April (2024) Movie Script
- Cranes...
- Are flying...
- Where to?
- Far away.
How many?
Five.
- One,
- Two,
- Three,
- Four,
Five.
I got you! I got you!
Nina.
Nina.
Where are you going?
APRIL
Do what I tell you.
Deep breath.
Breathe.
It started?
You'll give birth in a moment.
Breathe.
Open your mouth, breathe.
Slowly.
Reduce the IV.
Slow down the IV.
Slowly, slowly, slowly.
One, two, three.
You're a good girl. Push!
One, two...
He's out!
Little more!
Push, my girl, push.
Push!
Push!
One, two, three.
Do what I tell you, it's almost over!
Push! He's out! He is out!
Help me!
It's all good, you made it!
My baby.
He isn't crying.
He's not crying.
I am so sorry.
You are sorry now.
Nina.
This young man demands,
as he is entitled to do,
to know exactly
what happened, and why.
I understand.
I'll try to explain what happened,
step by step.
She had not registered her pregnancy.
So, she was not being monitored
by routine check-ups and testing.
So it's our fault, then?
This is not productive.
He has already called
for a police investigation.
After the investigation,
we will know everything that happened.
She was fine when we came in.
What happened?
I did everything in my power.
Then why did my baby suddenly die?
Believe me, we all feel your pain.
I am a father of two, in fact.
Why wasn't my mother allowed in the room?
We have strict policies on who can
be present in labor and delivery.
To ensure a sterile environment,
only medical personnel are allowed.
No exceptions.
I understand your questions.
Your loss is incomprehensible.
We will do everything in our power
to get answers for you.
If I had known it would be her,
I'd have done all I could
to keep her away from my wife.
Nina is our leading OB-GYN specialist.
She has delivered thousands of babies.
This is the first case of...
I don't know if another doctor
would have been more effective.
I don't know what I would have done.
When there are complications
during delivery,
we always bring in Nina.
There is no point
in casting blame around right now.
David,
I'm asking you to supervise the inquest
into what happened.
Trust me, no one is trying
to avoid responsibility here.
I am following
numerous patients right now.
I know, David.
I will personally clear your schedule.
Well then, please excuse me.
I have to go,
I have patients waiting for me.
I'll be right back.
I know you give abortions
in the villages.
You're a murderer.
Come. Come.
Come. Come with me.
I'll feed you.
Hello.
Hello.
Get in, I'll give you a ride.
Heading up to the village?
Up to the lake,
but I can drop you in the village.
Okay.
Are you from around here?
No, I'm not.
I'm visiting a relative.
When we were kids we vacationed here
with my sister and our parents.
At those fish farming lakes
that have really muddy water.
It's dangerous.
We weren't allowed to go swimming.
I was 11 or 12...
when my sister and I
snuck out to the lake.
My sister got right into the water.
She got stuck in mud
and was unable to get out.
I was so afraid
that I would fall into the mud
that I did not dare
to enter the water to help her.
I didn't dare run home to call for help.
I was scared to leave her alone.
I just sat there and cried.
I was terrified
she would drown in the mud.
But worse, filled with shame
that I was too scared
to get in and help her.
Did she drown?
No.
She's a happy mother of two.
Do you want me to blow you?
Go ahead.
I'm tired.
What's your name?
Are you mute now?
Lick me.
Come in.
Can I come inside?
Yes, of course.
I came to ask for your help.
If anyone else leads the investigation,
they'll just use it
as an excuse to fire me.
But I don't need your protection.
I didn't make any mistakes.
I just want a fair investigation.
Whatever your conclusion is,
I trust your judgement.
You're the only person I trust here.
I trust your professionalism
and knowledge.
Why didn't you do a C-Section?
She didn't want one.
And I have no right to force it on her.
She wasn't in any condition
to make that choice.
I had no time.
Couldn't wait for test results.
It was an unregistered pregnancy.
She hadn't been seen
by anyone for six months.
The safest choice for her
and her baby was a C-section.
You knew this.
Yes.
But the mother wanted a natural birth.
Nina, she wasn't in her right mind.
I've delivered many babies this way,
with no fetal monitoring prior.
Through pre-term labor too.
Had you chosen to do a C-Section,
we could have avoided all of this.
