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Call The Midwife… Then, Now And In The Future

January 18, 2012

We might think that a book about midwifery in London in the 1950s is of little practical relevance today; but how wrong could we be?  The true tales which Jennifer Worth (1935- 2011) relates in her Call the Midwife trilogy, now being televised by the BBC, are not as some suppose stories removed from the realities of the present time.  They connect very directly with our current lives for at least two critically important reasons.

NB Further discussion of  ‘Call The Midwife’ as a really successful BBC1 drama series (and about who wrote and performed the music for the drama) can be found on Hilary’s other website, DreamingRealist ~ Call The Midwife: A BBC1 Triumph For Real PeopleThe blog on this website considers issues around delivering professional public service. 
You are most welcome to add Comment on either post.

The first reason why Jennifer Worth’s accounts of the grim realities of family life in London’s war-torn East End in the 1950s are critical to our present understanding of public service is that the UK National Health Service was one of the greatest achievements ever for the well-being of the mass of ‘ordinary’ people.  Let no-one imagine it wasn’t a big deal.  It was (and remains) a history-changing collective leap towards a fundamentally different mode of constructing public service.

The second reason is that the experiences of 1950s London which Jennifer Worth relates are still sometimes with us.

Mercifully there have been no wars on British soil since 1945 further to destroy the physical fabric of our communities.  But awful things do still happen to young families and babies, and the circumstances under which some British children grow up remain unforgivable, in one of the wealthiest nations on earth.

‘Need’ or ‘nice to have’?
Perhaps poverty and basic human survival needs are now often less acknowledged than they were in the immediate post-WWII years.  Jennifer Worth tells us that few knew about Poplar in the East End of London of the 1950s; but nonetheless almost everyone understood then that money was tight.  The most basic human requirements were not always available, regardless of one’s bank balance; food rationing – which at least in theory applied to everyone – didn’t go until 1955.  In that sense at a minimum we probably really were All In It Together.

There has been a shift towards conflating ‘need’ and ‘would like to have’.  Whilst we can debate the desirability or otherwise of this shift – materialistic, yes; but maybe also a vehicle for raising valid ambitions? – the clear downside is that most in mainstream society now genuinely don’t perceive the desperation of those who without enough simply to survive.

Basic essentials
That basic lack of the essentials for a decent life is at the core of what Jennifer Worth recounts.  And for some, hidden away from public view except when there is ‘trouble’, this is still their unremitting experience, every day.  There remain enclaves of abject material poverty and almost zero visibility, perhaps most often in the ‘donuts’ of inner cities or in isolated rural locations, where for the women especially empowerment in civil society is beyond comprehension.

Yet these same disenfranchised women turn willingly to the midwife when her services are required.  Anyone who has worked in early years or Sure Start will be aware of clients who without hesitation admit the local midwife but absolutely no-one else into their homes.  This most intimate of public services is accepted trustingly by almost every woman who requires it, regardless of chasms between client and provider of culture, language and whatever else.  And by very definition these clients are all prime carers of tiny British future citizens for whom we as a society have enduring responsibility.

Advocates for the invisible
Interviewing midwives in the course of my work, I have been struck by the clarity with which they see their role as mediators and advocates for the women in their care.  More than once I’ve been told by a midwife that ‘We’re the only people who speak for [some of] these women.’

By defining midwifery as women’s work of no wider relevance, conducted within a silently conspiratorial bubble away from the public eye, we take that same eye way off the ball.

Midwives report that in the absence of integrated support they find themselves delivering many other tasks as well as babies; they tell of being asked for help with housing, benefits, school problems and other issues which confront struggling families.  But it doesn’t have to be like that.

Seamless provision
There is currently a badly overstretched midwifery service with worrying implications for infant well-being, and a nation-wide shortage of midwives. Their core expertise, caring for expectant mothers and delivering and nurturing their infants, is enough to expect of our midwives.  Beyond that, the public service challenge is to find ways to secure seamless client progress from the privacy of maternity care to the wider remit of child and family care; and from there onwards towards responsible civic engagement.

