It's 11.30am on a Thursday morning at Wythenshawe Hospital's antenatal clinic.
Already the maternity ward is loud with the chatter of expecting mums, who patiently wait to be seen for routine scans and appointments.
As they wait, some of the women are offered a dose of the coronavirus vaccine - in a drive to protect more pregnant ladies against the effects of the virus.
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One mum-to-be arrives for an appointment with her husband. She informs midwives she's been thinking about getting the jab, but admits she's 'on the fence.'
Antenatal clinic manager, Tara Kennedy, asks her to sit down and carefully explains to the lady and her partner why the vaccine is so important for women like her.
Tara and her colleagues at Wythenshawe's Maternity Unit have seen a heartbreaking number of pregnant women who've become seriously ill after contracting Covid-19 in recent months.
Some of them have tragically lost babies, whilst others are still living with the devastating, long-term effects of the virus.
The team at Wythenshawe Hospital are acutely aware that the decision about whether to have the vaccine is a particularly sensitive, and difficult topic for some pregnant women.
That's why Tara and her colleagues are spending so much of their time educating women, and encouraging them to make a decision that's right for both them, and their baby.
After spending a few minutes talking, the lady and her husband are left in peace to make their own decision.
A short while later, she informs Tara that both she and her partner would like to have the vaccine there and then.
When the vaccine was first approved in the UK in late 2020, pregnant women were initially told not to have the jab because of a lack of data on the impact.
But after a study showed 90,000 pregnant women had been vaccinated without any safety concerns, the Pfizer and Moderna jab was approved in April this year.
According to figures published by the NHS, since May, just three women have been admitted to hospital with coronavirus after having their first vaccine.
In contrast, almost all (98%) pregnant women admitted to hospital with Covid-19 had not been jabbed.
That figure is closely reflected when the Manchester Evening News visited Wythenshawe Hospital at the beginning of September.
None of the pregnant women being treated by the maternity unit, or in intensive care are fully vaccinated.
"When our ladies have come in with Covid it's been very difficult as they've been very very unwell - that's the sad truth about what's happening now," says Deputy Head of Midwifery, Sarah Owen.
She and her colleagues have been deeply impacted by the significant number of pregnant women becoming seriously ill with the virus over the last few months.
"With the new Delta variant and the fact the majority of the population have already been vaccinated, it's the pregnant women we are seeing unwell with Covid now," Sarah adds.
"It’s worth noting that at the start of the pandemic we protected our pregnant women so carefully. They didn’t work, they stayed at home, they were hidden away.
"As things have moved on and we’ve learnt we can go back to normal safely that is impacting pregnant women. The different factor now is a lot of these women are not vaccinated."
In July, the national picture for pregnant women was bleak.
Hospitals across the country saw the highest admission of pregnant women to intensive care throughout the whole of the pandemic.
This has demonstratively put a huge strain on staff at Wythenshawe's Maternity Unit, which is headed up by Consultant Obstetrician at Manchester University NHS Foundation Trust, Teresa Kelly.
"Before Covid it wasn’t often that we would have to go and see pregnant women in intensive care. Now we are regularly going and seeing people in intensive care," she says.
"The partners can’t come in, the women aren’t seeing their babies, it’s really traumatic.
"It’s very stressful to see when women are breathless and they get unwell and they are coughing. If the women start to get sick their oxygen levels drop so then the babies oxygen levels will drop.
"We’ve seen women’s babies get so sick that we have had to do an emergency delivery because we are really worried about the condition of the baby."
Motivated by the tragedy they've witnessed, Teresa and her colleagues have held open weekends and vaccine clinics at the hospital, in an effort to educate more women about the vaccine.
In Manchester, around 45 per cent of pregnant women had received one dose of the jab at the start of September.
"The figure is much better than the national picture but it’s not where I’d like it to be," says Teresa.
"We just want to get over the message that this vaccine is safe and we recommend it in pregnancy. We don't recommend Covid."
During our visit to Wythenshawe's antenatal clinic, we spoke to a number of pregnant women about their thoughts on the vaccine, and what it means for them.
Zoe Bowring was at the 25-week mark when we spoke to her, and had been attending the antenatal clinic for a routine diabetes test.
The 30-year-old from Wythenshawe had recently had her second jab, but like thousands of women across the country, admitted the decision had been extremely difficult.
"I was on the fence for a long time," she says candidly.
"I just didn’t know what was the best thing for me and my baby.
