Читать книгу Mistletoe, Midwife...Miracle Baby - Anne Fraser, Anne Fraser - Страница 6

A COUPLE of days later, Ellen came down to breakfast to find Sean sitting with his feet propped up on the range, munching on a bacon sandwich.

He stood up and grinned at her.

‘Good morning. I’m afraid I’ve been taking advantage of Maggie again.’

‘Wheesh now, Sean. You do more than enough for me, a wee sandwich is nothing.’ Maggie turned to Ellen. ‘Sean’s just got back from a night on the mountains. I happen to know he doesn’t keep much in that larder of his so I told him that he wasn’t going home until I had fed him.’

Ellen helped herself to tea from the pot and took a slice of toast from a heaped plate. She wasn’t hungry but if she didn’t have something Maggie’s suspicions would be aroused and she would give her no peace until she had wheedled information out of her. As it was, her grandmother had spent the past couple of days trying to tempt Ellen with home baking, complaining that women weren’t meant to be so thin.

‘What happened?’ Ellen asked Sean.

‘We had a climber with a broken leg about halfway up the mountain. We found him easily enough but the rescue ‘copter couldn’t land because of poor visibility. These boys take chances and they nearly came to grief trying to get a winch down, but in the end they had to back off. It took the six of us almost eight hours to get the stretcher down the mountain.’

It was all said matter-of-factly but Ellen knew that conditions must have been horrendous. It hadn’t stopped snowing since she’d arrived and last night there had been strong winds too. However, looking at Sean, no one would have guessed he’d been out all night. Apart from a five o’clock shadow, which Ellen decided suited him, he looked more refreshed than she felt.

‘Is the casualty going to be okay?’

‘I expect the hospital will discharge him later today once they’ve put him in plaster,’ Sean said. ‘My biggest worry was hypothermia, but we managed to keep him warm enough.’

Sean stood up and stretched lazily. As he did so, his sweater rode up, revealing the dark hairs on his lower abdomen. To her dismay, Ellen felt a strange buzzing sensation go through her. Wasn’t her crush on him well and truly a thing of the past and didn’t she have enough on her plate without reacting to Sean Jamieson? On the other hand, after the past two weeks, when she hadn’t been able to think of anything except her illness, it was a welcome relief to realise she was still functioning as part of the human race and that she could still feel something.

‘I should go into town and get some supplies,’ Sean said. ‘I can see from the way your car is hidden by the snow, Ellen, that you haven’t been anywhere. You could come with me if you like.’

‘Thank you, but no.’

‘Oh, for goodness’ sake, child, you haven’t been out of the house these last two days,’ Maggie scolded. ‘As long as you wrap up, a bit of fresh air will put some colour in those cheeks. And, besides, we do need some things from the shop. If the snow carries on like this we may well be snowed in and I’m not sure we have enough in the larder to keep us going.’

‘But Sean must be tired,’ Ellen protested. ‘And what about work?’

‘I’m used to doing without sleep. I’m on call tonight so I have the morning off.’

‘Okay, then,’ she said reluctantly. She didn’t want to be alone with Sean but she could hardly refuse to get some shopping for her grandmother.

Sean and her grandmother shared a look. Ellen realised she had sounded rude and ungrateful. Sean was only being polite. He wasn’t to know that she didn’t trust herself to spend any more time with him than was strictly necessary.

She made herself smile. ‘Thanks for the offer, Sean. I really don’t fancy having to dig my car out.’

‘Good. I want to check up on one of my patients, though. If you don’t mind, perhaps we can call in at the hospital on the way back? It’s sort of on our way.’

Alarm spiralled down Ellen’s spine. She didn’t want to go into the hospital. She most certainly didn’t want to go to the maternity ward. She simply wasn’t ready yet. She forced the panic away. She could stay in the car. He couldn’t make her go inside. She was getting het up over nothing.

‘If you give me a couple of minutes,’ she said, knowing she didn’t have the energy to argue with both Sean and her grandmother, ‘I’ll go and change into something warmer.’

‘So how long do you think you’ll be staying?’ Sean asked as they drove along the narrow roads made even narrower by the drifting snow piled up on either side. Her grandmother’s croft house was around ten miles from the city centre and all the major supermarkets. Although there was a village within walking distance, it only stocked the basics.

