A birth video has been played in the trial of a former Adelaide midwife charged over the deaths of two babies during home births.
Lisa Jane Barrett, 52, has pleaded not guilty to two counts of manslaughter over the deaths of Tully Kavanagh in 2011 and another baby in 2012.
A video of Tully's birth was played in the South Australian Supreme Court on Tuesday as his mother, Sarah Kerr, continued her evidence.
Ms Kerr said there were points when she was in "extensive pain" during the birth of Tully - the second of twins.
"I was getting confused about what was going on," she said.
"I had already birthed a baby 35 minutes prior. I had a lot going on."
At one point in the video, Ms Kerr can be heard asking Barrett whether they need to go to hospital.
"It seemed like things weren't right but I didn't know how," she said.
"I would have gone (to hospital). That's why I was asking her."
Prosecutor Sandi McDonald SC told the court last week Barrett eventually went outside the house and smoked a cigarette while she called the hospital, but an ambulance was not called even when the situation became an emergency.
Tully was born in the car and, by the time he reached the hospital, he was not breathing and had no heartbeat.
He was put on a ventilator and moved to the neo-natal intensive care unit, but died two days later.
The court heard the second baby subject to the charges against Barrett was born to a woman who had several health issues which made the birth high risk and that the baby was in the breech position.
The child was not breathing when paramedics arrived at the house, was later diagnosed with a brain injury and "a very poor long-term prognosis", and died shortly after birth.
The prosecution argues Barrett downplayed the risks involved with homebirth and failed to take action when things went wrong.
The trial continues before Justice Ann Vanstone in the absence of a jury.
Australian Associated Press
