:00:14. > :00:18.We're in the middle of a baby boom. No. Push, push, push. That's it.
:00:18. > :00:28.There you go. Last year, there was one born every 40 seconds, the
:00:28. > :00:30.
:00:30. > :00:34.highest number for nearly 20 years. That's the baby's head out, darling.
:00:34. > :00:38.All pregnant women are meant to have a choice of safe, high quality
:00:38. > :00:42.maternity care, but in some parts of the UK the reality is quite
:00:42. > :00:52.different. Sometimes I think if they'd done it the other way round
:00:52. > :01:05.
:01:05. > :01:09.There he is, half an hour old. I have been through childbirth twice,
:01:09. > :01:13.and each time I was lucky enough to have great midwives who gave me
:01:13. > :01:18.their full attention throughout labour. But in too many hospitals
:01:18. > :01:21.that's not happening. As the number of births soars they're also
:01:21. > :01:26.becoming more complicated, there are more older and overweight mums
:01:26. > :01:29.and with IVF more twins and triplets. Add to that a chronic
:01:29. > :01:34.shortage of midwives and some maternity units are struggling to
:01:34. > :01:37.cope. Heather Paterson was 40 when she
:01:37. > :01:46.became pregnant with her first child. It was a happy surprise for
:01:46. > :01:51.her and her husband. I remember us taking photographs of the pregnancy
:01:51. > :01:57.test, we were so excited. Every day was like that, it was excitement
:01:57. > :02:00.seeing him develop through the scans. The number of women over 40
:02:00. > :02:05.having children has almost trebled in the last decade. Heather's age
:02:05. > :02:08.should have meant special care. When she was nearly two weeks
:02:08. > :02:13.overdue she arrived at the Royal Free Hospital in London to be
:02:13. > :02:17.induced but she was sent home because it was too busy. Did it
:02:17. > :02:20.come as a surprise to you that you turned up and were told there
:02:20. > :02:26.weren't enough beds? Yes, it was a major London teaching hospital and
:02:26. > :02:30.we turned up when they asked us to come. We were booked in and they're
:02:30. > :02:37.sending us away and not only send us away, they joked there's no room
:02:37. > :02:41.at the inn. The unit was still busy when they came back, the first
:02:41. > :02:45.midwife Heather saw gave her twice the recommended dose of drug to get
:02:45. > :02:48.induction started. This meant contractions painful. Later a
:02:48. > :02:52.second midwife kept leaving Heather to attend to another woman. She
:02:52. > :03:00.asked Ian to keep an eye on the machine monitoring the baby's heart
:03:00. > :03:06.rate. The midwife said to me I am a little concerned. The heart rate
:03:06. > :03:11.has dipped a little bit. I need to go out, here's a call button. If
:03:11. > :03:18.that monitor dips below 100 press it. Were you surprised she didn't
:03:19. > :03:25.stay to monitor it? To be honest, I was so focused about watching it
:03:25. > :03:30.and she panicked me because she said I am a bit concerned about
:03:31. > :03:40.this, will you watch it? It's our first time having a baby. She's the
:03:40. > :03:44.expert. Iain says he called the midwife when the heart rate dipped
:03:44. > :03:48.on three occasions but still she didn't stay or get a doctor. It was
:03:48. > :03:55.three hours later when the baby's heart rate couldn't be heard a
:03:56. > :04:05.doctor was called. The delay starved baby Riley of oxygen.
:04:06. > :04:06.
:04:06. > :04:12.no idea until Iain came over and told me that he didn't make it. I
:04:12. > :04:16.was a healthy woman. I had a healthy baby. And so you expect
:04:16. > :04:26.that you'll walk out of that hospital the next day with your
:04:26. > :04:26.
:04:26. > :04:30.child. And to not do that was devastating.
:04:30. > :04:36.Instead, they had to arrange Riley's funeral. They filmed it for
:04:36. > :04:46.Heather's family back in Australia. We will feel his presence always.
:04:46. > :04:46.
:04:46. > :04:51.For me personally, Riley and his existence literally saved my life.