Ellen looked out of the window. She had no idea how long she was going to stay. She hadn’t thought that far. The need to come to her grandmother’s house had been overpowering and instinctive. She had asked for and been granted three months’ leave by the hospital where she worked. One day she’d have to decide what she was going to do, she certainly couldn’t live with her grandmother indefinitely, at least not without working, but every time she thought about going back to her empty flat in London and the midwifery unit, a sick feeling washed over her. Perhaps she could get a job in the village? In one of the shops maybe?

‘I’m not sure. A few weeks, maybe longer. I haven’t made up my mind.’

The look Sean shot her was full of curiosity. She didn’t want him to ask her any more questions, so she changed the subject. ‘How is your family?’

‘Mary and Louise moved to Ireland so my parents sold up and bought a house there. Patricia’s in Australia with her husband. My mother hates not being near my siblings, especially now that they have children of their own,’ Sean said. ‘She and my father go out to Australia for three months every winter—they’re there at the moment, in fact. My mother has six grandchildren now, so she’s blissfully happy.’

‘Gran told me that they’d moved to Ireland.’ Mary, Louise and Patricia were Sean’s sisters. Ellen wasn’t surprised his parents had followed their children to Ireland. The Jamiesons had always been a close family unit. The opposite from her family in every way possible. ‘It seems strange not to be going straight over to your mum’s house to say hello, like I always did.’

‘What about your mother?’ Sean asked. ‘I read articles by her in the British Medical Journal almost all the time. She has quite an international reputation. You must be proud of her.’

‘I am,’ Ellen said simply.

‘And she must be proud of you.’

Ellen smiled wryly. ‘I wouldn’t go as far as that. Mum wasn’t exactly happy when I told her I wanted to be a midwife. She thought my choice of career was second best and that with my grades I should be studying medicine. Now that would have made her proud.’

Sean sent her another sharp look. He wasn’t to know that it was her hero-worship of him that had given her the idea to pursue a career in maternity. She’d loved hearing his stories of drama in the maternity unit when he was a trainee. But it wasn’t hero worship that had kept her in the job. She knew she had found her vocation from the first moment she’d stepped onto the midwifery unit and, when she’d delivered her first baby, it had only strengthened that conviction. Now she didn’t know if she would ever be able to bring herself to return to the job she had once loved and she despised the weakness in herself.

‘If your mother knew you at all, she wouldn’t have wasted her breath trying to persuade you to change your mind. It was obvious to everyone, apart from her, that you were a determined kid.’ The smile on his face made Ellen wonder if he was remembering the time down by the river.

Before Ellen could think of a response to this, Sean’s phone rang and he pulled over to answer it. Forced to listen to his side of the conversation, it only took her a few moments to realise something was wrong.

‘I’ll be right there,’ Sean said, and disconnected. He turned to Ellen. ‘I’m sorry, but the trip to the shops is going to have to wait. That was the labour ward. They’ve had a call from one of our patients. She’s in labour but can’t get to the hospital. She lives in a croft house way off the beaten track and with the recent snow, the ambulance hasn’t a chance in hell of getting to the house.’ He rubbed a hand across his chin. ‘They’ve called in the RAF but they might not be able to get there in time. Besides, we’re closer and this vehicle can handle most conditions.’ While he was talking he had turned the car back in the direction they’d come. ‘I’m afraid you’re going to have to come along for the ride. Come to think of it, it’s good you’re here. I might need help.’

A bubble of panic rose in Ellen’s chest. He had no idea what he was asking of her. How could she tell him that there was no way she could help deliver his patient’s baby? She was barely holding it together as it was, how would she manage if she had to hold a baby in her arms? But what other option did she have?

She tucked her shaking hands under her thighs lest Sean notice. So this was it. Before she was ready and before she had a chance to prepare herself, she was going to have to deal with a baby.

There was no way she could refuse. Not when someone was in trouble.

‘Is this her first?’ she asked, pleased her voice didn’t betray her anxiety. ‘What’s the problem?’