"The turning point for me is that I work in a nursery and there were quite a few people off isolating with Covid-19 and I just thought I need to just get this done.
"My baby is due around Christmas and someone said to me if your lungs weren't working for the baby that’s not going to be good.
"The risk of getting covid out weighted the risk of getting the vaccine. I feel confident in my decision too."
Zoe says she didn't suffer any side effects after getting the jab, and feels her decision has improved her confidence to carry on enjoying her busy lifestyle.
"I think I would feel more anxious if I had not had it done," she adds.
Toneill Bala is 28 weeks pregnant with her first child and has just arrived at the clinic to have her second dose of the vaccine.
Pregnancy hasn't been easy for the 28-year-old, who has been shielding since she fell pregnant in March, meaning she hasn't had contact with her family in months.
She was reluctant to have the vaccine at first due to 'conflicting' messages, but believes it is now the safe thing for her to do for her and the baby.
"Initially I didn't want to have the vaccine. The advice I was given was conflicting so I tried to do my own research," she says.
"When the guidance changed and they decided it was safe, and when the lockdown rules relaxed it was then that I decided to get it done.
"Now it's one less thing to worry about. I just had a sore arm after the first vaccine but that was it.
"My friends who are pregnant are very much 50/50 about it. You can't force people to have it but I have sent them the research that encouraged me to get it."
Toneill explains her reason for getting the vaccine is to minimise her risk of being admitted to hospital or losing her unborn baby if she were to contract coronavirus.
When she is fully protected, she hopes to be able to spend her final months of pregnancy doing 'normal things.'
"What I am looking forward to is taking part in some prenatal classes like yoga. The pandemic has really restricted my experience of pregnancy," she says.
"I would love to be able to attend some more classes and spend time with other pregnant women. I am grateful for the vaccine.
" Hopefully if I do get coronavirus now it will be more manageable."
Anna Donaldson is 25 weeks pregnant with her second child and is attending the clinic with her husband for a routine growth scan.
The 35-year-old has cystic fibrosis and was vaccinated in January as she was classed as a 'high risk' group.
For Anna and her husband, the vaccine gave them the protection they needed to add to their growing family.
"We actually stopped trying for a baby during the first months of the pandemic because we didn’t want to be pregnant until I could be vaccinated," she says.
"I don’t think we would have even attempted to get pregnant if the vaccine hadn’t come.
"For me, looking after myself is the best way of looking after my baby. For me the vaccine is part of that and making sure I stay well and healthy so the baby can carry on growing."
Anna and her husband's experience of the pandemic has been particularly challenging, as the couple were forced to live apart for several months during the first lockdown.
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"My husband is an NHS frontline worker and I have cystic fibrosis so we lived apart between March and July 2020," she says.
"It was really difficult. We were both right at the front of the vaccine queue when it was approved.
"Having it has made a huge difference to our lives."
In Teresa's experience, many pregnant women she has spoken to remain hesitant about the vaccine, and believe it will be safer for them once they've given birth.
But she knows first-hand that the consequences of becoming seriously ill with coronavirus while pregnant can be devastating.
"We've known for a long time that coronavirus increases the risk of prematurity and we've seen it increase the risk of stillbirth as well," Teresa says.
"You're getting much stronger drugs if you end up in intensive care and you might end up needing to have your baby delivered early.
"That might not be a big deal at 36 or 37 weeks but if it's 26 weeks then that's got a lot of consequences for the baby. The treatment for covid and the consequences are much worse."
For the team at Wythenshawe Hospital, sadly, the number of pregnant women being admitted with coronavirus doesn't appear to be letting up any time soon.
"I would argue that we are still seeing a lot of seriously ill pregnant ladies," says Sarah Owen.
"I think the rise is still there for pregnant women. I don’t think we’ve reached the peak of that yet."
After everything Sarah and her colleagues have witnessed over the last 18 months, each of them feels duty bound to advise women on the best way to protect themselves and their baby.
She recalls the terrifying number of previously fit and healthy women in their 20s who have become 'very sick' with covid.
"People talk about the risks of what might have happen in the future," she says, speaking about vaccine hesitancy.
"But you've got to get to the future. We've got to do everything we can to get a woman through pregnancy safely.
"There are always concerns about vaccines and I think as women and as mums you prepare to take that risk for yourself but when you’re making that decision for your unborn child it just adds another layer of complexity.
"I think women just want to know that what they are doing is the right thing.
"Because we weren’t able to shout that from the rooftops at the beginning, it’s something we’ve really worked hard at to try and improve."