The Midwife's Child

Suzie gave her a sympathetic look. ‘You OK?’

‘Are you joking?’ Brooke rolled her eyes. ‘When was my life ever OK?’

‘What’s happening about the roof?’

‘I’ve got a man coming to see it on Saturday but at the moment I’m just using a bucket and lots of hope.’

Suzie pulled a face and looked worried. ‘This rain can’t last for ever.’

‘This is the Lake District so it can and, knowing my luck, it probably will,’ Brooke said dryly as they paused outside the door of Room 2. ‘But thanks for asking.’

Suzie nodded and hesitated. ‘Look, if you need a loan…’

‘No, thanks.’ Brooke stiffened and her small chin lifted slightly. ‘I’m fine.’

‘Brooke, for goodness’ sake!’ Suzie glanced along the corridor and lowered her voice ‘You’re not fine at all and you know it! You’re struggling like mad and it’s time you let someone help you.’

‘I don’t need help.’ Brooke’s tone was frosty and Suzie looked exasperated.

‘You’re so stubborn, do you know that? How will you pay for the roof?’

Brooke shrugged. ‘That’s my problem.’ One of the many. ‘I’ll do some agency work or something.’

‘Brooke—’

‘I’ll handle it.’ Brooke’s eyes glinted with determination and, without waiting for a reply, she shouldered her way into Room 2 and beamed at the woman sitting on the bed.

‘Hello, Mrs Neal. I’m Brooke Daniels, one of the midwives on the unit.’ She took one look at the wide, frightened eyes of the young woman in front of her and forced her own problems to the back of her mind, knowing that she had some serious work to do.

‘Could you call me Alison?’ The woman looked terrified. ‘It seems more…personal somehow. I hate anything medical.’

‘Try not to think of this as medical,’ Brooke advised gently. ‘Having a baby is perfectly natural and in this unit our policy is to intervene as little as possible.’

‘Is that why this room doesn’t look a bit like a hospital room?’ Alison glanced round at the pretty curtains and bedspread and the comfortable sofa and beanbags. ‘It’s more like being at home.’

‘Actually, it’s better than home,’ her husband pointed out dryly. ‘At home we haven’t got a king-size bed and a rocking chair.’

Brooke smiled. ‘The rooms are nice, aren’t they? The whole idea was to make people feel as though they were in the comfort of their own homes but with the advantages of hospital technology on hand if needed.’

Alison was still gripping her husband’s hand tightly. ‘Will you be with me all day?’

‘One of our student midwives, Paula, will be with you the whole time,’ Brooke told her. ‘I’ll be popping in and out all day and I’ll definitely be here when you deliver.’

‘I can’t bear to think about that bit.’ Alison managed a weak smile and bit her lip. ‘I’m terrified, I have to confess. I can’t relax at all.’

Brooke settled herself on the bed. Blow protocol. What this woman needed was the personal touch.

‘Well, helping you to relax is my job.’ She took Alison’s other hand in hers and gave it a quick squeeze. ‘Did you go to any of our antenatal classes?’

‘I went to the yoga class a few times but, to be honest, the roads were so bad in December and January that I stayed at home mostly.’ Alison looked anxious. ‘Should I have persevered? Would it have made a big difference?’

‘Well, the classes do teach you certain techniques for relaxation,’ Brooke told her, ‘but if you went a few times then you will have grasped the basics. We use lots of different methods to help you relax here—aromatherapy, the water pool and massage for starters.’

‘This place is more like a health farm than a hospital,’ Alison’s husband joked, and Brooke nodded seriously.

‘In some ways it is. The emphasis is all on keeping the woman as happy and relaxed as possible.’

Alison bit her lip, her dark eyes worried. ‘I’m just afraid that all the breathing and massage in the world won’t be enough for me. I know how much of a coward I am when it comes to pain! If I decide to have an epidural, will you think I’m awful?’

‘Not at all.’ Brooke gave her a reassuring smile. ‘We are totally committed to giving the mother the type of birth she wants. If someone is adamant that they want an epidural then we can arrange that. It’s nothing to do with bravery, Alison. The pain is different for each person and people cope in different ways, but we never, ever judge anyone, I can assure you of that! Do you have any strong views on the type of delivery you’d like?’

‘I did a birth plan.’ Alison reached for her bag and pulled out a piece of paper which she handed to Brooke a little hesitantly. ‘To be honest, I wasn’t sure that you’d want to see it. My midwife said that you don’t like them on this unit.’

‘Well, she’s right in a sense.’ Brooke took the birth plan and tried to explain as carefully as possible. ‘The reason is that we’ve found that some women have set themselves all sorts of goals and expectations and then, when things don’t go according to plan, they’re disappointed. For example, you might think you don’t want any pain relief but when you’re in the middle of things you might want to change your mind. We’ve had a few women who felt that they’d failed and let themselves down by not sticking to their plan, and that was awful. Everyone should be allowed to change their minds at any point.’

Alison nodded and gave a small smile. ‘I suppose you don’t really know how you’ll react to the pain until you experience it.’

‘That’s right.’ Brooke glanced between the couple, her expression serious. ‘It’s important not to think you have to stick rigidly to what you planned. We do look at birth plans if a woman has made one, but we really like to work with the mother and respond to what she’s feeling at the time.’

‘That sounds sensible—Ooh.’ Alison winced and screwed her fingers round the bedcover as a contraction started to build. ‘I never expected the pain to be this bad. Oo-ooh, Tim!’

Her husband stroked her shoulder awkwardly and cast a worried look at Brooke.

‘She’s fine,’ Brooke murmured, moving her palm over the woman’s swollen abdomen to feel the strength of the contraction. ‘Remember your breathing, Alison. In through your nose and out through your mouth. Perfect. Well done. There—it’s tailing off. Now, I just need to examine you. Has anyone explained to you about this machine?’

She moved it slightly closer and ripped off the trace that was hanging down. ‘This is called a CTG and it basically tells us about your contractions and your baby’s heart rate. At this stage we want you as mobile as possible, so we’ll only use it occasionally, just to get a picture of what’s happening.’

‘Does it look OK? It looks totally incomprehensible to me.’ Alison frowned down at the graph but Brooke nodded and filed it carefully in the notes.

‘It’s fine. Now, let’s take a quick look at this birth plan together.’ She read quickly and then glanced up at the couple. ‘You seem to be pretty open-minded about most things.’

‘I really didn’t want to have my membranes ruptured,’ Alison murmured, looking at her husband for support, and he nodded firmly.

‘That’s right. I gather a lot of hospitals do that, but we’d rather let nature take its course.’

‘So would we.’ Brooke slipped the birth plan into the notes and gave them both a warm smile. ‘You’re right that some units artificially rupture the membranes the minute the cervix is 4 cm dilated, but we never do that here. We don’t rupture membranes, we don’t monitor without a reason and we don’t do routine internal examinations either. We do them on admission and then when we feel they’re necessary.’

Alison’s husband frowned. ‘But if there’s a medical problem?’

‘Then we involve our medical team,’ Brooke told him promptly. ‘That’s the good thing about this unit. You get the nearest thing to a home birth without sacrificing the safety of a hospital. Now, then, I’d just like to feel the way the baby is lying, Alison, if that’s all right with you.’

She palpated the abdomen carefully, glancing up as Paula slid discreetly into the room and introduced herself to the couple.

‘Is it still the right way up?’ Alison looked anxious and Brooke nodded with a smile.

‘Absolutely. He’s coming out head first—what we call a cephalic presentation. And he’s nicely flexed so that’s good.’

Paula cleared her throat. ‘Sister wondered if you’d nip into 4, Brooke. They need some help.’