:02 > 0:20:07My first boy, we haven't got boys in the family, so it's so nice.
0:20:07 > 0:20:11And that's enough now, no more. We don't need more now, do we?
0:20:11 > 0:20:13A boy and a girl.
0:20:13 > 0:20:16I just don't want to do that again.
0:20:16 > 0:20:17'I was just really pleased'
0:20:17 > 0:20:20cos she got the delivery that she deserved and that she wanted.
0:20:20 > 0:20:22She had a normal vaginal delivery.
0:20:22 > 0:20:23So had she had the epidural,
0:20:23 > 0:20:26who knows whether she would have been able to have
0:20:26 > 0:20:28the vaginal delivery that she had.
0:20:28 > 0:20:30To be part of making that possible for her
0:20:30 > 0:20:33is kind of what the job's about, really, isn't it?
0:20:43 > 0:20:46Next day, Kayleigh is being monitored on the ward,
0:20:46 > 0:20:48but her contractions seem to have subsided.
0:20:49 > 0:20:53Frustrated, more than anything, cos it keeps starting and stopping.
0:20:53 > 0:20:56That's what's so frustrating.
0:20:56 > 0:20:57She's just not moving.
0:20:57 > 0:21:01I was hoping to have my baby daughter in my hands right now,
0:21:01 > 0:21:03but, no.
0:21:03 > 0:21:04Thank you very much...
0:21:04 > 0:21:06Later that morning, it's decided
0:21:06 > 0:21:09Kayleigh's labour isn't progressing and she's sent home.
0:21:16 > 0:21:18Safety briefing, girls.
0:21:18 > 0:21:23Neo-natal units have got one crash space. Room Four is high risk...
0:21:23 > 0:21:26Every day, the coordinators assess the current cases on the ward
0:21:26 > 0:21:29and assign one of their midwives to each,
0:21:29 > 0:21:32making decisions about the kind of support
0:21:32 > 0:21:36and level of pain relief each expectant mother needs.
0:21:36 > 0:21:37Pain is individual to everybody.
0:21:37 > 0:21:40You know, there are some people that can cope very well with pain.
0:21:40 > 0:21:42It's a different thing for every person.
0:21:44 > 0:21:48Women regarded as low risk can go to a midwifery lead room
0:21:48 > 0:21:52to have a birth without anaesthetics or medical intervention.
0:21:53 > 0:21:56For these women, the popular way to alleviate pain
0:21:56 > 0:21:59is with a birthing pool and soothing music.
0:21:59 > 0:22:01What we listening to, then?
0:22:01 > 0:22:03Relaxing... Chill-out music.
0:22:05 > 0:22:08Midwife Sian Jones has just been assigned to Emma
0:22:08 > 0:22:10and her husband, Bill.
0:22:10 > 0:22:12'Emma's arrived, it's her second baby.'
0:22:12 > 0:22:14She actually had her last baby in the exact same room
0:22:14 > 0:22:17three years ago, which was a nice, normal delivery in the pool,
0:22:17 > 0:22:19and she's hoping to have the same this time.
0:22:21 > 0:22:23It helps them relax and it keeps them mobile.
0:22:23 > 0:22:26It's not always good for women to be flat on their backs during labour,
0:22:26 > 0:22:29so it's good for them to sort of be a bit more mobile around the pool.
0:22:29 > 0:22:32And water's good for pain relief as well.
0:22:32 > 0:22:33Is that all right?
0:22:33 > 0:22:35Yeah, it is really chilled out, actually.
0:22:35 > 0:22:40We had a really nice experience in here last time, didn't we?
0:22:40 > 0:22:42Do you both do the same job?
0:22:42 > 0:22:44We're both lawyers, but we do quite different...
0:22:44 > 0:22:46Different sorts of law. So you met through work?
0:22:46 > 0:22:47We met at uni, yeah.
0:22:49 > 0:22:53Sian usually works upstairs on the high-risk delivery unit.
0:22:54 > 0:22:58WOMAN: Do you prefer working down here or upstairs?
0:22:58 > 0:23:01I prefer working upstairs. Do you? Yeah.
0:23:01 > 0:23:03It's quite different down here, it's a different vibe.
0:23:03 > 0:23:05It's completely different. Yeah.
0:23:05 > 0:23:10I quite like the excitement of being upstairs, really.
0:23:10 > 0:23:13Not that it's not exciting here, it's lovely.
0:23:13 > 0:23:15We're not here for excitement.
0:23:15 > 0:23:17You're not here for excitement, are you? No, exactly. Yeah.
0:23:19 > 0:23:23Outside the main delivery unit, there's a new arrival.
0:23:23 > 0:23:27Tara has come in three days before her due date,
0:23:27 > 0:23:30accompanied by her mother, Ann-Marie, and her partner, Brian.
0:23:32 > 0:23:35She's experiencing severe contractions,
0:23:35 > 0:23:37and immediately assigned to midwife Laura Terry.
0:23:37 > 0:23:41OK... Going to find baby again.
0:23:41 > 0:23:43This will be Tara's second child,
0:23:43 > 0:23:46the first being a low-risk birth in a pool.
0:23:46 > 0:23:50That's it, really focus on your breathing now.
0:23:50 > 0:23:53But this time round, she's being monitored more closely.
0:23:53 > 0:23:55Well done, Tara.
0:23:55 > 0:23:58So a lot of mums put on weight with each pregnancy,
0:23:58 > 0:24:00so therefore, because they're more high risk,
0:24:00 > 0:24:03they need to be under the care of the doctors and the midwives,
0:24:03 > 0:24:06because the risks are greater for both mums and the babies.
0:24:06 > 0:24:09You do have more intervention. You've got less likelihood
0:24:09 > 0:24:12of delivering vaginally and more naturally,
0:24:12 > 0:24:15and you've got higher risk of needing Caesarean section
0:24:15 > 0:24:16or medical intervention.
0:24:16 > 0:24:19TARA PANTS That's it. Don't panic.
0:24:19 > 0:24:21TARA MOANS
0:24:21 > 0:24:24OK, darling, so just a little bit of touching, all right?
0:24:24 > 0:24:27Relax your bum down for me... That's it, well done.
0:24:27 > 0:24:30Just focus on your breathing.
0:24:30 > 0:24:32Before midwife Laura can proceed with the birth plan,
0:24:32 > 0:24:35she needs to confirm that Tara is in labour.
0:24:35 > 0:24:38Is that a contraction, or is it me? No, it's you. It's me!