You wouldn't need to take responsibility.
All these rumors
going around about you...
He's looking for a reason to fire you.
Preferably, based on my report.
I didn't make a mistake.
Other than my job,
I have nothing to lose.
Let's see what I can do.
How have you been?
I have been fine.
Do you have someone?
No.
No lovers?
No relationships in eight years?
No.
You were always irrational.
We were young.
Those rumors about abortions.
If they're true,
you're throwing your life away.
No one will thank you,
and no one will defend you.
I know.
You never let me...
help you.
That woman was relieved
the child was dead.
She was so tranquil and peaceful.
Don't repeat that nonsense
to anyone, okay?
Thank you for finding time.
Please have a seat.
Where are the kids?
Everybody is in the field.
It seems she's pregnant.
She missed her period.
Just one month?
I can't remember if she had it last month
but I'm certain she missed it this month.
Mzia, we are going to destroy
her physical and mental health this way.
If she has this child,
we can't stay in the village.
I swear,
I don't know who gets her pregnant.
I don't know how she sneaks out.
I always keep her by my side.
I understand.
But it is her right to become a mother.
Don't you agree?
If my husband finds out
that someone got her pregnant,
I don't know what he would do.
We will have to leave this place.
It's such a shame.
What about the pills I had suggested?
If she takes pills,
we won't need abortions anymore.
Will she take the pills?
She'll forget.
She won't do it daily.
Why don't you try the pill as well?
Look at how exhausted you are
with all the work at home
and all the children.
Only as many as God gives me.
If you take the pill,
it will stay between us.
I can't take the pill.
She can't either.
Come on.
Take this off.
And this too.
Stop it. Stop it.
I'm here, don't be afraid.
Stop it.
Mzia, this is more
than a month pregnancy.
The embryo is bigger.
Mzia, do they talk about me
in the village?
I don't know.
Can I offer you coffee?
No,
I have to see other patients
in the villages.
When can you come back?
I'll see what I can do.
Please try to relax.
It's not going to hurt.
Relax the leg.
Good.
Put your legs down.
Okay, go get dressed.
Come, sit down.
Your mom called me.
She's worried
that you're not pregnant already.
Let's look into your medical records.
Khadija Ismailova, 16 years old.
Date of marriage, December 2022.
Khadija, do you want to be a mother?
Really?
You're so young,
you can also wait a bit.
In five years?
You're healthy.
But your body is just not ready yet.
Do you really want a child now?
I was washing myself
with the laundry soap after sex.
A friend told me
that I would not get pregnant this way.
Listen.
Soap and things like that
won't save you from pregnancy.
How old is your husband?
Seventeen.
He wants to have kids?
Yes.
Do you go to school or did you drop out?
I go to school.
There are pills...
When a woman takes those pills,
she won't get pregnant.
I'll give you these pills,
but don't tell anyone, okay?
No one should know about it.
You need to take them daily.
But when you want to have a child,
you stop taking the pill
so you can get pregnant.
They can't find out?
They will bring you to me for check-ups.
You need to take this every day.
After breakfast.
You eat, then you take a pill.
If you feel nauseous, sick...
You need to tell me.
Alright?
You promise
you'll tell me if you feel sick?
I do.
No one should know I gave you these pills.
Or both of us will get in trouble.
This needs to be our secret.
You promise?
I promise.
Take this.
Did you use forceps?
I did not.
Could it have been physical trauma?
No.
How many weeks?
Thirty weeks.
Alright, let me look.
Let's first check the lungs.
This test will show
if he was able to inhale.
Everything is already clear here.
The lung tissue is not fully formed.
C-section is the protocol here.
We still need to check everything.
Please register:
Newborn male.
Preterm labor.
Gestation, 30 weeks.
Preliminary postmortem examination
of lungs show...
newborn respiratory distress syndrome.
Thank you for agreeing to do it.
If they fire you,
who will I stay here with?
People here
only work for salaries and benefits.
Nina, aren't you scared that someday
you'll get caught and lose it all?
No one wants to do abortions.
But someone has to do it.
Why should it be you? Let others do it.
You know that this is how nurses
make money on the side.
If something goes wrong,
can the nurse save the patient?
