Outlander actress Sophie Skelton has explained why the change in season 4, where Jamie and Claire were not present for their daughter Brianna giving birth, was important. Skelton said the change resonates with modern women who may be single mothers or have lost their parents. She believes it shows the strength of Brianna's character and how she has grown throughout the season. Skelton also expressed her love for the beautiful scene in the book where the Fraser family is present during the birth. However, she believes they make up for it in a lovely family moment later on.