:04:51. > :04:55.At the inquest a jury ruled that neglect contributed to Riley's
:04:55. > :04:59.death. The hospital apologised and paid compensation. But Ian and
:04:59. > :05:03.Heather were unhappy that the two midwives involved were allowed to
:05:03. > :05:06.continue working with additional training. So they complained to the
:05:06. > :05:12.midwives' governing body. Today is the first day of the disciplinary
:05:12. > :05:17.hearing. It's been more than six years since my son was killed and
:05:17. > :05:21.it's also been about four and a half years since I put in a
:05:21. > :05:26.complaint against the midwives and I really - I am angry that it's
:05:26. > :05:30.taken so long. Ed first midwife didn't attend the hearing. She was
:05:30. > :05:34.suspended for 18 months. The panel heard the critical period when
:05:34. > :05:38.Heather's baby could have been saved was in the early hours of
:05:38. > :05:42.Good Friday when the labour ward was understaffed. As the labour
:05:42. > :05:47.ward co-ordinator the second midwife Beverley Blankson shouldn't
:05:47. > :05:55.have been caring for Heather while looking after another woman in
:05:55. > :06:03.labour. It was her duty to call in extra staff if she needed them.
:06:03. > :06:08.There were eight mothers and five midwives that night. One phone call
:06:08. > :06:13.she could have had extra midwives. The panel found Beverley Blankson
:06:13. > :06:17.failed to monitor properly the baby's deteriorating heart rate. It
:06:17. > :06:21.ruled her fitness to practise was impaired but won't decide until
:06:21. > :06:25.September whether she should be disciplined. The Royal Free
:06:25. > :06:29.Hospital Trust told us it has reviewed and fundamentally changed
:06:29. > :06:35.many aspects of its maternity service and increased staff numbers
:06:35. > :06:41.since Riley's death. Beverley Blankson wasn't willing to comment.
:06:41. > :06:45.It may have been a blip. I don't know. But as far as I am concerned
:06:45. > :06:51.she is partially responsible for the death of my child and I don't
:06:51. > :06:56.really think that someone who couldn't spot problems or the tell
:06:56. > :07:02.tale signs is still someone who probably should not be dealing with
:07:02. > :07:06.women. In its findings the panel said it was concerned that despite
:07:06. > :07:10.considerable further training, even at the hearing midwife Blankson
:07:10. > :07:14.still didn't recognise that the baby's heart monitor printout was
:07:14. > :07:20.abnormal. Beverley Blankson still works as a midwife at the Royal
:07:20. > :07:24.Free. Failure to monitor or respond to an abnormal foetal heart rate is
:07:24. > :07:28.a mistake that's being made in other hospitals over and over again.
:07:28. > :07:36.We've discovered that the number of negligence claims against the NHS
:07:36. > :07:40.for that reason increased last year alone by nearly 20%.
:07:40. > :07:48.Electronic monitoring of the foetal heart rate is not new medical
:07:48. > :07:52.technology. It has been around for 20 plus years. It is worrying that
:07:52. > :07:57.there are still failures to properly interpret and to respond.
:07:57. > :08:00.It's terribly depressing when we see the same things happening time
:08:00. > :08:07.and time again and lessons apparently not being followed
:08:07. > :08:10.through, not being learnt within the NHS.
:08:10. > :08:16.The Royal College of Midwives says it's hardly surprising, by its
:08:16. > :08:21.calculations at least 4,700 more midwives need to be employed across
:08:21. > :08:25.England and Wales to provide a safe service. Most midwives get up in
:08:26. > :08:30.the morning wanting to do a really good day's work. They want to give
:08:30. > :08:34.the care that they've been trained to give, many of them achieve that
:08:34. > :08:40.and for the vast majority of midwives who don't manage to
:08:40. > :08:45.achieve that I would very strongly argue it's because the system is
:08:45. > :08:49.not supporting them to do the work they're meant to do. A recent
:08:49. > :08:53.survey of NHS maternity staff in England found that only half were
:08:53. > :09:01.satisfied with the quality of work and patient care they were able to
:09:01. > :09:05.deliver. More than 90% had reported incidents,er rors or near-misses in
:09:05. > :09:10.the previous month. Women don't come in tidy numbers when they're
:09:10. > :09:13.pregnant but the problem for midwives now is that the pressure
:09:13. > :09:17.is relentless and none of us can really keep our standards as high
:09:17. > :09:25.as they should be if day after day we're working under extreme
:09:25. > :09:30.pressure. Are things really that bad? We carried out an exclusive
:09:30. > :09:36.Panorama survey writing to every maternity unit in the UK. 171 in
:09:36. > :09:40.total, almost 90% replied. We asked what the midwife vacancy rate was.
