A Month To Marry The Midwife

She wasn’t sure what she could say to that. ‘Wow. Guess it’s going to be a change for you here, away from the big city.’

‘Hmm...’ he murmured noncommittally. ‘But I do feel better after the shock of that.’

She grinned. Couldn’t help herself. ‘So you’re ready for the walk around now?’

He stood up, picked up the biscuits in the napkin, folded them carefully and slipped them into his pocket. ‘Let’s do it.’

Ellie decided it was the first time he’d looked normal since he’d arrived. She’d remember that coffee trick for next time.

‘So this is the ward. We have five beds. One single room and two doubles, though usually we’d only have one woman in each room, even if it’s really busy.’

Really busy with five beds? Sam glanced around. Empty rooms. Now they were in with the one woman in the single room and her two-day-old infant. Why wasn’t she going home?

‘This is Renee Jones.’

‘Hello, Renee.’ He smiled at the mother and then at the infant. ‘Congratulations. I’m Dr Southwell. Everything okay?’

‘Yes, thank you, doctor. I’m hoping to stay until Friday, if that’s okay. There’s four others at home and I’m in no rush.’

He blinked. Four more days staying in hospital after a caesarean delivery? Why? He glanced at Matron Swift, who apparently was unworried. She smiled and nodded at the woman.

‘That’s fine, Renee, you deserve the rest.’

‘Only rest I get,’ Renee agreed. ‘Though, if you don’t mind, could you do the new-born check today, doc, just in case my husband has a crisis and I have to go at short notice?’

New-born check? Examine a baby...himself? He glanced at the midwife. Who did that? A paediatrician, he would have thought. She met his eyes and didn’t dispute it so he smiled and nodded. ‘We’ll sort that.’

Hopefully. His father would be chortling. He could feel Ellie’s presence behind him as they left the room and he walked down to the little nurses’ alcove and leaned against the desk. It had been too many years since he’d checked a new-born’s hips and heart. Not that he couldn’t—he imagined. But even his registrars didn’t do that. They left it to Paediatrics while the O&G guys did the pregnancy and labour things.

‘Is there someone else to do the new-born checks on babies?’

‘Sorry.’ She shook her head. ‘You’re it.’

He might have a quick read before he did it, then. He narrowed his eyes at the suspicious quirk of her lips. ‘What about you?’

Her hair swished from side to side. He’d never really had a thing for pony tails but it sat well on her. Pretty. Made him smile when it swayed. He’d faded out again.

‘I said,’ she repeated, ‘I did the online course for well-baby examination but have never been signed off on it. One of those things I’ve been meaning to do and never got around to.’

Ha. She thought she was safe. ‘Excellent. Then perhaps we’d better do the examinations together, and at least by the time I leave we’ll both be good at them. Then I can sign you off.’

She didn’t appear concerned. She even laughed. He could get used to the way she laughed. It was really more of a chortle. Smile-inducing.

The sound of a car pulling up outside made them both pause. After a searching appraisal of the couple climbing out, she said, ‘The charts are in that filing cabinet if the ladies have booked in. Can you grab Josie Mills, please?’

When he looked back from the filing cabinet to the door he could hear the groans but Swift was already there with her smile.

He hadn’t seen her move and glanced to where she’d stood a minute ago to check there weren’t two of her. Nope. She was disappearing up the hallway with the pregnant woman and her male support as if they were all on one of those airport travellators and he guessed he’d better find the chart.

Which he did, and followed them up the hall.

Josie hadn’t made it onto the bed. She was standing beside it and from her efforts it was plain that, apart from him, there’d be an extra person in the room in seconds.

Swift must have grabbed a towel and a pair of gloves as she came through the door, both of which were still lying on the bed, because she was distracted as she tried to help the frantic young woman remove her shorts.

In Sam’s opinion the baby seemed to be trying to escape into his mother’s underwear but Swift was equal to the task. She deftly encouraged one of the mother’s legs out and whipped the towel off the bed and put it between the mother’s legs, where the baby seemed to unfold into it in a swan dive and was pushed between the mother’s knees into Swift’s waiting hands. The baby spluttered his displeasure on the end of the purple cord after his rapid ejection into a towel.