0:24:41 > 0:24:45You are...5cm! Shut up!
0:24:45 > 0:24:46Well done! Yeah!
0:24:46 > 0:24:50You can have some pain relief. Thank God for that.
0:24:50 > 0:24:52There we go, hold on to it for me.
0:24:52 > 0:24:55That's it, keep it in your mouth all the way through.
0:24:55 > 0:24:57To relieve the pain,
0:24:57 > 0:24:59Tara had been hoping she could use the birthing pool.
0:24:59 > 0:25:02Did you have a water birth last time, hun? Yeah.
0:25:02 > 0:25:05So, ideally, Tara did want a water birth,
0:25:05 > 0:25:07but we won't be able to do this because she needs
0:25:07 > 0:25:10continuous monitoring, and that's quite difficult in the water,
0:25:10 > 0:25:13and it's quite hard for mums who've had a previous water birth
0:25:13 > 0:25:14to accept this.
0:25:14 > 0:25:15Hello!
0:25:15 > 0:25:20Tara has asked for confirmation that she can't use the pool.
0:25:20 > 0:25:22No. Sorry, darling.
0:25:22 > 0:25:24Oh!
0:25:24 > 0:25:27Sorry, darling. OK?
0:25:30 > 0:25:32Right, if it's OK with you,
0:25:32 > 0:25:34can I put a little clip on baby's head,
0:25:34 > 0:25:37and I'll monitor on her head rather than on your tummy,
0:25:37 > 0:25:39purely because I'm getting lots and lots of contact
0:25:39 > 0:25:43on the monitoring, so I can't quite see what she's doing.
0:25:43 > 0:25:45OK, yeah, if you think it's best, you do it.
0:25:45 > 0:25:47Perfect. Thank you, hun.
0:25:47 > 0:25:51'You do have problems sometimes with monitoring those babies'
0:25:51 > 0:25:53'heartbeats through the abdomen, so we do tend to...'
0:25:53 > 0:25:56move more towards putting a foetal scalp electrode
0:25:56 > 0:25:58on the baby's head to get a direct contact.
0:25:58 > 0:26:02But if Laura's going to apply the scalp monitor,
0:26:02 > 0:26:04she's going to have to be quick.
0:26:04 > 0:26:05OW!
0:26:05 > 0:26:06Well done.
0:26:06 > 0:26:08TARA MOANS
0:26:08 > 0:26:11I need to push, I think! OK, hun.
0:26:11 > 0:26:13TARA SCREAMS
0:26:13 > 0:26:16Tara should only push once her cervix is fully dilated,
0:26:16 > 0:26:18at 10cm.
0:26:18 > 0:26:20That's it, use the gas.
0:26:20 > 0:26:22I'm going to have a little look, Tara, OK?
0:26:22 > 0:26:26I'm just going to have a little peep, OK? Quick!
0:26:26 > 0:26:27Use the gas, come on.
0:26:27 > 0:26:31Keep breathing, hun. Well done. Keep still a minute, hun.
0:26:31 > 0:26:33TARA SCREAMS
0:26:33 > 0:26:35Can I just... Can we just stop? OK.
0:26:35 > 0:26:38TARA MOANS Tara, try and stay in the bed, hun.
0:26:38 > 0:26:42Tara, you're about 7cm to 8cm, OK?
0:26:42 > 0:26:44So you're progressing really, really quickly.
0:26:44 > 0:26:46So try not to push.
0:26:46 > 0:26:48TARA MOANS
0:26:48 > 0:26:49That's it. Use that gas.
0:26:52 > 0:26:56Emma has also progressed - to 6cm dilated.
0:26:56 > 0:26:59But she's now so relaxed,
0:26:59 > 0:27:01her contractions have nearly vanished,
0:27:01 > 0:27:04so midwife Sian has moved her out of the pool.
0:27:04 > 0:27:07If you want to get back in at any point, that's fine, just say.
0:27:07 > 0:27:08OK?
0:27:08 > 0:27:10'She's very calm,'
0:27:10 > 0:27:14and you'd never think she was 6cm in labour,
0:27:14 > 0:27:17so I think she's going to be someone who takes us by surprise
0:27:17 > 0:27:18when we're not looking.
0:27:18 > 0:27:20TARA MOANS
0:27:20 > 0:27:24With Tara in so much pain, Laura can't attach the monitor
0:27:24 > 0:27:26and doesn't know if the baby is getting distressed.
0:27:26 > 0:27:31I'm trying! Argh!
0:27:31 > 0:27:33Give a push, then, hun. Agh!
0:27:35 > 0:27:40You're making my job quite easy here. I'm not doing a lot, am I?
0:27:40 > 0:27:41I might get some more towels.
0:27:47 > 0:27:48'You get used to being upstairs
0:27:48 > 0:27:51'and women being on the continuous monitoring.'
0:27:51 > 0:27:54You sort of rely on that, then down here, you don't do that.
0:27:54 > 0:27:56Sometimes, you feel you're not doing something that
0:27:56 > 0:27:58you should be doing, but you realise
0:27:58 > 0:28:01you don't need to do it down here because it's a lot more low risk.
0:28:04 > 0:28:06I'm in agony, I'm in agony!
0:28:06 > 0:28:08Really focus on your breathing, hun.
0:28:08 > 0:28:11Ow, ow, ow!
0:28:11 > 0:28:15Use that gas. I'm just going to buzz for the coordinator
0:28:15 > 0:28:17to come in to give me a hand popping that clip on,
0:28:17 > 0:28:18if that's all right with you, hun?
0:28:18 > 0:28:21Keep breathing that gas, I'll be two seconds.
0:28:21 > 0:28:23Just going to get someone to give me a hand. Keep using that gas.
0:28:25 > 0:28:28TARA SCREAMS
0:28:28 > 0:28:31Ange, could you get someone to give me a hand in here? Yeah.
0:28:35 > 0:28:37That's it, use the gas, use the gas.
0:28:37 > 0:28:39Argh!
0:28:39 > 0:28:41Hello!
0:28:44 > 0:28:48Suck on that gas, really deep breaths. Well done.
0:28:48 > 0:28:51'When I entered the room, Tara was starting to lose the plot.'
0:28:51 > 0:28:54A lot of the time, it's the fear of pain and the loss of control.
0:28:56 > 0:28:58'Some women do panic'
0:28:58 > 0:29:00when they get to the second stage of their labour
0:29:00 > 0:29:02that they're not going to be able to cope,
0:29:02 > 0:29:03or be able to deliver their babies.