:09:40. > :09:45.In Wales and Northern Ireland it's below 1%. In Scotland, just above
:09:45. > :09:50.1%. Our survey showed England's vacancy rate is nearly 5%. But in
:09:51. > :09:56.some London trusts the rate is as high as 19 or 20%, that's one in
:09:56. > :10:00.five posts lying vacant. Before the last general election David Cameron
:10:00. > :10:05.pledged 3,000 more midwives for England. So we asked the Department
:10:05. > :10:15.of Health how many new posts have been created since May 2010. They
:10:15. > :10:18.
:10:18. > :10:23.don't collect that information. It's not just babies that are being
:10:23. > :10:26.put at risk when hospitals are overstretched. It's women, too, at
:10:26. > :10:36.a time when the number of women whose pregnancies are considered
:10:36. > :10:36.
:10:36. > :10:41.high risk is on the rise. Clever girl, aren't you? Mummy's going to
:10:41. > :10:46.chase you! Caroline Hardy suffered from a painful pelvic condition and
:10:46. > :10:50.needed special care throughout her pregnancy. By 38 weeks I was in
:10:50. > :10:56.hospital because I just couldn't make it from one room to another in
:10:56. > :10:59.the house without being crippled with pain. She went to Wythenshawe
:10:59. > :11:03.Hospital in Manchester for an induction but it was delayed
:11:03. > :11:09.because the unit was so busy. When the labour didn't progress, she was
:11:09. > :11:16.rushed for a Caesarean. But another woman needed to go to theatre at
:11:16. > :11:19.the same time. There was a bit of an argument as to who needed to go
:11:19. > :11:25.to surgery now because there was obviously another lady who needed
:11:25. > :11:29.to go and I only won because I was halfway to the surgical room and I
:11:30. > :11:38.was prepped. Sometimes I think well if they'd done it the other way
:11:38. > :11:45.round would things be different, but... It's OK. It's upsetting to
:11:45. > :11:49.go through it again. Take your time. It's because, not just the surgeon,
:11:49. > :11:55.but the team had so much pressure on them to prevent something worse
:11:55. > :12:00.happening to the lady waiting, that something was missed. Caroline gave
:12:00. > :12:05.birth to a daughter, Tali but when she was sewn back up a large piece
:12:05. > :12:09.of placenta was left inside her. Caroline thinks it's because of how
:12:09. > :12:13.busy the staff were. I think it played a huge part because it was
:12:13. > :12:18.such a big mistake to have made, it's not something that happens,
:12:18. > :12:23.it's not a daily occurrence. Three weeks later Caroline collapsed and
:12:23. > :12:27.had to be rushed to hospital for emergency surgery. I am quite lucky
:12:27. > :12:30.that I only had another haemorrhage, because I could have had
:12:31. > :12:35.septicaemia, I could have had infections, I could have died,
:12:35. > :12:38.could have had a million and one things happen to me. University
:12:38. > :12:42.Hospital of south Manchester Trust confirmed that the piece of
:12:42. > :12:49.placenta shouldn't have been left inside Caroline. It apologised for
:12:49. > :12:57.the error and any distress and worry caused. Milton Keynes
:12:57. > :13:02.Hospital and Kerry is about to have her first baby with partner Che.
:13:02. > :13:08.am going to put the bed up... Midwife Rachel has been assigned to
:13:08. > :13:12.care for Kerry throughout her labour. You are a good 7-8
:13:12. > :13:16.centimetres which is good, the head is high so I am going to have a
:13:16. > :13:21.word with the doctor, we don't want the waters going and the cord
:13:21. > :13:25.coming down. Rachel uses an electronic monitor to hear the
:13:25. > :13:32.baby's heart rate so make sure it's not in distress. The heart rate can
:13:32. > :13:36.dip down and that's normal at certain parts. Milton Keynes hasn't
:13:37. > :13:40.always been able to offer such a high level of care. Three years ago
:13:41. > :13:46.the unit was understaffed. The local coroner called the situation
:13:46. > :13:53.scandalous after three baby deaths he felt could have been prevented.
:13:53. > :13:57.Broadly morale was low. There has been for a while a shortage of
:13:57. > :14:03.midwives in this country and Milton Keynes was not particularly
:14:03. > :14:06.successful in attracting midwives that there were. With a shortage of
:14:06. > :14:10.qualified English midwives the hospital has had to look abroad to
:14:10. > :14:14.recruit. In four years it's boosted numbers by more than 30. Now the
:14:14. > :14:18.hospital says it's the only one in England that can show it gives one
:14:18. > :14:26.to one care to all women once their contractions are regular and
:14:26. > :14:32.they're in established labour. push, push. Keep going, keep going,
:14:32. > :14:37.keep going. So you just phoned the doctor. He will come and review,
:14:37. > :14:41.she's been pushing for an hour now so we get the doctors to review.