They can get abortions in Tbilisi.
But some cannot go to Tbilisi.
Others have to
keep the pregnancy secret.
Or can't afford the pill.
How can I deny them?
I am sure that you understand me.
Sooner or later,
the legislation will change.
Aren't you sending letters
to the Ministry?
Do they ever respond to you?
Do you have a shift tonight?
No.
The hospital is hosting
a concert this week.
All the children of personnel
are performing.
My wife is at home rehearsing
with all the kids.
They're singing.
Nico has a talent for music
like his mother.
Finally, someone being raised
not to be a doctor in our family.
I probably should not say this, but...
there are days when I miss you...
like I miss my childhood.
Why didn't you marry me?
Why do we keep talking about this?
You have to explain it to me
at some point.
It would never have worked out.
There's no space for anyone in my life.
And why is that, Nina?
Aren't you happy with your life?
In general, yes.
If you don't want a man in your life,
at least have a child.
Do you pity me?
It would change a lot for you.
How is your sister?
Does she come to see you?
No,
she vacations in Europe
when she has the time.
Madame!
Come here!
We have better cows here.
What are you looking at?
Good girl.
I think she really needs
something from us.
- Hello.
- Hello.
Can you wash my car next?
Yes, give me two minutes.
- Thank you.
- You're welcome.
Mzia, tie this please.
Thank you.
She'll be out in a second.
There's no one you suspect?
Who could it be?
No.
- Her legs are too tense.
- Calm down.
She needs to relax.
Calm down.
I need to do the injection.
Take a deep breath.
Breathe.
She's too tense, Mzia,
she needs to relax.
This hurts.
One more minute and we're done.
I'll clean you and then you can get up.
I won't stay for long.
My car got stuck in the mud.
I'll leave as soon as the rain stops.
In all this mud?
You won't be able to get your car out.
Come, sit with us.
Mzia.
Mzia!
Bring a plate out for our guest.
Thank you.
Come, come.
Mzia, I'm not hungry.
Please, not too much.
This is the woman
who helped deliver all of you.
She's a doctor.
Thank you.
Mzia, come sit with us.
I'll be there in a second.
I was just checking in
on some patients in the villages.
But I must get back to the hospital.
I have a shift coming up later.
It's not going to stop before dawn.
Where are you going all alone
in this weather?
It's dangerous.
What should I be scared of?
You might fall in the mud somewhere.
We're not worthy
of asphalt and paved roads.
But we have this new school now
that looks like a spaceship.
Mzia.
Mzia! Come here.
What are you doing in there?
Come sit with us.
Let them handle it for once.
They need to sleep.
They have school early tomorrow morning.
What are they even going to school for?
What are they studying?
I'll help you with the car.
Help me remove this.
Do your feet feel warm yet?
Fix it please.
Good.
Thank you.
- Did your legs warm up?
- Yes.
- Both of them?
- Yes.
Let's see your blood pressure.
Help me.
Move towards me.
Sopo, how do you feel?
I'm well.
Come closer.
Is she on her way?
Come in.
Hello.
Have you heard the news?
I have not, I just started my shift.
The police were here this morning
and wanted to speak with you.
A young woman was murdered
in one of the nearby villages.
The autopsy showed
that she'd recently had an abortion.
Neither the pregnancy
nor the procedure was registered.
Do you know anything about this woman?
What's her name?
She's deaf-mute.
How did it happen?
She had been sexually abused
by her sister's husband for years.
How did he kill her?
Do you need details?
Okay, calm down now.
We can't change what happened.
Did she die right away?
You want to know the exact time of death?
He deserves
the highest level of punishment.
Nina.
Did you perform the abortion?
Yes, I did it.
What about this hospital?
Did you even consider the consequences?
They'll scrutinize every single abortion
you have ever performed.
I can't speak about any others.
I can only discuss
this particular woman, this one patient.
If you confess to this one,
you'll have to say more.
They will make you
give them everyone's names.
We'll both spend
the next five years with detectives.
You'll have no more patients,
and no one will give you a job.
Anywhere.
Even if you're not arrested, Nina,
your life will be ruined.
And I will have to
assume responsibility with you.
I'll do whatever you tell me to.
Nina,
do you understand how laws work?