0:29:03 > 0:29:07Breathe on that gas nice and slow, well done.
0:29:07 > 0:29:10'And as midwives, it's your job to calm them down and reassure them'
0:29:10 > 0:29:14that it's all going to be over soon and everything's going to be fine.
0:29:14 > 0:29:18Tara? Are you listening? Can you hear me?
0:29:18 > 0:29:21We need to pop a clip on your baby's head, lovely.
0:29:21 > 0:29:23Because we just can't monitor your baby.
0:29:23 > 0:29:25We need to know what baby's doing and if baby's happy.
0:29:25 > 0:29:29Is that OK? It just means an internal examination again. Argh!
0:29:29 > 0:29:31She might well be fully...
0:29:34 > 0:29:37Tara, just suck on that gas, lovely.
0:29:37 > 0:29:41Tara, we can see the baby's head, just breathe a minute, Tara.
0:29:41 > 0:29:44Just suck on the gas, I don't want you to do anything else.
0:29:44 > 0:29:46That's it, lovely, look at this baby.
0:29:46 > 0:29:49Come on. Come on, lovely.
0:29:49 > 0:29:51Tara, Tara,
0:29:51 > 0:29:55just suck on that gas, that's all I need you to do.
0:29:55 > 0:29:58Come on, lovely. It's hurting like mad cos there's a baby here.
0:29:58 > 0:30:00It's going to be over with any minute.
0:30:00 > 0:30:04Agh! Just breathe, Tara, just breathe.
0:30:04 > 0:30:06Just breathe, hun. Don't panic. I know it's sore.
0:30:06 > 0:30:08It's going to be over soon. It's so bad!
0:30:08 > 0:30:12It's really bad, but it's going to be over really soon, OK?
0:30:12 > 0:30:16Tara, all you need to do is you need to breathe on that gas.
0:30:16 > 0:30:18Your body's doing it, OK?
0:30:18 > 0:30:20Don't panic. It's going to be over soon.
0:30:20 > 0:30:22TARA SCREAMS
0:30:22 > 0:30:24Tara, open up your legs for me, hun.
0:30:24 > 0:30:28Tara, listen... Open your eyes and look at me.
0:30:28 > 0:30:30Slow, deep breaths, slow your breathing.
0:30:30 > 0:30:33Bend your leg, bend your leg up. Slow your breathing.
0:30:33 > 0:30:38That's baby's head, that's baby's head. That's it, darling.
0:30:38 > 0:30:41Give me a little push. Good girl.
0:30:41 > 0:30:46Agh! Tara. Tara, listen to me. Stop panicking. I'm so sorry.
0:30:46 > 0:30:49Just breathe on your gas, darling. You're doing really well.
0:30:49 > 0:30:52Just stop panicking and breathe on the gas and listen.
0:30:52 > 0:30:54All right, darling, baby's head's out now,
0:30:54 > 0:30:56so on the next contraction, baby's body will be out.
0:30:56 > 0:31:00That's it, big push for me. That's it, Tara.
0:31:00 > 0:31:03Tara, open your eyes. Tara, open your eyes. Agh!
0:31:03 > 0:31:06Hello! TARA WAILS
0:31:06 > 0:31:09Tara, you've got a baby. Well done, darling.
0:31:12 > 0:31:14I'm sorry.
0:31:14 > 0:31:19You're all right, darling. It's hard when it's quick. Congratulations.
0:31:21 > 0:31:23Ooh, she's not impressed.
0:31:23 > 0:31:27She's not impressed. Hello! Hello, darling.
0:31:27 > 0:31:30Who's going to cut the cord? Dad, yeah?
0:31:30 > 0:31:33Come on, Dad. There you go. Cut between those two.
0:31:33 > 0:31:36In the middle, yeah? Yeah. Could I go home today?
0:31:36 > 0:31:39Can we get your placenta out first?
0:31:39 > 0:31:40Oh, no, I don't like that bit.
0:31:40 > 0:31:42Oh, we can't keep it in.
0:31:43 > 0:31:45Say hi, Mum!
0:31:48 > 0:31:52Bit quick, wasn't it? That's the way to do it.
0:31:52 > 0:31:53You haven't even been in here an hour.
0:31:53 > 0:31:56Shall we weigh her quickly?
0:31:56 > 0:31:596.11, I reckon.
0:32:03 > 0:32:08Oh, 30/50, it's about 6.11 and a half.
0:32:08 > 0:32:11Did you just say...? She said 6.11!
0:32:11 > 0:32:15Do I get a prize? Yeah, you do. Do I get to keep her?
0:32:17 > 0:32:19I can't believe you guessed the weight.
0:32:19 > 0:32:22Well done, congratulations. All right, then, bye.
0:32:22 > 0:32:24Thank you.
0:32:24 > 0:32:27I work in a pub and we were going to set up a thing
0:32:27 > 0:32:30with all the customers and ask everyone how much they thought
0:32:30 > 0:32:32she'd weigh, see how much we'd raise.
0:32:32 > 0:32:34And whoever won, they could have won the money.
0:32:34 > 0:32:38Who was the closest, then? Did anyone say 6.11?
0:32:38 > 0:32:43I said ten. I thought she was going to be absolutely massive.
0:32:43 > 0:32:46All done. That was easy, wasn't it? Huh!
0:32:50 > 0:32:52SHE MOANS
0:32:54 > 0:32:57After nearly three hours in established labour,
0:32:57 > 0:32:58Emma is ready to push.
0:32:58 > 0:33:01So go with it now, OK? If your body's telling you...
0:33:01 > 0:33:04Do you feel that urge to push all the way through a contraction? No.
0:33:04 > 0:33:07Just when it's at its most painful? Mmm. OK. Hold on for a minute.
0:33:12 > 0:33:16That urge to push there now? Yeah. OK.
0:33:16 > 0:33:19SHE GROANS
0:33:24 > 0:33:26Just shuffle forward a little bit, Emma, for me.
0:33:26 > 0:33:28Sorry. Just so I can see a bit better.
0:33:30 > 0:33:31Well done, Emma.
0:33:36 > 0:33:40Senor midwife Sarah Spencer has come in for the final stages.
0:33:40 > 0:33:44Just breathe a minute now, just blow it out a sec.
0:33:44 > 0:33:46I think we're seeing some of baby's head.
0:33:46 > 0:33:49Go on, then, a nice big push.