Midwifery demonstrates that virtually everyone will accept public services if these are tailored to need.  It’s time to take heed of those midwives, and to blend their intuition and understandings about so-called ‘hard-to-reach’ clients (is it them; or is it us?) into the canon of generic public service.

Vantage point of the vulnerable
At the very least, Jennifer Worth’s work offers a chance for practitioners in every part of provision, from education and health providers to housing and town planning professionals, to consider afresh what the world looks like from the vantage point of the most vulnerable, whether in the 1950s or now.

What starts in the delivery room must move on through the home, school and community into the place of work.  Any public service which loses the trust of some clients before their children even reach nursery class is one which also fundamentally breaches the trust for long thereafter of its smallest future citizens.

See also Calling The Midwife Is About More Than ‘Just’ Clinical Care (re Christmas Day 2012 BBC One episode of ‘Call The Midwife’)

A version of the piece above, on professional challenges, first appeared in the New Start on-line magazine of 18 January 2012.

Further discussion of  ‘Call The Midwife’ as a successful BBC1 drama series can be found on Hilary’s other website, DreamingRealist ~ Call The Midwife: A BBC1 Triumph For Real People

[For those (not in the UK) unable to access the replays, the DVD of the series can be ordered from the BBC Shop here.]

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57 Comments leave one →
  1. Jax permalink
    January 22, 2012 21:06

    Lovin this Bbc keep it up!…. Makes Sunday eve fab!!!!.. ;-))))

    • January 22, 2012 22:01

      Thanks for the comment Jax; couldn’t agree more. And really great to see a reminder of why the NHS is soooo important.

  2. January 22, 2012 22:53

    PS I have to add, now the series is in full swing, that it’s great to see a major TV series in which virtually all the main characters are, for very proper contextual reasons, actually women. Excellent performances by e.g. Jenny Agutter, Miranda Hart, Jessica Raine and (as voice-over) Vanessa Redgrave, plus a woman author and women producers. Maybe this tells us something about seeing life as it really is?

  3. Fr Jon permalink
    January 23, 2012 12:55

    http://www.stgite.org.uk/williamson.html

    Fr Joe Williamson was not irish – but a Poplar boy

    • carol howe permalink
      February 22, 2013 18:59

      hi yes it is a fact , Father Joe was a Poplar boy , he was my great uncle . I am the grand-daughter of his sister, Doll , who is mentioned in his book. i am glad it has been noted. i have signed copies of his autobiography.

  4. Valerie Wright permalink
    January 23, 2012 13:33

    I would like to know why Father Joe Williamson was portrayed as being Irish. He was born in Arcadia Street, Poplar, East London. I knew Father Joe as his brother George was in my extended family.

    • January 26, 2012 16:36

      Was it maybe to suggest that he was a Catholic priest?

    • carol howe permalink
      February 22, 2013 19:06

      he was a POPLAR boy , my great uncle, i don’t understand why he was portrayed as IRISH, he wasn’t a Catholic priest . i lived in the house in POPLAR where his mother lived, with my father, his nephew, and my grandmother his sister.

  5. Rose permalink
    January 23, 2012 18:19

    thought miranda hart’s performance last night was excellent – had pathos, humour, empathy – everything. Bet you it gets an award!

  6. Anna English permalink
    January 24, 2012 11:02

    Thanks BBC for a brilliant Sunday night programme – at last! I love it!!!

    Anna

  7. Jinnyn permalink
    January 24, 2012 17:17

    I’m sure I saw on television this story. I can’t remember if it was a series or a film. When I’m watching the series I know what’s coming next some of the time.

  8. carol petteford permalink
    January 24, 2012 19:33

    Brilliant Sunday night viewing – looking forward to the rest of the series but pleazeeeeeee could someone tell me the name of the male voice in the second episode who is singing the song ‘embraceable you’

  9. karen kadoe permalink
    January 24, 2012 19:53

    Hi just to inform you that I trained and worked as a Midwife in the seventies with the Nuns in Poplar,Bow and Isle of Dogs. I also cycled for 3 yrs on the job. I worked with them as a Community Midwfe from 1972-1979.