‘Yes, it’s her first. She was due to be admitted for an elective section next week. Her baby is breech. We tried to turn it around at 37 weeks, but failed. Damn. Perhaps I should have insisted that she come in earlier but she was determined to stay at home for as long as possible. On top of that, her husband works on the oil rigs and hasn’t been able to get home because of the weather. To cap it all, she has an elderly mother with early Alzheimer’s and she didn’t want to leave her on her own for too long.’

Ellen felt a pang of sympathy. It seemed she wasn’t the only one whose life had been turned upside down. Maybe concentrating on someone else’s problems was just what she needed. Oh, God, please give her the strength to cope with the next few hours.

‘Can you ask the ward to patch us through to her? I could take some details over the phone while we’re driving.’ Ellen focussed her mind, trying to think ahead. A breech delivery could get complicated.

Sean did as she suggested, switching the phone to speaker, and within minutes a frightened voice came over the line.

‘Dr Jamieson. Thank goodness! The nurses on the ward said you were coming to help me. Are you near? When will you get to me?’

‘Marie, everything is going to be fine,’ Sean said calmly. ‘I hope to be with you in about ten minutes. I have a midwife in the car with me and she’s going to talk to you as we drive. You don’t know her but she’s very experienced. Her name is Ellen.’

‘Hello, Marie.’ Ellen took over the call. It was good that Sean had a speaker phone. This way she wouldn’t have to keep breaking off to update him and he could concentrate on navigating the icy roads. If anything, the snow had started to fall harder since they had left the house and visibility was down to a few metres. Ellen knew that they couldn’t rely on the RAF helicopter being able to put down any time soon. ‘Ellen here. I’m the midwife Sean was telling you about. Can you tell me how far apart your contractions are?’

‘No! I don’t know how to do that. All I know is that it hurts!’

‘Okay. Just listen to my voice. I’m going to tell you exactly what you need to do. Every time there is a big pain and it goes away look at your watch and count the minutes until the pain comes back. Can you do that?’

‘I’ll try.’ Marie’s voice rose as another contraction hit her. Ellen looked at her watch. ‘Tell me when it eases off, Marie, and I’ll count with you.’

Having something to concentrate on seemed to help Marie’s panic. It seemed that the contractions were four minutes apart. Not so good.

‘I’m just turning in at the end of the road to your croft, Marie,’ Sean said. ‘Hopefully I can make it down the track. If not, we’ll walk. One way or another we’ll be with you in a few minutes. You just keep counting those contractions for us.’

Sure enough, as soon as they pulled up at the gate of Marie’s croft it was obvious that there was no way even Sean’s four-by-four would make it down the snow-covered track.

Ellen thought of the high heels she was wearing. Not so great for trudging through waist-high snow.

Sean seemed to read her mind. ‘I have spare boots in the back. They may be a few sizes too big but if we have to walk they’ll keep your feet warm and dry.’

A few sizes too big was optimistic. Sean was tall.

‘Do we have anything with us?’ Ellen asked. ‘I’m assuming we might have to deliver the baby here.’ She chewed on her lip. ‘It’s some time since I had to do a home delivery.’

Sean’s answering smile was tight. ‘Me too. And the answer is no. I have some surgical gloves and a very basic medical kit with some morphine in the boot that I keep in case I’m called out to a rescue, but that’s it, I’m afraid. We’re just going to have to do the best we can.’

It took them five minutes to walk down the drive, every minute taking Ellen closer to the delivery.

They let themselves in the door, calling out as they shrugged off their jackets. After the freezing conditions outside the house was pleasantly warm.

‘I’m up here.’ Marie’s voice came from a room at the top of the stairs. Sean headed upstairs, taking the steps two at a time, but Ellen had noticed a frail old lady in the kitchen. Judging by the look of fear on her face, Marie’s mother had no idea who they were or what they were doing there.

‘Are you Marie’s mum?’ Ellen asked.

‘Yes. But Marie’s at school. What are you doing in my house?’ Her voice gathered strength. ‘You must leave, or I will call the police.’

No wonder Marie was reluctant to leave her mother. The old lady was clearly very confused.

