When harsh conditions at a home for unmarried expectant mothers are exposed, Chummy and Patsy are required to take over the running of the home, and later help a young mother decide that she is not as set on giving her baby up for adoption as she had thought. Cynthia wrestles with a calling to become a nun, but an encounter with a former mental hospital inmate helps her to make up her mind and she leaves midwifery behind to become a postulant.

A chance encounter with an impoverished child forces Trixie to see an unfamiliar darker side of life. As Nonnatus House welcomes a new resident, Nurse Barbara Gilbert, Tom Hereward has a surprise romantic gesture in store for Trixie.