If you want to work,
you have to obey the rules.
Sometimes, the law may go
against our moral beliefs.
But it's nonetheless the law.
If it's not me, it'll be someone else.
Come in.
Should we come sit down?
Hello.
Shall we start?
Irma Iasalashvili, 18 years old.
Patient was not registered
in the consultation program,
therefore there is no record
or information.
Regarding the antenatal period,
diagnosis upon entering the ward:
Gestation thirty weeks,
cephalic presentation,
preterm labor,
turbid, cloudy amniotic fluid.
Male newborn,
weight: 1,450 grams,
40 centimeters long, in asphyxia.
Despite resuscitation efforts,
newborn death recorded
five minutes post birth.
The 10th of April, 2023.
3:30 in the afternoon.
Pathoanatomical diagnosis:
Principal: postnatal hypoxia
of a premature, hypotrophic newborn.
First complication: acute hypoxia,
massive aspiration of amniotic fluid,
primary atelectasis of the lungs.
No central nervous system function,
and acute focal bleeding,
intracerebral hemorrhages.
Swelling around the brain:
subarachnoid hemorrhages,
lack of circulation to endocrine glands
and parenchymal organs.
Second complication: prenatal hypoxia.
Underdevelopment of the lungs
with persistence
of focal vascular structures.
Dystrophic changes
in the brain and parenchymal organs.
Third concomitant:
bilateral polycystosis,
Potter's face, lung hypoplasia
Cause of death
of premature hypotrophic newborn is:
Postnatal hypoxia in the presence
of massive amniotic fluid aspiration
and primary pulmonary atelectasis
which developed
during chronic prenatal hypoxia
alongside hypotrophy
and fetal growth restriction.
In thanatogenesis,
the presence of multiple abnormalities,
lung hypoplasia
and bilateral polycystosis, is important.
Postscript: the patient was unregistered
so no imaging was done prior to labor.
In the condition of congenital defects,
induction or delivery is mandatory
before 22 weeks of gestation.
Signed, Forensic Pathologist
Tengiz Nanobashvili,
the 17th of April, 2023.
Perhaps God sends us hardships...
so we learn to overcome despair.
- Are flying...
- Where to?
- Far away.
How many?
Five.
- One,
- Two,
- Three,
- Four,
Five.
I got you! I got you!
Nina.
Nina.
Where are you going?
APRIL
Do what I tell you.
Deep breath.
Breathe.
It started?
You'll give birth in a moment.
Breathe.
Open your mouth, breathe.
Slowly.
Reduce the IV.
Slow down the IV.
Slowly, slowly, slowly.
One, two, three.
You're a good girl. Push!
One, two...
He's out!
Little more!
Push, my girl, push.
Push!
Push!
One, two, three.
Do what I tell you, it's almost over!
Push! He's out! He is out!
Help me!
It's all good, you made it!
My baby.
He isn't crying.
He's not crying.
I am so sorry.
You are sorry now.
Nina.
This young man demands,
as he is entitled to do,
to know exactly
what happened, and why.
I understand.
I'll try to explain what happened,
step by step.
She had not registered her pregnancy.
So, she was not being monitored
by routine check-ups and testing.
So it's our fault, then?
This is not productive.
He has already called
for a police investigation.
After the investigation,
we will know everything that happened.
She was fine when we came in.
What happened?
I did everything in my power.
Then why did my baby suddenly die?
Believe me, we all feel your pain.
I am a father of two, in fact.
Why wasn't my mother allowed in the room?
We have strict policies on who can
be present in labor and delivery.
To ensure a sterile environment,
only medical personnel are allowed.
No exceptions.
I understand your questions.
Your loss is incomprehensible.
We will do everything in our power
to get answers for you.
If I had known it would be her,
I'd have done all I could
to keep her away from my wife.
Nina is our leading OB-GYN specialist.
She has delivered thousands of babies.
This is the first case of...
I don't know if another doctor
would have been more effective.
I don't know what I would have done.
When there are complications
during delivery,
we always bring in Nina.
There is no point
in casting blame around right now.
David,
I'm asking you to supervise the inquest
into what happened.
Trust me, no one is trying
to avoid responsibility here.
I am following
numerous patients right now.
I know, David.
