I felt very sorry for Sam, partly I thought the midwifes were so over stretched they couldn't give her the attention she needed.
Clearly she wasn't coping very well, but I can't help thinking this was in part due to lack of preparation (eg not sure what sort of ante-natal course she had attended if any) on her behalf, and hence she was very scared/panicked which made it all worse.
I felt that she wasn't coping well because she really needed one to one care from sympathetic midwife who wouldn't tell her (like her mum) to pull herself together etc. I know that not everyone needs one to one care the whole time they are there but some do.
I realise I may get shouted done over this - my views are partly as I am a big believer in the theory that the more fear you bring to a birth the more painful it will be...
Also if any first time mums saw it do not be alarmed by what you saw, no reason to think that you will be like that.