0:33:51 > 0:33:53With the head under water,
0:33:53 > 0:33:56the midwives are struggling to see what's happening.
0:33:56 > 0:33:59Fab, that's it.
0:34:01 > 0:34:03Just breathe now, Emma.
0:34:03 > 0:34:05That's it.
0:34:05 > 0:34:08The baby's head is almost out, but the shoulders may be stuck.
0:34:09 > 0:34:11Shall we try standing up a minute?
0:34:11 > 0:34:13Em, do you want to stand up?
0:34:13 > 0:34:14Shall we stand you up a sec?
0:34:14 > 0:34:15I can't stand up.
0:34:15 > 0:34:17Yes, you can.
0:34:20 > 0:34:21Baby's fine.
0:34:21 > 0:34:22Let's stand you right up, then.
0:34:22 > 0:34:25Big push into your bum for me.
0:34:25 > 0:34:28That's it, well done.
0:34:28 > 0:34:30There we go.
0:34:32 > 0:34:34We're going to pass baby through.
0:34:38 > 0:34:40There we are, Mum, there we go.
0:34:40 > 0:34:42Do you want to go back into the water?
0:34:42 > 0:34:44Yeah. Hello. Are you OK?
0:34:44 > 0:34:46Yeah. Can't you hear him coughing?
0:34:53 > 0:34:55Hello! Have you got him?
0:34:57 > 0:35:00Is it definitely a boy? Have a look, any danglers?
0:35:00 > 0:35:03It's definitely a boy, yeah.
0:35:03 > 0:35:05He's a big boy.
0:35:05 > 0:35:10Has he got a name? Griff.
0:35:10 > 0:35:12Aw! Look at you!
0:35:14 > 0:35:16He looks a nice size.
0:35:17 > 0:35:20You just cut in between them...
0:35:20 > 0:35:23Ten minutes old, baby Griff has a surprise in store.
0:35:26 > 0:35:28It's a little girl.
0:35:28 > 0:35:30It's a girl.
0:35:30 > 0:35:31THEY GASP
0:35:31 > 0:35:33Not Griff, then.
0:35:33 > 0:35:35Oh, there we are!
0:35:36 > 0:35:38Oh, I'm so sorry, little lady.
0:35:38 > 0:35:42Oh, how bad are we?
0:35:42 > 0:35:44No wonder you're not very happy with us!
0:35:46 > 0:35:47Have you got a name ready for a girl?
0:35:47 > 0:35:49Gwen. Nice.
0:35:49 > 0:35:51That was funny.
0:35:52 > 0:35:55Well, it was Emma's fault really, because she...
0:35:55 > 0:35:57She thought she saw boy parts
0:35:57 > 0:36:00and about ten minutes later, when we cut the cord,
0:36:00 > 0:36:02we realised that there were no boy parts, it was a girl.
0:36:02 > 0:36:05So, erm, she's not going to be Griff...
0:36:06 > 0:36:07..is she?
0:36:07 > 0:36:10She is four kilograms,
0:36:10 > 0:36:124.08 kilograms,
0:36:12 > 0:36:15which is nine pounds exactly.
0:36:15 > 0:36:17Nine pounds.
0:36:17 > 0:36:21She did brilliantly. No gas... No, no gas and air...
0:36:21 > 0:36:22No, nothing.
0:36:36 > 0:36:39It's four o'clock in the morning and midwife Amy has been told that
0:36:39 > 0:36:42Kayleigh is on her way back to the delivery unit
0:36:42 > 0:36:43for the third time,
0:36:43 > 0:36:46just over a week since her last visit.
0:36:46 > 0:36:48She's coming in by ambulance because they were querying
0:36:48 > 0:36:50whether she might actually deliver at home.
0:36:50 > 0:36:53She's been in several times throughout this pregnancy,
0:36:53 > 0:36:56querying whether she's in labour or not,
0:36:56 > 0:36:58and she's been sent home each time.
0:36:58 > 0:37:01So, hopefully, she'll make it in time really for this delivery now,
0:37:01 > 0:37:03if this is the real thing.
0:37:05 > 0:37:08Hello...
0:37:08 > 0:37:11Hello, I'm Amy, come on through.
0:37:11 > 0:37:13Hi...
0:37:13 > 0:37:16I'll show you where we're going, we're going left, guys, please.
0:37:18 > 0:37:21We're going to Room 9, which is the last one on your right, guys.
0:37:21 > 0:37:23Thank you very much.
0:37:23 > 0:37:26OK. Come on in.
0:37:26 > 0:37:29All right? Do you want to have a sit down for me
0:37:29 > 0:37:32and you can give me a bit of a story about what's been happening.
0:37:32 > 0:37:34Bye.
0:37:34 > 0:37:35Are you all right?
0:37:35 > 0:37:37So has it got worse? It's got worse, yeah.
0:37:37 > 0:37:39Is that why you've come in now? Yeah.
0:37:39 > 0:37:41In what way has it got worse? I've got a lot more pain.
0:37:41 > 0:37:43So just stronger? Stronger.
0:37:43 > 0:37:46OK. Let's pop you on the monitor, then, all right?
0:37:46 > 0:37:48BABY'S HEART BEATS
0:37:48 > 0:37:52I'm just going to leave you on this now for about 15, 20 minutes
0:37:52 > 0:37:55and then we'll look at examining you, all right?
0:37:56 > 0:37:59'I've got some concern about the fact that that she's'
0:37:59 > 0:38:00a frequent readmission
0:38:00 > 0:38:05because that shows that she's, obviously, A, been having pain
0:38:05 > 0:38:07for quite a long time, so she's tired,
0:38:07 > 0:38:11and B, that she's maybe not going to cope very well with the labour.
0:38:11 > 0:38:15I think lots of women are anxious about going into labour.
0:38:15 > 0:38:18However, I do think that Kayleigh's been exceptionally anxious.
0:38:19 > 0:38:22Kayleigh also has to worry about a lifelong condition,
0:38:22 > 0:38:26one that severely limits the pain relief she can have.
0:38:26 > 0:38:29Kayleigh's got a neurological condition which means that
0:38:29 > 0:38:32she can't have any analgesia in the spine.
0:38:32 > 0:38:37So in some scenarios, women choose to have an epidural,
0:38:37 > 0:38:41Kayleigh can't have that because of the condition that she has.
0:38:41 > 0:38:43It's called a Chiari malformation.
