Upstairs, Jimmy James and Alfred quibble about who is serving which sauce, a running gag I'm certainly not opposed to -- unlike Carson, if the familiar outraged look on his face is any indication. The specter of the imminent birth is obviously sapping conversation, but Matthew makes an effort by asking Edith if she's heard back from the editor yet and when the Dowager Countess hears the details, she acidly inquires, "And when may she expect an offer to appear on the London stage?" I think I've covered this ground already, your Ladyship, but I still haven't heard any movement on Downton: The Musical, so I don't know the answer to your question. Edith is all "See what I mean" in Matthew's direction, but the appearance of a nurse lets everyone know that the time has come...

...news which Jimmy James relays downstairs. Mrs. Patmore wonders logistics, but he doesn't have any answers...

...and besides, we've got more urgent matters to attend to, as in the evening sitting room, a meeting has been convened at which Dr. Clarkson is telling the group that he's worried; Sybil has swollen ankles and appears "muddled." The women inquire further, but Sir Philip snaps that she's simply having a baby (Lord Grantham surely will come to regret his answering chuckle) before yanking Dr. Clarkson out of there for a word. When they're gone, Cora expresses concern, but Lord Grantham rather condescendingly guesses that they're just witnessing Clarkson's professional pride. Matthew, however, thinks they need to at least take his opinion into account and if he can do so surely everyone else can, so it's no surprise that the Dowager Countess joins his opinion. Lord Grantham, however, sniffs that he won't hurt Sir Philip's feelings. And I'd talk about that being a character flaw of Lord Grantham's, but why bother when the Dowager Countess has an axe to grind: "If there's one thing I am quite indifferent to, it's Sir Philip Tapsell's feelings." I don't know the history, but does it matter?