    • Fiona Stephenson permalink
      February 11, 2013 18:44

      Hi Karen,
      You may not remember me but I was a student midwife, doing part 2 with the Nuns in 1972. You were there as was Doris( don`t remember her surname).
      Brings back many memories.
      Best Wishes
      Fiona Stephenson

    • February 11, 2013 18:54

      Thank you Fiona!
      If anyone wants me to put them in touch with anyone else in this community, please contact me (via Contact, above) and I’ll gladly forward your email to the other person. :-)

  10. Sue Martin permalink
    January 25, 2012 16:16

    As a teenager growing up in London and Kent in the 50/60s, I can relate to the atmosphere created in this absolutely wonderful drama. The acting is second to none; I look forward with enthusiasm to the coming weeks’ broadcasts. Well done to the writer for her foresight in seeing that the book would make such a superb production.
    Sue Martin

  11. Annette Elmore permalink
    January 25, 2012 16:18

    Does anyone know who sings the version of “you belong to me” in this show – I don’t watch telly but Lynda at work wants to know!

    Annette

    • carol petteford permalink
      January 28, 2012 18:31

      Hi Annette,

      We are enjoying the series too and madly looked to find out who sang ‘You Belong To Me’ and pretty sure it was a group from the 50s called ‘The Duprees’ You can hear it on You Tube. The other song ‘Embraceable You’ was sang by the Solitaires. Hope this helps your friend.

      Carol

  12. City Walls permalink
    January 25, 2012 19:29

    This is such a lovely programme and one of the type that the BBC really excel at. One that can be watched by the whole family (even the birth scenes!). It makes such a change to some of the rubbish that is on at the moment. Keep up the good work – and the quality.

  13. January 26, 2012 16:40

    I have very enjoyed the first two episodes and look forward to the next Sunday evenings. I have even bought the book! The acting is superb and the stories are excellent! Well done BBC!

  14. Pearl permalink
    January 28, 2012 14:29

    I just wanted to say how much I am enjoying Call the Midwives. I was mortified when Larkrise to Candleford came to an end and wondered what could replace such a great series and what could I watch to fill the gap in my Sunday evenings. Well, Call the Midwife certainly does and I just wanted to add how brilliant Miranda Hart was last week. Really looking forward to the rest of the series and am so glad to hear that another series has been commissioned. Well done BBC.

  15. Lyn permalink
    January 29, 2012 21:07

    Loving it and loving the music. Brings back memories of my father singing these songs.

  16. January 29, 2012 21:30

    My father sang in a group in the 50’s called the Hough brothers and the theme could be mistaken for them. It brings back memories. Thanks BBC.

  17. tracy permalink
    January 29, 2012 21:36

    just watched the latest episode, and it was brilliant! acting is great the detail is spot on and i cried when Joe passed away….and when she gave birth to the black baby and the hubby’s reaction, just fabulous! all of the actor’s should be proud of this programme….can’t wait for next week’s, thank you BBc.

    • alex permalink
      June 22, 2012 20:43

      detail so good baby measured in centimetres in 50s england ……….dont think so

  18. January 29, 2012 21:46

    Call The Midwife: A BBC1 Triumph For Real People – new blog

    Dear all,

    Thank you so much for the great comments here about this really excellent BBC TV1 Sunday evening series ‘Call the Midwife’.

    In case anyone’s interested, I’ve now also posted a blog about why people love the series so much on my other website, Dreaming Realist. I’ve entitled the post Call The Midwife: A BBC1 Triumph For Real People. Your comments are very welcome on that website too.

    Thanks again,
    Hilary

    @HilaryBurrage

  19. christine permalink
    January 30, 2012 14:40

    What a fantastic program,more please.

  20. Suzanne Andrews permalink
    January 30, 2012 15:10

    Loving the series, even my husband is enjoying it. Just a query, please, when the expectant mothers belly was measured in last nights programme the measurement was given in centimetres, Would this be correct?
    Many Thanks

    • January 30, 2012 15:19

      I too noticed that cms not inches were cited! In the 1950s…? Any views, anyone? (Maybe the measurement in cms relates more easily to weeks? Or maybe they were ‘translating’ for us C21st folk?)