‘Good extrication,’ Sam murmured with a little fillip of unexpected excitement as he pulled on a pair of gloves from the dispenser at the door. Could that be the first ghost of emotion he’d felt at a birth for a long while? With a sinking dismay it dawned on him that he hadn’t even noticed it had been missing.

He crossed the room to assess the infant, who’d stopped crying and was slowly turning purple, which nobody seemed to notice as they all laughed and crowed at the rapid birth and helped the woman up on the bed to lie down.

‘Would you like me to attend to third stage or the baby?’ he enquired quietly.

He saw Swift glance at the baby, adjust the towel and rub the infant briskly. ‘Need you to cut the cord now, John,’ she said to the husband. ‘Your little rocket is a bit stunned.’

The parents disentangled their locked gazes and Sam heard their indrawn breaths. The father jerked up the scissors Ellie had put instantly into his hand and she directed him between the two clamps as she went on calmly. ‘It happens when they fly out.’ A few nervous sawing snips from Dad with the big scissors and the cord was cut. Done.

‘Dr Southwell will sort you, Josie, while we sort the baby.’ Swift said it prosaically and they swapped places as the baby was bundled and she carried him to the resuscitation trolley. ‘Come on, John.’ She gestured for the father to follow her. ‘Talk to your daughter.’

The compressed air hissed as she turned it on and Sam could hear her talking to the dad behind him as automatically he smiled at the mother. ‘Well done. Congratulations.’

The baby cried and they both smiled. ‘It all happened very fast,’ the mother said as she craned her neck toward the baby and, reassured that Swift and her husband were smiling, she settled back. ‘A bit too fast.’

He nodded as a small gush of blood signalled the third stage was about to arrive. Seconds later it was done, the bleeding settled, and he tidied the sheet under her and dropped it in the linen bag behind him. He couldn’t help a smile to himself at having done a tidying job he’d watched countless times but couldn’t actually remember doing himself. ‘Always nice to have your underwear off first, I imagine.’

The mother laughed as she craned her neck again and by her smile he guessed they were coming back. ‘Easier.’

‘Here we go.’ Swift lifted the mother’s T-shirt and crop top and nestled the baby skin-to-skin between her bare breasts. She turned the baby’s head sideways so his cheek was against his mother. ‘Just watch her colour, especially the lips. Her being against your skin will warm her like toast.’

Sam stood back and watched. He saw the adjustments Ellie made, calmly ensuring mother and baby were comfortable—including the dad, with a word here and there, even asking for the father’s mobile phone to take a few pictures of the brand new baby and parents. She glanced at the clock. He hadn’t thought of looking at the clock once. She had it all under control.

Sam stepped back further and peeled off his gloves. He went to the basin to wash his hands and his mind kept replaying the scene. He realised why it was different. The lack of people milling around.

Swift pushed the silver trolley with the equipment and scissors towards the door. He stopped her. ‘Do you always do this on your own?’

She pointed to a green call button. ‘Usually I ring and one of the nurses comes from the main hospital to be on hand if needed until the GP arrives. But it happened fast today and you were here.’ She flashed him a smile. ‘Back in a minute. Watch her, will you? Physiological third stage.’ Then she sailed away.

He hadn’t thought about the injection they usually gave to reduce risk of bleeding after the birth. He’d somehow assumed it had already been given, but realised there weren’t enough hands to have done it, although he could have done it if someone had mentioned it. Someone.

As far as he knew all women were given the injection at his hospital unless they’d expressly requested not to have it. Research backed that up. It reduced post-partum haemorrhage. He’d mention it.

His eyes fell on Josie’s notes, which were lying on the table top where he’d dropped them, and he snicked the little wheeled stool out from under the bench with his foot and sat there to read through the medical records. The last month’s antenatal care had been shared between his father and ‘E Swift’. He glanced up every minute or so to check that both mother and baby were well but nothing happened before ‘E Swift’ returned.

* * *

An hour later Sam had been escorted around the hospital by a nurse who’d been summoned by phone and found himself deposited back in the little maternity wing. The five-minute cottage hospital tour had taken an hour because the infected great toenail he’d been fearing had found him and he’d had to deal with it, and the pain the poor sufferer was in.

Apparently he still remembered how to treat phalanges and the patient had seemed satisfied. He assumed Ellie would be still with the new maternity patient, but he was wrong.