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Miss Betsey is a strong, eccentric woman who has had troubles with marriage. Miss Trotwood had been completely against the marriage of David's father to his mother because of the enormous age difference between the two. However, she supports Clara because she wants a chance to help raise a girl, even asking if she could name her future niece Betsey Trotwood Copperfield. Miss Trotwood storms out in a huff as soon as the doctor tells her that the baby is a boy, and she disappears from David's life for quite a while.
In Chapter One, Mr. Chillip is the shy, family doctor. It's his job to break the bad news to Miss Betsey, and he takes the full brundt of her wrath before she storms out the door.