After noodling on this for a bit, I finally came to a result I don't completely hateπ . Trying to get the lighting right for this was trickier than I would have liked but it's close to what I had in my head.
There are two other images in there playing with slightly different lighting variations. I had one with moonlight seeping through and it was cool but made the scene feel more spacious, which wasn't what I wanted. So I took it out and just gave the scene a more fantasy glow from a light source ambiguously somewhere in-between Pepper and the midwife. Now, it feels more claustrophobic, which was the feeling I wanted to have.
Hope you guys like!