Читать книгу Midwives On Call At Christmas - Fiona McArthur - Страница 13

MONDAY MORNING SAW Tara scooting around the ward, tidying up after their last discharged mother and baby. The first thing she’d done was check Maeve’s results and thankfully they were totally normal so it was fine she hadn’t mentioned anything to Simon.

As she worked she was thinking at least if Simon asked she could say everything was fine. Funny how she wasn’t looking forward to the next time she saw him in one way and in the other she looked forward to just ‘seeing him’.

Before she could think too much of it a car screeched to a stop out front and a harried-looking man she hadn’t seen before leapt from the driver’s side before Tara could open the passenger door.

‘Her waters broke. She’s pushing.’

Tara sent a reassuring nod towards the strained face of the woman seated awkwardly in the front seat, and wished this had happened earlier at handover so at least there would be two midwives there for the birth. Judging by the concentration that had settled over the woman’s face and the tiny outward breaths she was making, that wasn’t going to happen.

The man said, ‘It’s breech and they said Susan had to have a Caesarean birth in Brisbane.’

Tara doubted a Caesarean would be possible in the minutes they had left. ‘Okay. I’ll grab a wheelchair while you stand Susan up and we’ll get inside at least.’

She was thinking breech, Simon, handy, and before she spun the strategically placed wheelchair out the door she pressed the little green button they used for paging help so that someone from the other side of the hospital could lend her a hand, even if it was only to phone the midwife and doctor on call.

‘It’s okay, Susan.’ She spoke in a slow, calm voice, because people arriving at the last minute in labour wasn’t that unusual, and she smiled again as she eased the woman into the chair and began pushing swiftly towards the door. ‘You’ll be fine. Help’s coming, and we’ve had breech babies here before.’ Not in her time but she’d heard the stories and Susan’s belly didn’t look full term so baby might be a little early as well. All good things for a breech delivery.

The stress on the husband’s face eased a little and Tara shared additional comfort. ‘The more worried Susan is, the more painful the contractions feel. That seems a shame so if everyone takes a deep breath and just accepts that baby is going to do this his or her way, we’ll work it out.’

‘Thank God, someone with sense.’ The muttered comment from the woman who hadn’t previously spoken startled Tara, and she had to bite her lip to stop a laugh, but then Susan was hit by another contraction and became far too busy to add further pithy comments.

The sound of footsteps meant help was almost here and by the time Tara had Susan standing up from the chair beside the bed Simon appeared at the doorway.

From worrying about when she saw him next to relief at his appearance. Another miracle. ‘Simon. Great. This is Susan, who’s just arrived. Waters have broken and she wants to push her breech baby out very soon.’

Susan glared at him and said, ‘I’m not lying down to have this.’

‘Sounds good.’ Simon crossed the room quietly and shook the harried man’s hand. ‘Simon Campbell. Obstetrician.’

‘Pete Wells, and my wife, Susan.’

Simon turned to Susan and touched her shoulder briefly while he glanced at her tight belly and then her face. ‘Hi, Susan. First baby?’ The woman nodded.

‘And what date is your baby due?’

‘Four weeks.’

‘And breech, you think?’

‘Was yesterday at ultrasound. We were on our way to Brisbane.’

‘Unless you’ve noticed lots of movements since then, your baby probably still is breech.’ He glanced at Tara. ‘What’s the plan?’

‘The plan was a Caesarean in Brisbane, but Susan wants to stand up for a vaginal birth. So I thought that seeing you’re here you could check and see where she’s up to, and baby will tell us what to do. Unfortunately, Susan has to lie down for a part of that.’

Simon grinned at her. ‘Interesting take. And I concur with it all.’ He looked at Susan. ‘You fine with those plans?’

‘Perfect. As long as you are quick. I never wanted the Caesarean.’

‘Ah,’ said Simon, as Tara helped Susan undress and reluctantly lie down for the examination. ‘A rebel.’ Simon quickly but thoroughly palpated Susan’s belly, stepped aside so Tara could also confirm the position of the baby, and then washed his hands and pulled on the sterile gloves. ‘Baby taking after the mum? I’ll be as quick as I can so you can stand up again.’

One minute later it was confirmed. ‘Yep, breech. In perfect position. And ready to come.’ He nodded at Tara. ‘Best get another person here for baby and we can send them away if we don’t need them.’

Tara crossed to the phone and called the switchboard then dragged a sheet-covered mat to the side of the bed in case Susan wanted to kneel down at some stage, and prepared her equipment. She’d never opened up sterile packs or drawn up needles so fast and excitement bubbled inside her. She was going to see her first breech birth.

Then Simon made it even more exciting. He spoke to the couple. ‘I guess I should tell you that my specialty is promoting vaginal breech births at the Central Women’s Hospital in Sydney, and if you don’t mind I’d like to talk Tara through this birth so she can practise her own breech deliveries.’

He looked at Susan and then Pete. ‘Is that all right with you?’ Susan ignored Simon but nodded at Tara while she pushed, and Pete reluctantly agreed. Tara slid the little ultrasound Doppler over Susan’s belly and they all heard the cloppety-clop of the baby’s heartbeat. Susan’s shoulders sagged with relief and she bore down with a long outward breath now she knew her baby was fine.

Simon went on. ‘If baby decides to do anything tricky, I’ll take over.’