:14:41. > :14:51.she tired? Yeah, exhausted now. Might you do something different?
:14:51. > :14:59.
:14:59. > :15:09.Don't know, he will say carry on or Keep it coming. That is it, well
:15:09. > :15:10.
:15:10. > :15:17.done. Yes, we did have a baby. was it? Cor... You forgot to check!
:15:17. > :15:22.I had better check! A baby boy! boy, thank you. And this is they
:15:22. > :15:29.been made. You must be so proud. You must be exalted as well. But
:15:29. > :15:34.was hard going, wasn't it? Yes. Milton Keynes has managed to turn
:15:34. > :15:38.its maternity servers around. Our Panorama survey shows that they
:15:38. > :15:42.still had 18 vacant midwife posts and they do not always have enough
:15:42. > :15:45.beds to cope with demand. It turns out we have arrived on a pretty
:15:46. > :15:50.busy day. The maternity ward has actually had to close its doors to
:15:50. > :15:53.new admissions, and that means two women have already been sent to
:15:53. > :15:58.other hospitals more than 20 minutes away. It is a difficult
:15:58. > :16:01.balancing act for the head of midwifery -- midwifery. To
:16:01. > :16:05.guarantee one to one care, she sometimes asked to deny women their
:16:05. > :16:09.choice of where to give birth. Isn't that disappointing if they
:16:09. > :16:13.have been hoping to come to this hospital? It is, and it is for us,
:16:13. > :16:17.too, because we would like to provide that care, but it is
:16:17. > :16:22.important they get appropriate care, and if it is best for them to go
:16:22. > :16:25.elsewhere, that is the right thing to do for them. In our survey, we
:16:25. > :16:30.found that Milton Keynes had to shut its doors on 14 separate
:16:30. > :16:35.occasions last year, mostly due to under staffing. Rosie Hospital in
:16:35. > :16:40.Cambridge, though, closed 28 times. In Leicester, both maternity use
:16:40. > :16:44.its closed more than 50 times. In Nottingham, both units closed at
:16:44. > :16:53.the same time on five occasions. But the unit that closed its doors
:16:53. > :16:58.most often was Barnet Hospital in London. Over 100 times last year.
:16:58. > :17:03.Across the UK, we found that maternity units were forced to
:17:03. > :17:08.close 1055 times last year, nearly always to do under staffing or
:17:08. > :17:13.overcapacity. That meant that at least 927 women have to be turned
:17:13. > :17:19.away. To turn up at the place you were expecting to have your baby
:17:19. > :17:24.and be told, well, I am sorry, you have got to go down the road to a
:17:24. > :17:34.different unit, I just think that is not a high standard of care, and
:17:34. > :17:34.
:17:34. > :17:37.it should not be what we are giving 32 babies were delivered at Milton
:17:37. > :17:42.Keynes over the two days the unit was closed to new admissions. The
:17:42. > :17:48.average would normally be nearer 23. Those women who were not turned
:17:48. > :17:52.away, though, were delighted with their care. How have you found your
:17:52. > :17:57.care here? What was it like? Excellent from start to finish. We
:17:58. > :18:02.had a very traumatic time on Sunday evening getting easier. She was in
:18:02. > :18:07.distress and had to be delivered very quickly. We cannot fault the
:18:07. > :18:12.care that we have received here. Staff have coped well when so many
:18:12. > :18:17.babies born over a challenging 48 hours. What has that been like for
:18:17. > :18:24.all of you? I have delivered four of them. Four in two days. That
:18:24. > :18:28.sounds like hard work. Yes! It is lovely, though. Milton Keynes may
:18:28. > :18:34.be operating safely now, but that is not always happening elsewhere.
:18:34. > :18:38.London has seen a huge rise in births, 16% in five years. Many of
:18:38. > :18:43.those have been high risk, leaving some maternity units struggling to
:18:43. > :18:47.cope. The NHS in London became concerned when it notice that the
:18:47. > :18:51.number of maternal deaths in the first half of 2009 was as high as
:18:51. > :18:55.the whole of the previous year. A confidential inquiry was launched,
:18:55. > :19:00.and we have been given exclusive access to its findings. The
:19:01. > :19:10.conclusion is shocking. 17 deaths over an 18 month period could have
:19:11. > :19:12.