‘Why don’t you take a seat in the living room?’ Ellen suggested calmly. ‘My name’s Ellen and I’m a nurse. The man who went upstairs is Dr Sean Jamieson. Your daughter is going to have a baby and we’re here to help her. I need to go and see how she is but if you could stay down here and listen for the phone, that would be a big help.’

The old lady’s face cleared for a moment. ‘Yes. Of course, silly me. Marie is having a baby. My memory isn’t what it used to be, dear. Sometimes I get a bit mixed up.’

Ellen led her into the sitting room and switched the television on. Judging by the number of cushions on the chair in front of the set, and the side table laden with reading glasses and bottles of pills, this was a favourite place for the old lady. With a bit of luck the cookery programme would keep Marie’s mother distracted long enough for them to deliver the baby.

Upstairs Sean was examining Marie.

‘Nine centimetres dilated,’ he said. ‘Even if the RAF manages to land soon, and I very much doubt that they’ll even be able to take off in this weather, this baby isn’t going to wait.’ He smiled reassuringly at Marie. ‘Don’t worry. Everything’s going to be fine. I’ve delivered lots of breech births in my time and they’re all doing well.’

Ellen introduced herself.

‘Okay, Marie,’ Ellen said. ‘As Dr Jamieson said, everything is going to be just fine. I’ve left your mother watching television. Dr Jamieson will stay with you while I wash up. Where can I find some clean towels?’

‘In the cupboard next to the bathroom,’ Marie said, her words tailing off in a cry of pain.

‘And scissors? Do you have a pair of kitchen scissors? We’ll need them to cut the cord.’

‘In the kitchen. The drawer next to the sink.’

‘I’ll be back as soon as I can. You just hang on in there. Try and relax between contractions. I know it’s hard but it will help you conserve energy for when you start pushing.’

Ellen ran down the stairs and back to the kitchen, glancing into the sitting room on her way to check on Marie’s mother. Happily she seemed to have dozed off in front of the television. Ellen put the kettle on to boil, found the kitchen scissors and scrubbed her hands. Then she placed the pan on the stove to boil the scissors. After that she ran back upstairs, found some towels and went back into the bedroom. To her dismay even the small bit of effort involved had made her breathless. It was an untimely reminder of her own medical condition. One that she didn’t need right now.

Sean looked up and noticed that she was puffing as if she’d run a half marathon. ‘You need to get to the gym more often.’ He grinned. ‘That’s what happens to city girls, Marie.’

Over the top of Marie’s head, he winked at her. Ellen knew he was trying to keep the mood light, but for a moment she felt like socking him.

‘Contractions now coming two minutes apart,’ Sean continued.

At this rate they had only minutes before it was time for Marie to push. They exchanged a glance and Ellen found herself relaxing. Everything was going to be okay.

After she’d placed several towels underneath Marie she ran back downstairs to fetch the pan with the scissors. She’d leave them cooling in the water. That way she wouldn’t have to touch them until she was ready.

Ellen placed her hands on Marie’s abdomen. The contractions were regular and strong. The difficulty would be when she started to push the baby out. Sometimes with a breech delivery, the baby’s head got stuck. That was the critical time. With the rest of the body and the cord outside the birth canal the baby would try to breathe but be starved of oxygen. They had to stop that from happening.

Suddenly Marie cried out. ‘It’s coming. Oh, God, I have to push.’ She drew her legs up instinctively and Ellen could just see the first signs of the baby appearing and a greenish discharge as well. Meconium. Ellen looked at Sean and raised one eyebrow in silent query about whether they should be worried.

‘Meconium is normal with breech babies.’ Sean answered the unspoken question. ‘Your baby is going to be here soon, Marie.’

It was good that Marie didn’t know that Ellen’s heart was still pounding almost as fast as her patient’s. If Sean was worried at all, and he must be, he was keeping it well hidden.

‘It’s coming again,’ Marie gasped.

‘Draw up your knees, take a big breath and push hard into your bottom. Your baby is almost here now,’ Ellen encouraged.

Suddenly, the baby’s bottom slid into view, followed by the torso and thighs. Sean grasped the baby’s trunk and turned the shoulders uppermost.

‘Another push, Marie. You’re doing fantastically well,’ Ellen said.

Sean used his fingers to ease the baby’s arms across the tiny chest, before guiding the shoulders through the birth canal.