0:38:43 > 0:38:46It's the low part of your brain sits lower down in your spinal chord.
0:38:46 > 0:38:48It limits your time of pushing
0:38:48 > 0:38:51and it limits you with an epidural and things like that.
0:38:53 > 0:38:57An epidural would reduce the pressure in the spinal column,
0:38:57 > 0:39:00drawing the brain down into the spine, which could be fatal.
0:39:00 > 0:39:02It's only me, Kayleigh.
0:39:03 > 0:39:04All right?
0:39:06 > 0:39:08Just try and relax for me, OK?
0:39:19 > 0:39:22OK... Probably still the same, more or less
0:39:22 > 0:39:24what they told you last time, all right?
0:39:24 > 0:39:27About 3cm dilated, all right?
0:39:27 > 0:39:31But at the moment, it's not really showing that you're in labour.
0:39:31 > 0:39:33OK. All right?
0:39:33 > 0:39:35I'm really sorry. It's OK.
0:39:35 > 0:39:38You must be so tired, bless you. Yes. All right.
0:39:43 > 0:39:45I give up.
0:39:53 > 0:39:55Same as previous findings.
0:39:55 > 0:39:59So she came by ambulance, so she's no transport or anything...
0:39:59 > 0:40:01As it's the middle of the night,
0:40:01 > 0:40:04it's decided Kayleigh can stay until the morning.
0:40:04 > 0:40:07She seems awful disappointed, bless her. Yeah, I can imagine.
0:40:07 > 0:40:10All right, brilliant. OK, I'll let her know. Thanks, Libby. Thanks.
0:40:15 > 0:40:17It's only me, Kayleigh.
0:40:17 > 0:40:19I've spoken to the midwife in charge, OK?
0:40:19 > 0:40:22We'll probably keep you in, you know, for a while,
0:40:22 > 0:40:23possibly till the morning.
0:40:23 > 0:40:28And then the doctors will review you in the morning. All right?
0:40:28 > 0:40:30Are you happy with that plan? Yeah.
0:40:30 > 0:40:32Dan, happy with that? Yeah. Yeah?
0:40:32 > 0:40:34It's a tricky one, isn't it?
0:40:36 > 0:40:37Just find the light switch.
0:40:39 > 0:40:42Later that morning, Kayleigh is again sent home.
0:40:56 > 0:40:58It's nearly the end of Amy's shift
0:40:58 > 0:41:01when she's assigned to a mum already in established labour.
0:41:03 > 0:41:07Chelsea is 21 and a full-time mum expecting her third child
0:41:07 > 0:41:09with gardener Sean.
0:41:09 > 0:41:13She's been transferred from low to high-risk care,
0:41:13 > 0:41:17as it's been over 24 hours since her waters broke.
0:41:18 > 0:41:22That's a big one. Sorry, I thought that was Sean's hand,
0:41:22 > 0:41:24that's why I was squeezing it. You can squeeze my hand.
0:41:24 > 0:41:26Sorry. It's OK.
0:41:26 > 0:41:28Are you all right? Yeah, that was a big one. Big one.
0:41:30 > 0:41:33Chelsea's last birth was an unpleasant experience.
0:41:33 > 0:41:36My body last time just shut down, I couldn't push the placenta out.
0:41:36 > 0:41:41OK. So obviously, because you've had a retained placenta before,
0:41:41 > 0:41:43I don't know whether anyone's told you,
0:41:43 > 0:41:46but that means that it may happen again. Yeah.
0:41:46 > 0:41:49OK, you do know that, do you? Yeah. Yeah, OK.
0:41:49 > 0:41:52Did it happen the first time? No. No, just the second. Yeah.
0:41:52 > 0:41:55You're neat. This is the biggest I've ever been,
0:41:55 > 0:41:56I've never been this big.
0:41:56 > 0:41:59Do you know what you're having? Girl. Another little girl.
0:41:59 > 0:42:03What have you got at home? Two little girls.
0:42:03 > 0:42:04Oh, that will be lovely.
0:42:04 > 0:42:07The day staff will be coming on shortly in the next ten minutes.
0:42:07 > 0:42:10All right? OK. And then I'll leave you to them.
0:42:10 > 0:42:14You'll probably have a baby about half an hour after I go, I expect.
0:42:14 > 0:42:17Ah, I know, probably, just my luck.
0:42:17 > 0:42:20We told you we'd have a May 5th baby, didn't we?
0:42:20 > 0:42:22All right?
0:42:23 > 0:42:27Chelsea's sister, Kari-Ann, has arrived to lend support.
0:42:27 > 0:42:30My second was really quick, they even missed it.
0:42:30 > 0:42:34They were... She was so quick, they induced me in the morning,
0:42:34 > 0:42:39nothing happened at all, day or night, so they sent him home.
0:42:39 > 0:42:41And then as soon as they sent him home,
0:42:41 > 0:42:44I had her literally in a matter of seconds.
0:42:44 > 0:42:47So he's been hanging round the hospital all night.
0:42:47 > 0:42:49Making sure he doesn't miss this one.
0:42:49 > 0:42:52Hello, hi.
0:42:52 > 0:42:54Good morning, everyone.
0:42:54 > 0:42:57My name is Tatiana, I'm going to look after you. Hiya.
0:42:57 > 0:42:59OK, how are you? I'm OK.
0:42:59 > 0:43:04OK, is gas and air working for you at the moment? Yeah. OK.
0:43:05 > 0:43:09Taking over from Amy's shift is Tatiana. Ukrainian born,
0:43:09 > 0:43:12she has nearly ten years' experience as a midwife in Cardiff,
0:43:12 > 0:43:15but Chelsea seems to have her doubts.
0:43:15 > 0:43:17Getting that ready already?
0:43:17 > 0:43:20Well, I'm going to check it anyway because I don't know when
0:43:20 > 0:43:24baby's going to come exactly, so I want all the equipment to be ready.
0:43:24 > 0:43:25You got excited then, didn't you?
0:43:28 > 0:43:31OK... I'm going to leave you with Tatiana,
0:43:31 > 0:43:33she's going to come back in a minute.
0:43:33 > 0:43:35Oh, thank you, is she nice? She's lovely.
0:43:35 > 0:43:37It's just cos you know me now, but you'll know her soon.
0:43:37 > 0:43:39What's her name? Tatiana. OK.
0:43:39 > 0:43:44You'll be great. Take care. Bye. Bye.