:19:12. > :19:18.been avoided if the women had been Professor Trish Morris-Thompson is
:19:18. > :19:21.NHS London's chief nurse. She is also a practising midwife. The MBE
:19:21. > :19:24.were a number of opportunities to prevent death occurring, and
:19:24. > :19:29.because of that we have taken enough action across the
:19:29. > :19:32.organisations in London, and we will continue to do so to put right
:19:32. > :19:35.those actions. That is pretty damning. These women could still be
:19:35. > :19:39.alive if they had been given the proper standard of care. And in
:19:39. > :19:44.some of those cases the report indicates that the less than
:19:44. > :19:47.optimal care was given and death did occur. However, we need to look
:19:47. > :19:52.at the context of those 200,000 births occurring in that period of
:19:52. > :19:59.time. A lot of women in very poorly conditions were cared for, and a
:19:59. > :20:03.lot of babies were delivered very safely. Of the 42 mothers who died,
:20:03. > :20:09.half were from deprived backgrounds, two-thirds from ethnic minorities,
:20:09. > :20:14.and some have not sought maternity care until late in pregnancy. That
:20:14. > :20:18.was not the case for Suzanne Valentine, though, who had regular
:20:18. > :20:24.check-ups, a partner in a London law firm, a mother later in life
:20:24. > :20:29.through IVF. She was one in a million more than anything. She was
:20:29. > :20:33.just an incredible person. Their good points were probably my weak
:20:33. > :20:39.points, and vice versa, so it worked really well, really well as
:20:39. > :20:45.a team. At 47, Cezanne was classed as high risk, but like her first
:20:45. > :20:49.two pregnancies, this one had gone smoothly. -- Suzanne. To the end,
:20:49. > :20:54.she was sort of glowing, really looking forward to having a third
:20:54. > :20:59.child. One week before the due date, though, a scan confirmed the baby
:20:59. > :21:08.had died. She had to be induced. Afterwards, Stephen got a chance to
:21:08. > :21:18.hold his daughter, Georgianna. had about 40 minutes were third. --
:21:18. > :21:18.
:21:18. > :21:21.with her. Yes, I had 40 minutes. When I left, I left the room at 20
:21:21. > :21:26.past, around about 20 past two in the morning because the crash team
:21:26. > :21:31.had been caught. As Stephen grieved for his daughter, his wife went
:21:31. > :21:34.into cardiac arrest. She was losing huge amounts of blood but staff
:21:34. > :21:38.could not work out why. They did not call a consultant obstetrician
:21:38. > :21:44.straight away. He arrived an hour later and discovered that her
:21:44. > :21:49.uterus had ruptured. He stopped what they were doing and tried to
:21:49. > :21:55.fix the tear. Maybe if the consultant had been there quicker,
:21:55. > :22:02.do you know, if the consultant had been in the hospital, things might
:22:02. > :22:06.have turned out different for Suzanne. She died soon afterwards.
:22:06. > :22:09.The hospital's own investigation was critical that a consultant
:22:09. > :22:15.obstetrician had not been called earlier but concluded it would not
:22:15. > :22:18.have saved there. By that stage, the damage was done. At the inquest,
:22:18. > :22:23.the coroner criticised the high dose of Labour and using drugs she
:22:23. > :22:27.had been prescribed, 16 times what is recommended. This increased
:22:27. > :22:37.their risk of a ruptured uterus. How did you feel when you realised
:22:37. > :22:38.
:22:38. > :22:45.that? I was angry, a bit shocked. Devastated, disbelief. It is still
:22:45. > :22:49.very raw, and it is still very upsetting, you know, but I have two
:22:49. > :22:54.other children but still get up, they want their Coco Pops and Ready
:22:54. > :23:00.Brek in the morning, so they have still got to go to school, so you
:23:00. > :23:03.have to sort of deal with it, and you have to get on with your day.