  21. January 31, 2012 11:20

    well done BBC this is a brilliant series, glad to hear its going to have a second series.the music featured in this series would make a wonderful CD

  22. Paul permalink
    January 31, 2012 14:35

    Excellent series. My wife used to be a midwife until 2009. She was suprised at the use of centimetres rather than inches. She was also disappointed in how black the ‘mixed race’ baby was. Maybe it was artistic licence.

  23. debbie permalink
    January 31, 2012 23:21

    I noticed the centimetres reference and not inches, I am sure that can’t be correct, I do hope they haven’t used centimetres just to be politically correct now we’re supposedly metric. We know what an inch is!

  24. Mary permalink
    February 5, 2012 20:18

    Lets see how much false depiction is portrayed this week about the people of the east end….what a load of condescending patronising crap ! but clearly everyone seems to be brain washed by reading this exaggerated drivel and into believing that these middle class halo clad mid wives came to the aid of the ‘poor un-educated ‘ people of the East End to save them from the Abyss that was the poverty of the East end !! Honestly! What would we have done without them?!!

    When is someone going to write a true account of how life was for people in those days ? But oh no wait what would be the point as the BBC wouldn’t want to broadcast that, it would rather please those who prefer to believe all this crap was true! I’ve said it before and I’ll say it again the author should be hanging her head in shame!

    • February 5, 2012 23:43

      Sadly, Mary, the original author of these stories died just last year. As the BBC has told us, her name was Jennifer Worth and she wrote the first of her three books about a decade ago. The whole BBC series in based on Jennifer Worth’s personal recollections, as a real midwife actually working in the East End in the 1950s. (Fortunately Jennifer Worth was at least able to give her permission for these films to be made before she died.)

      And much of what we are told in this series of stories relates closely too of course with the work also in the 1950s / 60s of people such as the social researchers Willmott and Young, who published their findings in a number of books including ‘Family Life in East London’.

  25. Mike Ball permalink
    February 5, 2012 21:18

    The car used tonight part 3 was well advance of its time. Car 5778NK is a green Rover 100 saloon and its year of manufacture was 04/01/1961. So he had a car from the future and not from the 50’s. But I love the show.

  26. Nicky permalink
    February 5, 2012 22:48

    Does anyone know the name of the piece of music played on the violin in tonights show? Thanks,Nicky.

    • February 5, 2012 23:46

      I think the piece is more often played on the cello: http://www.youtube.com/watch?v=zNbXuFBjncw.
      This cello version is performed by Yo-Yo Ma. It’s The Swan by Saint-Saens.
      Maybe others know of a violin solo version?

    • Nicky permalink
      February 6, 2012 13:46

      Just watched this on you tube, it was amazing. Thanks so much.Kind regards ,Nicky.

    • February 6, 2012 17:15

      That was no violin, it was a ‘cello we heard playing in the programme. I expect ithe Swan can be transcribed and played on the violin, but I have never heard it. I have just searched though Jennifer Worth’s book and there is no mention of any piece of music played by the beautiful woman who died of eclampsia.

  27. February 6, 2012 20:31

    Nicky and Zsuzsanna:

    I just checked, and in fact it was The Swan which we saw played on the violin (about 7 or 8 mins into the programme: http://www.bbc.co.uk/iplayer/episode/b01bzs2l/Call_the_Midwife_Episode_4/), but obviously in a different key to that used in the Yo Yo Ma normal cello version.

    I’ve also now found out that there is an arrangement for violin and piano by none other than Jascha Heifitz. Here’s a clip of Rudolf Koelman and Ferenc Bognar playing it: http://www.youtube.com/watch?v=L41pDHOmVIA

    I don’t recall any mention of this piece of music in the book, either, but Jennifer Worth did of course move from midwifery to become a professional classical musician, so perhaps she told someone about it when they were planning the programme? Or maybe someone just thought it was nice…?

    • February 13, 2012 03:10

      can you tell me please the name of the intro song?

