Fleetwood Shuttleworth is 17 years old, married, and pregnant for the fourth time. But as the mistress at Gawthorpe Hall, she still has no living child, and her husband Richard is anxious for an heir. When Fleetwood finds a letter she isn't supposed to read from the doctor who delivered her third stillbirth, she is dealt the crushing blow that she will not survive another pregnancy. Then she crosses paths by chance with Alice Gray, a young midwife....

Following the death of her beloved mother Jennifer Worth in 2011, Suzannah Worth discovered amongst her manuscripts a folder simply labelled 'Fifth Book'. Imagine her excitement when she sat down to read and her mother's distinctive voice came flooding back. She found herself once again immersed in the world of the 1950s East End of London. The voices of much loved, familiar characters spoke loud and clear, particularly that of Fred the boiler man,...