0:43:44 > 0:43:46I'm so disappointed not to be able to see this birth
0:43:46 > 0:43:49all the way through. I've built a really good relationship
0:43:49 > 0:43:52with Chelsea very quickly and she's quite anxious about
0:43:52 > 0:43:54somebody else taking over her care.
0:43:54 > 0:43:56That was a big one, yeah?
0:43:56 > 0:43:59'It's often really difficult as a midwife to make that bond
0:43:59 > 0:44:02'really very quickly with someone
0:44:02 > 0:44:05'and I think it's difficult for the woman to emotionally let go of
0:44:05 > 0:44:08'one midwife and then attach herself to another.'
0:44:08 > 0:44:10I'm just going to get ready, just in case.
0:44:10 > 0:44:11She had quick delivery before
0:44:11 > 0:44:14and I do expect her to deliver quickly this time, as well.
0:44:16 > 0:44:19Positive thinking, it's going to be absolutely fine.
0:44:21 > 0:44:24It's up to me to make this change in the room,
0:44:24 > 0:44:27to make this atmosphere comfortable for them.
0:44:27 > 0:44:31I mean, I'm a stranger, you need to establish this relationship
0:44:31 > 0:44:35with women and make sure they trust you.
0:44:35 > 0:44:37Chelsea, try to take gas and air
0:44:37 > 0:44:39only when you have a contraction, OK?
0:44:39 > 0:44:43If you're comfortable in-between, just close your eyes and rest. OK?
0:44:45 > 0:44:49That's it, in and out with the gas and air.
0:44:49 > 0:44:51It's going to go in a second. OK?
0:44:51 > 0:44:54Contraction is easing off now, good.
0:44:54 > 0:44:56You've got such a calming voice.
0:44:56 > 0:44:59Who, me? Yeah, it's really calming when you talk.
0:44:59 > 0:45:01Wow, that's the last thing you want, somebody to scream
0:45:01 > 0:45:03when you are in labour, isn't it?
0:45:07 > 0:45:09We are getting ready, slowly, slowly. Well done.
0:45:11 > 0:45:15Your muscles are getting ready, they're stretching slowly, slowly
0:45:15 > 0:45:17because she is descending, as we say,
0:45:17 > 0:45:19she's coming lower and lower and lower. OK?
0:45:19 > 0:45:22'I do believe that pain is a state of mind
0:45:22 > 0:45:23'and fear can cause anxiety'
0:45:23 > 0:45:26and anxiety can cause pain,
0:45:26 > 0:45:31so if we will break this chain, that is going to make a huge difference
0:45:31 > 0:45:34on the outcome of the childbirth.
0:45:34 > 0:45:37Just listen with your body and go with it, OK?
0:45:37 > 0:45:42'Our body is perfectly designed to achieve this natural'
0:45:42 > 0:45:45and calm and beautiful birth.
0:45:45 > 0:45:49And your body produces these natural pain killers,
0:45:49 > 0:45:54endorphins, they're the strongest than whatever I can offer here. OK?
0:45:54 > 0:46:00'I'm trying to make them realise that it can be comfortable,'
0:46:00 > 0:46:02and it usually works.
0:46:04 > 0:46:07Sometimes, you can see them, like they're deep in really,
0:46:07 > 0:46:10and they go within themselves
0:46:10 > 0:46:15and just keep really, really quiet,
0:46:15 > 0:46:19and I call it silence before storm.
0:46:20 > 0:46:23And sometimes, they feel like they're losing the world,
0:46:23 > 0:46:25everything is, you know, just too much.
0:46:26 > 0:46:29She is... She is doing well.
0:46:30 > 0:46:33Now, listen to your body and go with it.
0:46:33 > 0:46:36If you feel you want to push, just go with it.
0:46:36 > 0:46:39At some point, I'll tell you not to. OK?
0:46:39 > 0:46:42It's really hurting. KARI-ANN: It's up to you now, Chel.
0:46:42 > 0:46:45I am trying.
0:46:45 > 0:46:47She's waiting for you. She's not going to understand.
0:46:47 > 0:46:52She is, I do understand. Sweetie, keep going with gas and air,
0:46:52 > 0:46:54keep going with gas and air.
0:46:54 > 0:47:00With birth imminent, Tatiana has her own special pain relief technique.
0:47:00 > 0:47:04So I'm going to put some warm gauze on your labia.
0:47:04 > 0:47:06Is it OK? Is it nice and... OK.
0:47:06 > 0:47:08I don't want it to be too hot,
0:47:08 > 0:47:12but this is going to relax the muscles down below.
0:47:12 > 0:47:14Is it OK? It feels so nice.
0:47:14 > 0:47:18It feels nice, it's OK, I know it feel nice.
0:47:21 > 0:47:24I do that because it helps a lot,
0:47:24 > 0:47:27this warmth on the area
0:47:27 > 0:47:31helps the muscles to relax and contract.
0:47:33 > 0:47:37Sean, can you just ask her to turn towards you? Towards you.
0:47:37 > 0:47:39I can't. You can. Come on. You can.
0:47:39 > 0:47:41That's it, my darling.
0:47:41 > 0:47:44This next contraction, just open up
0:47:44 > 0:47:47and pull your thigh towards your chest. That's it.
0:47:47 > 0:47:53In this position, she will be born quickly and easier, OK?
0:47:53 > 0:47:57Well, this is the silence before the storm, I'm telling you.
0:47:57 > 0:47:58Yeah, it's...
0:47:58 > 0:48:02She's, like, getting her strength back, yeah.
0:48:02 > 0:48:05Come on, sweetheart, you can do it, not much longer now.
0:48:05 > 0:48:06It's really hurting me. I know.
0:48:06 > 0:48:10Chelsea, next contraction, she will be out. OK?
0:48:10 > 0:48:15OK, come on, gentle, nice and steady push.
0:48:15 > 0:48:19OK, the head is out. OK?
0:48:19 > 0:48:24The worst is behind, OK? Her head is delivered.
0:48:24 > 0:48:27With the next contraction, we will deliver her body. OK, darling?
0:48:27 > 0:48:28KARI—ANN: Oh, my God!
0:48:28 > 0:48:32- Can you open your eyes, Chel. - Don't panic, Sean, she's all right.
0:48:32 > 0:48:35Chelsea, next contraction.
0:48:35 > 0:48:38Come on, darling. Ready, one, two, three, go.
0:48:38 > 0:48:41Chelsea, she's there now.
0:48:41 > 0:48:44Chelsea she's out, her head's out.