:23:03. > :23:08.St George's Healthcare NHS Trust told us it had used similar doses
:23:08. > :23:13.of the drug given to Suzanne since 2003 without any serious
:23:13. > :23:16.complications. It has now revised its guidelines. The trust also says
:23:16. > :23:21.it has improved training to ensure that staff seek a higher level of
:23:21. > :23:25.clinical leadership at the correct time. When things do go wrong, it
:23:25. > :23:30.is crucial that any inquiries carried out afterwards are thorough
:23:30. > :23:35.and objective to make sure that lessons are learnt. But the review
:23:35. > :23:39.of maternal deaths in London found that is not always happening. Of 29
:23:39. > :23:44.serious incident reports scrutinised for the review, a panel
:23:44. > :23:48.of experts only agreed with the findings in 12. It found that many
:23:48. > :23:52.reports were defensive in nature and disagreed with six that
:23:52. > :23:55.included the woman's death was inevitable. The panel said
:23:55. > :24:01.different management and earlier diagnosis could have changed the
:24:01. > :24:08.I think the most worrying thing that comes out of this report is
:24:08. > :24:12.the suggestion that lessons are not being learnt. I would agree, having
:24:12. > :24:15.read the reports, and prior to the publication of the independent
:24:15. > :24:20.review, we were working at the organisations to say, this is not
:24:20. > :24:24.good enough, you need to have a more robust response to the report
:24:24. > :24:27.and it needs to be more extensive. While some London hospitals are
:24:27. > :24:30.stretched to crisis point, elsewhere the picture is quite
:24:30. > :24:35.different. To write a save maternity service, the Royal
:24:36. > :24:41.College of Midwives says there should be an average ratio of 1 to
:24:41. > :24:45.28. -- to provide a safe maternity service. We have found that
:24:45. > :24:50.midwives deliver more babies, with a ratio of one midwife to 33 births.
:24:51. > :24:56.In Wales, it is one midwife to 30 births. Northern Ireland has one to
:24:56. > :25:01.just under 28 birds. In Scotland, though, there is an average of one
:25:01. > :25:06.midwife to just 26 berths. Here in Scotland, there is no midwife
:25:06. > :25:10.shortage. There are currently only 20 posts lying vacant across the
:25:10. > :25:12.whole country, which means that in hospitals like this one they can
:25:12. > :25:20.offer mothers the undivided attention of a midwife throughout
:25:20. > :25:25.Hannah Fox is expecting her 4th baby. She is being induced, and
:25:25. > :25:29.midwife Doreen will be with airside every step of the way. I will just
:25:29. > :25:36.have a listen to the baby again. Just check that she is nice and
:25:36. > :25:43.happy. There she goes. Do you think it makes a difference to you?
:25:43. > :25:46.huge difference. I had my two old as children in a different hospital,
:25:46. > :25:52.and the midwife was hardly ever in the room, and it was really
:25:52. > :25:54.frightening. Hannah is one of just 19 women giving birth here today.
:25:54. > :25:59.Thorpe Park Hospital deliver slightly fewer babies than Milton
:25:59. > :26:05.Keynes every year but employers 35 more midwives. There's only one
:26:05. > :26:12.vacant post. When you look down south and DEC vacancy rates are 15%,
:26:12. > :26:16.what do think about the service they can offer? I feel that for my
:26:16. > :26:23.colleagues working in situations like that, it must be very
:26:23. > :26:30.difficult to actually provides the One 2 One service and the 1-1 care
:26:30. > :26:35.that you would want to provide. It must be very hard and challenging
:26:35. > :26:45.to work in those circumstances. After a long, tiring day in labour,
:26:45. > :26:58.
:26:58. > :27:04.A new life is about to emerge. There you go. Congratulations. Oh,
:27:04. > :27:08.she is just beautiful! Maternity care here may be the envy of their
:27:08. > :27:12.southern colleagues, but for how long? The Scottish government has
:27:12. > :27:17.pledged to protect frontline services, but public spending cuts
:27:17. > :27:23.of nearly 8% are expected in the coming years. I just hope our
:27:23. > :27:27.politicians listen to the women and listen to the staff and the
:27:27. > :27:33.midwives, obstetrician as he will advise them about safe levels and
:27:33. > :27:40.staffing levels required for their units. Ian and Heather Havard two
:27:40. > :27:44.more children, but they will never forget their first son. -- have had.
:27:44. > :27:49.It is a very poignant message that you chose to have carved on the
:27:49. > :27:55.bench, lived for 35 minutes. Is that hard for you, even today?
:27:55. > :28:01.is hard to know that you have what should be a perfectly healthy baby
:28:01. > :28:11.and then everything goes wrong. But you know, you never stop loving
:28:11. > :28:13.
:28:14. > :28:17.that baby, and every single day I With one baby born every 40 seconds,
:28:17. > :28:21.there will always be times when things go wrong, but the care of
:28:21. > :28:25.women receive should not depend on where they live or what time they