I will personally clear your schedule.
Well then, please excuse me.
I have to go,
I have patients waiting for me.
I'll be right back.
I know you give abortions
in the villages.
You're a murderer.
Come. Come.
Come. Come with me.
I'll feed you.
Hello.
Hello.
Get in, I'll give you a ride.
Heading up to the village?
Up to the lake,
but I can drop you in the village.
Okay.
Are you from around here?
No, I'm not.
I'm visiting a relative.
When we were kids we vacationed here
with my sister and our parents.
At those fish farming lakes
that have really muddy water.
It's dangerous.
We weren't allowed to go swimming.
I was 11 or 12...
when my sister and I
snuck out to the lake.
My sister got right into the water.
She got stuck in mud
and was unable to get out.
I was so afraid
that I would fall into the mud
that I did not dare
to enter the water to help her.
I didn't dare run home to call for help.
I was scared to leave her alone.
I just sat there and cried.
I was terrified
she would drown in the mud.
But worse, filled with shame
that I was too scared
to get in and help her.
Did she drown?
No.
She's a happy mother of two.
Do you want me to blow you?
Go ahead.
I'm tired.
What's your name?
Are you mute now?
Lick me.
Come in.
Can I come inside?
Yes, of course.
I came to ask for your help.
If anyone else leads the investigation,
they'll just use it
as an excuse to fire me.
But I don't need your protection.
I didn't make any mistakes.
I just want a fair investigation.
Whatever your conclusion is,
I trust your judgement.
You're the only person I trust here.
I trust your professionalism
and knowledge.
Why didn't you do a C-Section?
She didn't want one.
And I have no right to force it on her.
She wasn't in any condition
to make that choice.
I had no time.
Couldn't wait for test results.
It was an unregistered pregnancy.
She hadn't been seen
by anyone for six months.
The safest choice for her
and her baby was a C-section.
You knew this.
Yes.
But the mother wanted a natural birth.
Nina, she wasn't in her right mind.
I've delivered many babies this way,
with no fetal monitoring prior.
Through pre-term labor too.
Had you chosen to do a C-Section,
we could have avoided all of this.
You wouldn't need to take responsibility.
All these rumors
going around about you...
He's looking for a reason to fire you.
Preferably, based on my report.
I didn't make a mistake.
Other than my job,
I have nothing to lose.
Let's see what I can do.
How have you been?
I have been fine.
Do you have someone?
No.
No lovers?
No relationships in eight years?
No.
You were always irrational.
We were young.
Those rumors about abortions.
If they're true,
you're throwing your life away.
No one will thank you,
and no one will defend you.
I know.
You never let me...
help you.
That woman was relieved
the child was dead.
She was so tranquil and peaceful.
Don't repeat that nonsense
to anyone, okay?
Thank you for finding time.
Please have a seat.
Where are the kids?
Everybody is in the field.
It seems she's pregnant.
She missed her period.
Just one month?
I can't remember if she had it last month
but I'm certain she missed it this month.
Mzia, we are going to destroy
her physical and mental health this way.
If she has this child,
we can't stay in the village.
I swear,
I don't know who gets her pregnant.
I don't know how she sneaks out.
I always keep her by my side.
I understand.
But it is her right to become a mother.
Don't you agree?
If my husband finds out
that someone got her pregnant,
I don't know what he would do.
We will have to leave this place.
It's such a shame.
What about the pills I had suggested?
If she takes pills,
we won't need abortions anymore.
Will she take the pills?
She'll forget.
She won't do it daily.
Why don't you try the pill as well?
Look at how exhausted you are
with all the work at home
and all the children.
Only as many as God gives me.
If you take the pill,
it will stay between us.
I can't take the pill.
She can't either.
Come on.
Take this off.
And this too.
Stop it. Stop it.
I'm here, don't be afraid.
Stop it.
Mzia, this is more
than a month pregnancy.
The embryo is bigger.
Mzia, do they talk about me
in the village?
I don't know.
Can I offer you coffee?
No,
I have to see other patients
in the villages.
When can you come back?
I'll see what I can do.
Please try to relax.
It's not going to hurt.
Relax the leg.
Good.
Put your legs down.
Okay, go get dressed.
Come, sit down.
Your mom called me.