0:48:44 > 0:48:46She's coming, it's her arms. Give it all you've got.
0:48:46 > 0:48:49OK, give me a towel.
0:48:49 > 0:48:51OK...
0:48:51 > 0:48:53Oh, my God!
0:48:53 > 0:48:56Baby, welcome to Cardiff.
0:48:56 > 0:48:57You've done it, babe.
0:48:57 > 0:48:59She's gorgeous. Look at her, Sean.
0:48:59 > 0:49:02Oh, my gosh, she's the spitting image of Rhianna, Chel.
0:49:02 > 0:49:04That's perfect.
0:49:04 > 0:49:05Say "hello" to Mummy.
0:49:05 > 0:49:07BABY CRIES
0:49:07 > 0:49:09Come on, baby, give her a cuddle.
0:49:09 > 0:49:12That's it. Give her a cuddle and I'll get her a clean towel.
0:49:12 > 0:49:13You've done it!
0:49:13 > 0:49:17Hello, beautiful. OK...
0:49:17 > 0:49:18BABY CRIES
0:49:18 > 0:49:22Are you ready to cut this cord?
0:49:22 > 0:49:25OK, in between my fingers and the clamp... Just there?
0:49:25 > 0:49:27Yeah, straight there.
0:49:30 > 0:49:32What?
0:49:32 > 0:49:34What? Oh, dear!
0:49:40 > 0:49:42Well, I've had five
0:49:42 > 0:49:45and I don't think I've had any of that sort of treatment.
0:49:45 > 0:49:49So... Come again. Yeah. No!
0:49:51 > 0:49:54The baby has been delivered, but it's not over for Chelsea.
0:49:54 > 0:49:57Let's see if this placenta is ready.
0:49:57 > 0:50:00Do you feel like to push something out? Yeah.
0:50:00 > 0:50:02You do, OK.
0:50:02 > 0:50:06The last birth, it got stuck, so she had to be rushed to theatre,
0:50:06 > 0:50:08so we're hoping...
0:50:08 > 0:50:10we don't have a repeat.
0:50:19 > 0:50:22Placenta is coming, OK? Well done, Chel.
0:50:22 > 0:50:25No complications.
0:50:25 > 0:50:29OK, just push it gently for me, it's ready to come.
0:50:29 > 0:50:31Slowly, love.
0:50:31 > 0:50:33Well done. Well done, Chel.
0:50:33 > 0:50:34BABY CRIES
0:50:34 > 0:50:37- Good girl. - It's done.
0:50:39 > 0:50:44'Chelsea delivered her baby by herself'
0:50:44 > 0:50:46and she was wonderful.
0:50:46 > 0:50:49She was... It was very quick, she listened to what I was saying.
0:50:49 > 0:50:53She was so relaxed.
0:50:53 > 0:50:55I think it was a stress-free birth.
0:50:56 > 0:51:01They want their lovely ones around and they were a very good team.
0:51:01 > 0:51:05They think that you know everything but, to be honest,
0:51:05 > 0:51:08every day, I know that I know nothing,
0:51:08 > 0:51:11I learn every day here so, yeah.
0:51:11 > 0:51:13But this time, I was pretty close.
0:51:16 > 0:51:18I think the midwife was wonderful.
0:51:18 > 0:51:20She really, really looked after Chelsea
0:51:20 > 0:51:23and made sure she was nice and relaxed and wasn't worrying.
0:51:23 > 0:51:26And not only that, she made sure Sean was fine as well,
0:51:26 > 0:51:28which I think is a big issue for fathers,
0:51:28 > 0:51:31if they don't know what's coming next, sort of thing.
0:51:31 > 0:51:33SEAN: I can't wait till we leave here
0:51:33 > 0:51:36and I give her a nice big kiss and a cuddle and say thank you.
0:51:36 > 0:51:38She was, she was wicked.
0:51:39 > 0:51:42Chelsea and baby Lydia spend a night on the ward
0:51:42 > 0:51:44and are allowed to go home the next day.
0:51:52 > 0:51:55A few nights later, Amy is back on shift
0:51:55 > 0:51:59and joined by one of the unit's familiar faces.
0:52:04 > 0:52:06Kayleigh has rushed in for the fourth time
0:52:06 > 0:52:09feeling she's having frequent contractions.
0:52:09 > 0:52:11Kayleigh's come in to us this evening.
0:52:11 > 0:52:14She's been admitted several times over the last few weeks
0:52:14 > 0:52:18querying labour, and this time, Kayleigh is established in labour.
0:52:18 > 0:52:20Erm... She's pushing.
0:52:31 > 0:52:34All right, Kayleigh, you'll have to get on the bed, my darling,
0:52:34 > 0:52:36we don't want you to deliver on the floor, do we?
0:52:41 > 0:52:44So how are you feeling when you've got those contractions now, Kayleigh?
0:52:44 > 0:52:46Pressure in your bottom still? OK.
0:52:46 > 0:52:48You've got urges to push, then, have you?
0:52:51 > 0:52:54Don't push at the moment, Kayleigh, because I just want to make sure
0:52:54 > 0:52:57that you're definitely fully dilated first. OK?
0:52:57 > 0:53:007cm already, well done.
0:53:00 > 0:53:01KAYLEIGH GROANS
0:53:06 > 0:53:08Because she has a neurological condition,
0:53:08 > 0:53:11Kayleigh can't have an epidural, so must rely only
0:53:11 > 0:53:13on gas and air for pain relief.
0:53:13 > 0:53:16Do you want some water? No.
0:53:16 > 0:53:19And once fully dilated, she will only be allowed to push
0:53:19 > 0:53:21for a maximum of 30 minutes,
0:53:21 > 0:53:23half the usual allowed time.
0:53:23 > 0:53:25Kayleigh, don't push at the moment
0:53:25 > 0:53:27because you're not fully dilated yet.
0:53:27 > 0:53:29KAYLEIGH HOWLS IN PAIN
0:53:29 > 0:53:32Kayleigh's pushing uncontrollably at the moment
0:53:32 > 0:53:35so I'm just going to do another examination really,
0:53:35 > 0:53:39because she shouldn't push if she's not fully dilated.
0:53:39 > 0:53:42The baby's heart rate is dropping slightly, which sometimes happens
0:53:42 > 0:53:46when they're pushing. I just want to see what's happening, really.
0:53:46 > 0:53:50Kayleigh, Kayleigh, I'm just going to examine you for a second, OK?