So far so good. The baby’s chest moved as it took a gasp. And again. They needed to get the rest of the baby out—and quickly.

‘What’s happening?’ Marie asked, panic in her voice.

‘We need to wait for the next contraction then you must give the biggest push of all, Marie,’ Ellen said, trying to sound as calm as possible. It seemed like minutes had passed. Where had the contractions gone?

‘I’ll support Marie’s legs, Ellen, while you deliver the baby,’ Sean said. ‘Just lift up baby’s feet and support the chin and cheeks with your right hand and the baby will come.’

Ellen knew that Sean wasn’t talking to her so much as to the mother. Ellen had attended breech births in her time, but that had always been with a full paediatric team in attendance.

Sure enough, with the next contraction the baby’s face and forehead eased out and Ellen was suddenly holding the limp baby boy by the feet. Her heart hammered against her ribs. They needed to get the baby breathing. Ellen placed the tiny infant on the clean towels she had laid on the bed.

‘Why isn’t my baby crying? Why is he so quiet? Is he all right?’ Marie was scrambling onto her elbows, desperate to see her child.

‘They are often a little stunned when they come out bottom first,’ Sean explained. He wiped baby’s face and body vigorously with the towel then held two fingers against his tiny chest.

‘Heart rate’s good.’ Although he smiled, Ellen could see the tension in his eyes. ‘Come on, baby, time to breathe,’ he murmured under his breath.

If only they had some oxygen to give the baby. Or a neonatal face mask.

Just as Ellen began to fear the worst, the baby gave a huge gasp followed by a soft whimpering sound. Thank God! Ellen looked up at Sean, and he gave her a slow smile.

‘Congratulations, Marie. You have a baby boy,’ Ellen announced.

Later, after mother and baby were settled, Ellen and Sean stepped to the side to give them some time alone. Now that the adrenaline was seeping away, Ellen felt shaky.

Sean smiled at her. ‘Well done. We make a good team.’

And they had.

‘I’d hate to think what would have happened if we hadn’t been able to get here,’ she said. ‘It could have had a very different outcome.’

‘I guess that’s why we do what we do. There’s no feeling quite like delivering a healthy baby when the odds are stacked against it.’

They looked across to Marie, who was murmuring to her baby as he suckled. Under the satisfaction and pleasure Ellen felt at the sight was a deep sadness. Now that the emergency was over she allowed herself to look properly at the baby they had just delivered. He had the cutest bow lips and snub nose and a smattering of fine blond hair on his head. Tiny fingers reached out to his mother as he fed, and, as his tiny legs kicked with pleasure, Ellen’s heart cracked a little.

She would never know what it was like to hold her baby in her arms. She would never feel her child’s skin against hers, never know what it was like to love and be loved unconditionally. Never know the joy and the pain, and she knew there was always pain when it came to loving, of bringing up a child. She forced the thought away. There was nothing to be gained in thinking like that.

At least she’d been able to cope with seeing a baby born without breaking down. Up until this moment she hadn’t been sure that she could. Now she knew that eventually she would be able to go back to being a midwife and the knowledge was a huge relief. Being able to help other women achieve what she never could, would give her life purpose again. If her time on this earth was limited, at least she was making a difference to someone else’s life. It was the first step towards a future.

‘I’m going to call him Sean,’ Marie said, looking up from her feeding baby. ‘If he’d been a girl I would have called her Ellen.’

‘Great choice of name,’ Sean said with a grin.

‘Ideally we should take you to the hospital,’ Ellen told Marie. ‘But that would mean taking baby Sean into the cold as well as taking your mother with us. I’m guessing that she wouldn’t cope with being left on her own? So, if you like, you could remain here and I’ll stay with you.’

Marie’s eyes lit up. ‘Could we? My sister was going to come to be with Mum but of course, with the baby being a bit early she’s not here. I did phone her as soon as I knew I was in labour and she said she’d set off as soon as she could. She lives in Glasgow so I don’t know how long it will take her, or even if the roads are passable. Would you really stay with me? Don’t you have somewhere else to be?’

Ellen shook her head. ‘Right now there is nowhere I need or want to be more than here.’