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It Takes Two Puppeteers and a Custom Rig to Birth a Baby on The Pitt


TV’s most realistic birth sequence required an orthopedic chair, a silicone vagina, and some piano wire.

One puppeteer uses tubing to add blood and other fluids at appropriate points during the birth; the other has an arm inside the hollow pregnant belly in order to squeeze the silicone baby out of the vaginal canal. “I knew the scene was going to be mentally exhausting, physically exhausting.” For the third round, Tran had the idea to use a kneeling-style chair that would give Okuma more support as she leaned over the prosthetic and would put her in a more natural position to curl around the silicone legs and belly. Great, you guys can go home and come back tomorrow.’” Filming this way adds time and complication: There are so many more moving parts, and for each new take of a scene, every patient and special effect has to be reset, and the entire set has to be cleaned and reorganized.

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