Pete still didn’t look happy but Tara was beginning to think poor Pete didn’t handle stress well. ‘We’ll have to take your word for it,’ he said.

‘I guess that’s all you can do.’ Simon smiled sympathetically as he pulled a chair across and sat down beside Tara, who was perched on a little wheeled stool, leaning towards Susan. ‘Though I could give you my card and my phone to ring the Sydney ward but you might miss the birth.’

Because it was coming. A little pale crescent of buttock appeared as Susan breathed out and Tara felt the increase in her own heartbeat. OMG. She was going to cradle her first breech in a totally natural, peaceful environment and she didn’t even have to feel terrified because Simon was right there beside her and she felt anything but.

‘So Tara isn’t going to touch the baby at all until the last moment. Your baby is nice and relaxed at the moment and we don’t want to scare it by putting a cold hand on him or her unexpectedly. The heart rate is great and Tara will listen after every contraction to Susan’s tummy.’ Simon spoke in a very quiet conversational tone and Tara listened and obeyed every word without feeling like he was saying she didn’t know what to do. It was obviously a skill he’d mastered.

Simon went on. ‘Breech babies have the same mechanisms as head-first babies and once the hips are through it pretty well means everything is going to fit because the hips are roughly the same size as the shoulders.’

Tara hadn’t realised that. Now they could see the little swollen scrotum and penis and Pete gasped and grinned when he realised what it was. Tara couldn’t believe how fast everything was happening.

‘You’re doing beautifully, Susan,’ she whispered. ‘You’re amazing. Not long now.’

‘Okay.’ Susan sounded strained but not frightened and Tara could feel the swell of emotion she felt at every birth at the miracles women could perform. It was all happening like clockwork. The pointy bottom seemed to be curving out sideways before it stopped and swivelled and Tara looked at Simon to ask if she should flick the leg out but he just smiled and shook his head.

The buttocks came down a little further and the foot lifted and sprang free. The other soon followed until baby was standing on tiptoe on the mat as his mother followed her instincts and crouched. Now the whole belly of the baby and the stretched umbilical cord could be seen.

‘This is where we make sure the baby doesn’t decided to spin the wrong way, but most of the time they drive better than we do.’ Sure enough, the baby’s body straightened, the stretched little chest lengthened, until there was just the top part of the baby inside.

‘I can’t stand it,’ muttered Pete, as he twisted his fingers together, and Tara cast him a sympathetic look.

‘I want to kneel,’ Susan panted, and Tara cast a look at Simon.

‘Just hang on for one sec, Susan. I’ll move out of the way. You’re almost there.’ Tara pushed the chair away and knelt beside Susan as she turned sideways and with her reduced height the baby settled into a strange sitting position but with the movement the head slowly appeared, the little face flopped forward as the baby was born and Tara reached out and caught him before he fell forward onto his tummy.

‘Well done,’ Simon murmured with a definite thread of exultation in his voice. Tara felt a rush of emotion stinging her eyes as she dried the little body until the newborn screwed up his face and roared his displeasure.

She could see Simon’s satisfaction in her management and she’d never felt so proud in her life. There was time for one brief glance of shared excitement and then it was back to the job.

‘I’m just going to pop baby through your legs and you can see what you’ve had, Susan.’ There was a flurry of limbs and cord and then Susan had her baby in her arms as she knelt upright. The face she turned to the three of them was exultant with fierce pride and joy. ‘A boy. My vaginal breech birth boy. I knew I could do that.’

‘Magnificently.’ Simon shook his head with a twinkle in his eye that said he’d never grow tired of these moments, and Tara felt like she wouldn’t want to sleep for a week she was on such a high.

Pete was in shock, and a little on the pale side as he flopped back into a chair Simon pushed up to him, while Susan was helped back up onto the bed by Tara. The new mum lay back with a satisfied smile and baby was just plain curious about the world and maybe even a little hungry.

They thanked the other doctor who had quietly arrived as unneeded back-up and he left. A few minutes later, after checking that all was well with Susan and the baby, Simon left too.

Tara leant against the doorpost, keeping watch that all was well now that she’d backed out of the circle of mother, father and child, and just soaked in the magic.

She couldn’t believe it. Couldn’t believe the experience that Simon had given her. Not just with his innate love of teaching and promoting breech birth to his less-experienced colleagues, but the ambience and peaceful joy of the occasion, because everyone, including her, had felt safe, and imbued with the faith that they’d had everything needed for the occasion. Her glorious moment! Because Simon had been there.

She’d never experienced anything like it. How could one man make that difference? It was a gift she hugged to herself.

Two hours later Susan was tucked up into bed for a well-earned rest but her eyes were wide and alert, baby Blake was tucked up in his little cot sound asleep beside his mother, and Pete snored gently in the big chair beside the window.

Susan and Tara looked at each other and smiled.

‘I wish I could sleep,’ Susan said dryly.

‘It’s the adrenalin from the birth,’ Tara said quietly. ‘Your instinct is to stay alert so you can snatch up your baby and run. You’ll slowly calm down and drift off to sleep soon.’

‘Thanks, Tara,’ Susan said sincerely. ‘From the first minute I saw you I knew everything was going to be fine.’

Tara had too. But Simon had ensured it really had gone well. He’d been amazing and she’d tell him so. ‘I’m so glad. And thank you.’ They grinned at each other as Tara gently shut the door to keep out the noises that might wake them.