She's worried
that you're not pregnant already.
Let's look into your medical records.
Khadija Ismailova, 16 years old.
Date of marriage, December 2022.
Khadija, do you want to be a mother?
Really?
You're so young,
you can also wait a bit.
In five years?
You're healthy.
But your body is just not ready yet.
Do you really want a child now?
I was washing myself
with the laundry soap after sex.
A friend told me
that I would not get pregnant this way.
Listen.
Soap and things like that
won't save you from pregnancy.
How old is your husband?
Seventeen.
He wants to have kids?
Yes.
Do you go to school or did you drop out?
I go to school.
There are pills...
When a woman takes those pills,
she won't get pregnant.
I'll give you these pills,
but don't tell anyone, okay?
No one should know about it.
You need to take them daily.
But when you want to have a child,
you stop taking the pill
so you can get pregnant.
They can't find out?
They will bring you to me for check-ups.
You need to take this every day.
After breakfast.
You eat, then you take a pill.
If you feel nauseous, sick...
You need to tell me.
Alright?
You promise
you'll tell me if you feel sick?
I do.
No one should know I gave you these pills.
Or both of us will get in trouble.
This needs to be our secret.
You promise?
I promise.
Take this.
Did you use forceps?
I did not.
Could it have been physical trauma?
No.
How many weeks?
Thirty weeks.
Alright, let me look.
Let's first check the lungs.
This test will show
if he was able to inhale.
Everything is already clear here.
The lung tissue is not fully formed.
C-section is the protocol here.
We still need to check everything.
Please register:
Newborn male.
Preterm labor.
Gestation, 30 weeks.
Preliminary postmortem examination
of lungs show...
newborn respiratory distress syndrome.
Thank you for agreeing to do it.
If they fire you,
who will I stay here with?
People here
only work for salaries and benefits.
Nina, aren't you scared that someday
you'll get caught and lose it all?
No one wants to do abortions.
But someone has to do it.
Why should it be you? Let others do it.
You know that this is how nurses
make money on the side.
If something goes wrong,
can the nurse save the patient?
They can get abortions in Tbilisi.
But some cannot go to Tbilisi.
Others have to
keep the pregnancy secret.
Or can't afford the pill.
How can I deny them?
I am sure that you understand me.
Sooner or later,
the legislation will change.
Aren't you sending letters
to the Ministry?
Do they ever respond to you?
Do you have a shift tonight?
No.
The hospital is hosting
a concert this week.
All the children of personnel
are performing.
My wife is at home rehearsing
with all the kids.
They're singing.
Nico has a talent for music
like his mother.
Finally, someone being raised
not to be a doctor in our family.
I probably should not say this, but...
there are days when I miss you...
like I miss my childhood.
Why didn't you marry me?
Why do we keep talking about this?
You have to explain it to me
at some point.
It would never have worked out.
There's no space for anyone in my life.
And why is that, Nina?
Aren't you happy with your life?
In general, yes.
If you don't want a man in your life,
at least have a child.
Do you pity me?
It would change a lot for you.
How is your sister?
Does she come to see you?
No,
she vacations in Europe
when she has the time.
Madame!
Come here!
We have better cows here.
What are you looking at?
Good girl.
I think she really needs
something from us.
- Hello.
- Hello.
Can you wash my car next?
Yes, give me two minutes.
- Thank you.
- You're welcome.
Mzia, tie this please.
Thank you.
She'll be out in a second.
There's no one you suspect?
Who could it be?
No.
- Her legs are too tense.
- Calm down.
She needs to relax.
Calm down.
I need to do the injection.
Take a deep breath.
Breathe.
She's too tense, Mzia,
she needs to relax.
This hurts.
One more minute and we're done.
I'll clean you and then you can get up.
I won't stay for long.
My car got stuck in the mud.
I'll leave as soon as the rain stops.
In all this mud?
You won't be able to get your car out.
Come, sit with us.
Mzia.
Mzia!
Bring a plate out for our guest.
Thank you.
Come, come.
Mzia, I'm not hungry.
Please, not too much.
This is the woman
who helped deliver all of you.
She's a doctor.
Thank you.
Mzia, come sit with us.
I'll be there in a second.
