A mother-of-three has revealed how she had no idea she was pregnant until she went into labour and gave birth to her fourth child on her bathroom floor.
Sarah Bailey, 29, from Middlesbrough, North Yorkshire, was already mother to son Rio, 11, and twins Isabella and Tamiya, almost two, with partner David Lee, 29, when she started experiencing pain in April.
Sarah thought she may be constipated, but when she began to lose massive amounts of blood, her mother Pat, 60, took a look to see what was happening and realised she was in labour.
Minutes later, Pat was delivering her own granddaughter - Desirae, who weighed a healthy 7lb 14oz, on the toilet floor as Sarah blacked out.
Sarah said the surprise birth had come as a complete shock as she had been using contraception with her partner, hadn't gained any weight during her pregnancy and had continued to have what she believed were her periods. And she had drunk alcohol throughout.
Later Sarah was told that the position of her placenta, which was in front of her uterus, was masking her bump.
And there was further shock to come when Desirae stopped breathing shortly after her birth but thanks to quick work by paramedics, who quickly arrived on the scene, mother and baby were both doing well.
Speaking about the moment she gave birth, Sarah said: 'It was so surreal. I could hear the voices and remember seeing a commotion around me, but it all felt miles away, like I wasn't really there.
'I'd had no idea I was pregnant, let alone seconds away from giving birth.
'When Desirae was born, I felt guilty that I'd been drinking and running around on my feet all day as normal while I'd not known she was there.
'I asked the doctors if it was my fault she hadn't been breathing at first, but they said it was just where her body had gone into shock.'
Desirae's birth on 12 April wasn't the only surprise Sarah and her partner, security worker David Lee, 29, had experienced.
After having their son Rio, now 11, the couple spent years as a family of three.
Then, in 2016, they decided they were ready to expand their brood, so Sarah had her contraceptive implant removed - and ended up conceiving twin girls, Isabella and Tamiya.
'We were dumbfounded when we found out. Twins run in both our families, so I suppose it was inevitable, but suddenly we'd gone from a three to a five,' she said.
'When the shock passed, we were delighted though.'
Sarah took to Facebook to make the shock announcement about the new arrival, writing: 'Well what a day its been didn't think for 1 min we would be ending our day with our extra addition to the family, no idea I was pregnant let alone ready to give birth.
'We have no name yet but every1 meet our little girl.
Baby bailey-lee born at home 2.50pm. 7lb 14oz xx.'
Sarah's pregnancy with her girls wasn't all plain sailing, though, as they were born seven weeks early on September 11 2016, meaning they had to spend 17 days in hospital in incubators before they were strong enough to be discharged.
From there, life ticked along as normal for the family, with them all jetting over to Ireland for a wedding in August 2017.
There, drinks flowed as guests toasted the happy couple – something Sarah now looks back on with feelings of guilt.
'It was my brother's wedding, so I'd gone to his bride's hen do then the big day,' she recalled. 'We've since been able to work out that I must have conceived in July 2017, so it feels bizarre to look back on those wedding photos now knowing I was pregnant in them.
'I feel bad that I drank, but I had no idea Desirae existed then.'
For months, Sarah showed absolutely no symptoms of pregnancy.
Having not gained any weight, she was still able to fit into her size 10 jeans, and medics have since discovered that the position of her placenta, which was in front of her uterus, was masking her bump.
She also thought she was still having regular monthly periods – but now knows the bleeding was actually her placenta slowly rupturing.
'Doctors have said it was just one of those unpreventable things and can't say exactly what caused it. I thought it was just a heavy period,' she said. 'I'd not long had the twins, so assumed it was my body getting back to normal, and that the hormones and trauma of the birth had had an effect.
'David and I had been using condoms, so we weren't having unprotected sex. But I guess we were just in that tiny percentage of people they don't work for.'
Then, in April 2018, Sarah started to experience terrible back ache.
She added: 'This wasn't normal back pain. It was almost behind my lungs.
'Doctors have since said that Desirae was breech virtually the entire pregnancy, so the pain was her moving against my back, ready to get into position for being born.'
Then, on 12 April, Sarah was at home, due to have her hair cut and coloured by a mobile hairdresser, when she had to go lie down instead because she was in so much pain.
Assuming she was badly constipated, something she had suffered with in the past, she asked her mum Pat, who lived nearby, to go out and get some laxatives.
Within a few minutes though, she was racing to the upstairs toilet, where she was horrified to discover she was bleeding.
'It sounds graphic, but it was like big clots gushing from me,' she said. 'I felt like my bowel was going to fall out.
'I felt so claustrophobic in that toilet. I was terrified. Mum deserves a medal, she was trying her best to reassure me that I'd be okay.
'She examined me, and could see something but wasn't sure what it was at first. Then, she suddenly realised and told me, "You're having a baby".
Realising the urgency of the situation, David, who'd been looking after Rio and the twins downstairs, phoned for an ambulance.
Her memory still very hazy, Sarah recalls feeling an overwhelming urge to push before glimpsing a baby between her legs and passing out.
Coming to, her house was swarming with paramedics, who broke the news that Desirae had been born not breathing, and had to be resuscitated on the bed.
Luckily, the tot quickly started breathing normally, and she and Sarah were then raced to Middlesbrough's James Cook University Hospital to be checked over.
'I'd given birth very quickly with no pain relief, so my body was in complete shock, which is why I blacked out,' she said. 'All I wanted was my mum. At some point in hospital, I must've drifted off again, because suddenly I woke up and Mum was there at my bedside.
'She said, 'The baby is absolutely fine.' At first, I'd no idea what she meant. Then I remembered I had given birth.
'David was there too, utterly astonished. He just kept saying, "Oh my god, we have another baby girl".
'We didn't know how to tell people, so David suggested posting on Facebook so everyone knew in one go. At first, people thought I was messing around and that I'd posted a picture of a doll – but they soon realised I was completely serious.'
After three days in hospital, Sarah and Desirae, who'd been born weighing a healthy 7lb 14oz, and is believed to have been full term, came home.
As she'd given away all her baby supplies, thinking she'd never need them again, the now mother of four was left unprepared – but kind family and friends rallied round to gather donations.
Now the picture of health, Desirae is doted on by her siblings.
Sarah has had a slightly tougher time, fighting off womb infections and still possibly in need of a blood transfusion.
But despite everything, she feels lucky to be alive – and a mum to her miracle girl.
'People have been amazing. Bags and bags of baby things were donated to us. I can't thank everyone enough,' she said.
'This has all been such a whirlwind. I still shudder to think what would've happened if I'd been alone with nobody to help me, or if Mum was forced to choose between saving me and Desirae.
'She deserves a medal. We still can't quite believe she delivered her granddaughter.
'Rio is over the moon with Desirae, and the twins love fussing over her. She's such a wonderful little baby, and she's living proof that the body doesn't always react to pregnancy in the way you'd expect.'
This article has been adapted from its original source.
© Associated Newspapers Ltd.