    • February 13, 2012 10:01

      Thank you Hilary for the research, I have looked at the clip again and you are right she did play the Swan on the violin.
      I have just finished reading the book and I can’t stop talking about it to anyone I meet.
      Only one more episode! So sad!!
      Please try to persuade the BBC to make a follow on!

    • February 13, 2012 10:07

      Thanks to you, too, Zsuzsanna… and you’ll be delighted to know, we gather there will indeed be a follow-up series! Couldn’t agree more that this is excellent news!

  28. Ken bailey permalink
    February 12, 2012 21:45

    Hi there was a female vocalist singing softly in the back ground. Someone to watch over me? Into nights episode of call the midwife. Any ideas who this was. Thanks k.b

  29. Hannah permalink
    February 13, 2012 19:41

    Trixie is based on my grandmother. I love how the character is so well depicted. Send me any questions you may want to ask her about her experience with Jenny.

    • February 13, 2012 21:23

      Hannah, how lovely!! I’m sure people will indeed have questions…. Thank you so much.

  30. Mrs Barbara Fitzgerald permalink
    February 14, 2012 21:15

    I love this series, it reminds me of my childhood, I was born in 52 my mother had 8 children, I was the eldest, all except one were born at home with a midwife attending. This series makes me realise how lucky we women are today to have the fantastic hospital treatment we have today, although my youngest child (no 4) was born at home with my husband and mother in attendance. The child a boy who is now 27 was not due for another 6 weeks but decided to make an early appearance on Christmas night/boxing day. He arrived before the ambulance/doctor arrived and thankfully was safely delivered. Love the music, especially the voilin piece and so glad I looked up this site to find out the name of the music. I intend to get this piece of music. Thank you for a great series, glad it will be back.
    Barbara

  31. maria permalink
    February 15, 2012 16:00

    can anyone tell me the name of the song in the intro… fantastic series by the way loving every episode .x

  32. miss lea simpson permalink
    February 19, 2012 21:29

    Call the midwife is one of the best programs I’ve seen in a long time absolutely fantastic made me smile

  33. tina parsons permalink
    February 26, 2012 18:01

    fantastic series fantastic cast roll on more of the same

  34. Jane permalink
    February 26, 2012 19:17

    I agree with Mary – “….what a load of condescending patronising crap ! ” I read the book ‘Shadows of the Workhouse’ based on her short stint as a district nurse and it seemed to me that she used the old man and his reminiscences to weave some fantasy around herself. She even quotes the ‘Say that Jenny kissed me’ poem as she recounts her final meeting with the old man when he’s moved into a care home.

  35. Lauri permalink
    February 26, 2012 19:48

    Really gutted this series has finished! BRING BACK ANOTHER SERIES…PLEASE!!!

  36. Patricia Henderson permalink
    April 2, 2012 11:16

    Please, please, please…..can we have a CD of the music of Call he Midwife!

  37. Susan Robinson permalink
    October 15, 2012 01:10

    who sang the solo song in tonight’s episode October 14, 2012
    sounded like Perry Como

  38. Yaakov Sullivan permalink
    November 12, 2012 20:08

    I enjoyed this series immensely and hope to see more of it. I wonder if the order of Anglican nuns portrayed in the series is based upon the Sisters of St. Margaret who were a nursing order at that time and had their Motherhouse in East Grinstead. Does anyone know?

  39. Julie Line permalink
    January 8, 2013 15:47

    I see this from a different angle. My Mum qualified as a nurse in 1956. She now lives in a care home as she suffers from dementia. This programme brings to life what her world would have been like as a young nurse. It gives me ideas for ways to stimulate her memory of that time just before I was born.

    I am working to create a 1950s memory room at her carehome so I am using the programme for ideas for items to include in the room. All donations are gratefully received and ideas appreciated!

    A great series Thank You

  40. Nigel permalink
    January 28, 2013 21:12

    Having watched the programme I think they’ have slipped up on the Scouting issue. As a wolf cub you would salute with two open fingers, by saluting with two closed fingers you are using the brownie salute. A small issue but a correct issue.

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