Tom, I've some concern about this situation too, but, you don't know it is rape? Could be coersion yes, could be a paedophile ring, could certainly be something dodgy, but could also be just young people getting married/being together at an earlier age than is legal here (there are I think numerous cases of native English girls falling pregnant under 16 too, not all rape!). I agree social services should be involved, especially if this isn't even the first baby, and especially with the language thing. Does the maternity hospital have a duty in this? Do you have to report a concern? Also, it just occurred to me, when I was living abroad despite handling the language well under normal circumstances, when I needed a doctor urgently I forgot all trace of it and started babbling in English... could be the same thing, people not handling the labour thing calmly? Things to consider anyway. Keep your chin up, Tom, you are doing a vital service.