Turner and Shelagh are at the forefront of the advances in medical technology, and begin a campaign to ensure better respiratory health for their patients. However, Timothy fears their own lifestyle is not good for them and tries to encourage his parents to give up smoking. Violet injures her back and is forced to leave the shop in Fred's hands, a decision that strengthens their relationship but which proves to have other, unforeseen consequences. A new mother's past comes to light, with devastating repercussions for her family. Nurse Crane draws on her own experiences to help her.

Poplar is rocked by a series of violent attacks on women, and a prostitute is too ashamed to report what she knows - but her actions lead to a dangerous man roaming the streets, with devastating consequences for the residents of Nonnatus House. A mother tries to keep her daughter's pregnancy a secret to avoid gossip, putting her life in danger. The Turners go on a long overdue holiday, but the weather ruins their plans.

The winds of change are blowing through Poplar, as a new government paper calls for the eradication of small hospitals in favour of large general hospitals. Dr Turner and Shelagh are informed that an inspection of the maternity home will decide its fate.

An expectant mother with financial struggles enters into a painful arrangement with her cousin. As Tom provides pastoral care, he reveals why this case touched him more than most.