I was just checking in
on some patients in the villages.
But I must get back to the hospital.
I have a shift coming up later.
It's not going to stop before dawn.
Where are you going all alone
in this weather?
It's dangerous.
What should I be scared of?
You might fall in the mud somewhere.
We're not worthy
of asphalt and paved roads.
But we have this new school now
that looks like a spaceship.
Mzia.
Mzia! Come here.
What are you doing in there?
Come sit with us.
Let them handle it for once.
They need to sleep.
They have school early tomorrow morning.
What are they even going to school for?
What are they studying?
I'll help you with the car.
Help me remove this.
Do your feet feel warm yet?
Fix it please.
Good.
Thank you.
- Did your legs warm up?
- Yes.
- Both of them?
- Yes.
Let's see your blood pressure.
Help me.
Move towards me.
Sopo, how do you feel?
I'm well.
Come closer.
Is she on her way?
Come in.
Hello.
Have you heard the news?
I have not, I just started my shift.
The police were here this morning
and wanted to speak with you.
A young woman was murdered
in one of the nearby villages.
The autopsy showed
that she'd recently had an abortion.
Neither the pregnancy
nor the procedure was registered.
Do you know anything about this woman?
What's her name?
She's deaf-mute.
How did it happen?
She had been sexually abused
by her sister's husband for years.
How did he kill her?
Do you need details?
Okay, calm down now.
We can't change what happened.
Did she die right away?
You want to know the exact time of death?
He deserves
the highest level of punishment.
Nina.
Did you perform the abortion?
Yes, I did it.
What about this hospital?
Did you even consider the consequences?
They'll scrutinize every single abortion
you have ever performed.
I can't speak about any others.
I can only discuss
this particular woman, this one patient.
If you confess to this one,
you'll have to say more.
They will make you
give them everyone's names.
We'll both spend
the next five years with detectives.
You'll have no more patients,
and no one will give you a job.
Anywhere.
Even if you're not arrested, Nina,
your life will be ruined.
And I will have to
assume responsibility with you.
I'll do whatever you tell me to.
Nina,
do you understand how laws work?
If you want to work,
you have to obey the rules.
Sometimes, the law may go
against our moral beliefs.
But it's nonetheless the law.
If it's not me, it'll be someone else.
Come in.
Should we come sit down?
Hello.
Shall we start?
Irma Iasalashvili, 18 years old.
Patient was not registered
in the consultation program,
therefore there is no record
or information.
Regarding the antenatal period,
diagnosis upon entering the ward:
Gestation thirty weeks,
cephalic presentation,
preterm labor,
turbid, cloudy amniotic fluid.
Male newborn,
weight: 1,450 grams,
40 centimeters long, in asphyxia.
Despite resuscitation efforts,
newborn death recorded
five minutes post birth.
The 10th of April, 2023.
3:30 in the afternoon.
Pathoanatomical diagnosis:
Principal: postnatal hypoxia
of a premature, hypotrophic newborn.
First complication: acute hypoxia,
massive aspiration of amniotic fluid,
primary atelectasis of the lungs.
No central nervous system function,
and acute focal bleeding,
intracerebral hemorrhages.
Swelling around the brain:
subarachnoid hemorrhages,
lack of circulation to endocrine glands
and parenchymal organs.
Second complication: prenatal hypoxia.
Underdevelopment of the lungs
with persistence
of focal vascular structures.
Dystrophic changes
in the brain and parenchymal organs.
Third concomitant:
bilateral polycystosis,
Potter's face, lung hypoplasia
Cause of death
of premature hypotrophic newborn is:
Postnatal hypoxia in the presence
of massive amniotic fluid aspiration
and primary pulmonary atelectasis
which developed
during chronic prenatal hypoxia
alongside hypotrophy
and fetal growth restriction.
In thanatogenesis,
the presence of multiple abnormalities,
lung hypoplasia
and bilateral polycystosis, is important.
Postscript: the patient was unregistered
so no imaging was done prior to labor.
In the condition of congenital defects,
induction or delivery is mandatory
before 22 weeks of gestation.
Signed, Forensic Pathologist
Tengiz Nanobashvili,
the 17th of April, 2023.
Perhaps God sends us hardships...
so we learn to overcome despair.