0:53:50 > 0:53:53OK, Kayleigh, you're fully dilated.
0:53:53 > 0:53:56Kayleigh, Kayleigh, can you look at me?
0:53:56 > 0:54:00OK? You're fully dilated, you've progressed really quickly
0:54:00 > 0:54:02and the baby's head is just sitting there now, all right?
0:54:02 > 0:54:04But what I want you to do now
0:54:04 > 0:54:06is try and stay in control as much as possible.
0:54:06 > 0:54:08I only want you to push when you've got a pain.
0:54:08 > 0:54:10Kayleigh, there's going to come a time
0:54:10 > 0:54:13when I'm going to ask you to stop pushing and to pant,
0:54:13 > 0:54:16and it's important that you try to listen to me
0:54:16 > 0:54:17as much as possible, OK?
0:54:19 > 0:54:22Allowed to push, Kayleigh knows that if she doesn't have the baby
0:54:22 > 0:54:23in the next 30 minutes,
0:54:23 > 0:54:26she will have to have a C-section under general anaesthetic.
0:54:28 > 0:54:30Caring for somebody in Kayleigh's scenario
0:54:30 > 0:54:33does ultimately make me feel slightly under pressure
0:54:33 > 0:54:36because I think when women become really distressed,
0:54:36 > 0:54:38naturally, I feel distressed as well.
0:54:40 > 0:54:42Kayleigh, just give us a second.
0:54:46 > 0:54:49Kayleigh, Kayleigh, just breathe gently. Good girl.
0:54:54 > 0:54:56Kayleigh, has the pain gone?
0:54:56 > 0:54:59The contraction, not the pain down below?
0:54:59 > 0:55:01OK. If the pain's there, Kayleigh,
0:55:01 > 0:55:04you've got to give me a big push into your bottom.
0:55:04 > 0:55:07OK, Kayleigh, Kayleigh, pant.
0:55:07 > 0:55:08Kayleigh, pant.
0:55:08 > 0:55:10Little tiny push.
0:55:10 > 0:55:14And pant, pant, pant, pant, pant, Kayleigh.
0:55:14 > 0:55:16Good girl.
0:55:16 > 0:55:18That's it.
0:55:18 > 0:55:20OK, little push. Pant, Kayleigh.
0:55:20 > 0:55:24OK, baby's head's out now, Kayleigh, OK?
0:55:24 > 0:55:26KAYLEIGH HOWLS IN PAIN
0:55:30 > 0:55:32OK...
0:55:32 > 0:55:34There...
0:55:35 > 0:55:38Congratulations.
0:55:38 > 0:55:40Oh...
0:55:40 > 0:55:42Oh, my God.
0:55:42 > 0:55:44Oh...
0:55:44 > 0:55:47Oh, my God. You're a little bit shocked, aren't you?
0:55:48 > 0:55:50Is she OK? Yeah?
0:55:50 > 0:55:53She's fine, she's just a little bit shocked.
0:55:54 > 0:55:57Is she... She's OK?
0:55:57 > 0:55:59Yeah?
0:55:59 > 0:56:02Hello. It's happened very quickly,
0:56:02 > 0:56:05so I haven't given Syntometrine or anything yet. Sorry.
0:56:05 > 0:56:08Thank you.
0:56:08 > 0:56:10She is beautiful, OK?
0:56:10 > 0:56:13Dan, do you want to cut the cord? If I could...
0:56:13 > 0:56:16She is quite a big baby, Kayleigh.
0:56:16 > 0:56:18BABY SQUEALS
0:56:18 > 0:56:21Just between the two clamps.
0:56:23 > 0:56:27Let's lift her up onto you, Kayleigh. Oh...
0:56:27 > 0:56:29Let me just get a clean towel.
0:56:32 > 0:56:33Oh, thank God it's over.
0:56:35 > 0:56:37I think Kayleigh deserved a quick labour
0:56:37 > 0:56:39after all her recent admissions and everything.
0:56:39 > 0:56:42I thought I was going to be sent home again with no baby.
0:56:42 > 0:56:44You did fantastic.
0:56:44 > 0:56:46BABY CRIES
0:56:48 > 0:56:503.58 kilograms,
0:56:50 > 0:56:51which is 7lb 14oz.
0:56:51 > 0:56:55Have we got a name for this baby? Lily Rose.
0:56:55 > 0:57:00Her full name is Lily Rose Saron Blue-Jay James.
0:57:00 > 0:57:04Aw! That's a long one.
0:57:04 > 0:57:06Thank God it's over.
0:57:06 > 0:57:09Normally, when I have a delivery, I try to keep it as calm
0:57:09 > 0:57:12and relaxing as possible for the women, but sometimes,
0:57:12 > 0:57:16especially when labour's progressed really quickly though, Kayleigh,
0:57:16 > 0:57:19all that can go out the window sometimes.
0:57:19 > 0:57:21In Kayleigh's case, she was just in so much pain,
0:57:21 > 0:57:24she just pushed, sort of, continuously, really.
0:57:24 > 0:57:27A little bit of a crazy environment, but, you know,
0:57:27 > 0:57:29we got a brilliant outcome and a beautiful baby,
0:57:29 > 0:57:32so it's all worked well in the end.
0:57:32 > 0:57:36The last few weeks have been quite stressful for us both.
0:57:36 > 0:57:41Put pressure on family life at home, with tiredness and everything.
0:57:41 > 0:57:45Yeah, really stressful, I'm glad it's all over now. No more stress.
0:57:48 > 0:57:51I'm really pleased that after Kayleigh came in so many times
0:57:51 > 0:57:52that when she finally came in to give birth,
0:57:52 > 0:57:54it was me that was there to deliver her baby.
0:57:54 > 0:57:57Ah, it's bright out here, isn't it?
0:57:57 > 0:58:01Tomorrow, Dan and Kayleigh will be allowed to go home.
0:58:01 > 0:58:03This time, with a baby.
0:58:03 > 0:58:05What a lovely thing to end your day on.
0:58:05 > 0:58:06It's just lovely, isn't it?
0:58:09 > 0:58:10Bye...
0:58:10 > 0:58:12Take care. Bye...
0:58:15 > 0:58:17Thank you. Bye.
0:58:25 > 0:58:27All right, take care, you're welcome. Bye.
0:58:27 > 0:58:29Thanks. Bye-bye. Bye.
0:58:53 > 0:58:55Subtitles by Red Bee Media Ltd