The Midwife's Special Delivery

by Carol Marinelli

  Sitting on the stairs, head in hands now, it felt as if for three years she’d been playing some grown-up version of snakes and ladders. Elation at their closeness followed by devastation at his departure—and then the horrible process of regrouping, living in a world where he didn’t exist any more. The occasional postcard had been nowhere near enough to sustain her, so she’d focused instead on her work—climbing her career ladder in record time, placing a tentative toe into the murky single world she inhabited, dating even when she hadn’t felt like it, clawing her way to the top, where now it was Ally turning down dates, Ally who could pick and choose where she went on a Saturday night. Only for Rory to appear again, only to roll a six and find herself sliding down that appalling slippery slope and arrive back at the beginning.

  And suddenly all the game looked was daunting—the thought of starting over incomprehensible.

  Two weeks!

  He could stay for two weeks and then he’d damn well have to find somewhere else. There was no way she could keep this up, no way he could expect to walk back in and take up their easy-going friendship, to stroll back into her life and take up where he’d left off.

  An ironic smile twisted her mouth.

  He’d left her naked in bed.

  Showering in record time, Ally pulled on a T-shirt and for reasons she couldn’t quite fathom she bypassed the G-strings and pulled on the biggest, comfiest, ugliest pair of knickers she could find—knickers her great aunt had sent her one Christmas, knickers that she had meant to throw out, knickers she wouldn’t be seen dead cleaning the windows with! Sliding into her cold sheets, she pulled the blankets up to her chin, closing her eyes on this turbulent day, willing sleep to come so that she could function tomorrow. Pulling a pillow over her head, she tried to drown out the noise, then gave in and stared at the ceiling, admitting the truth: it wasn’t Rory’s exhausted snoring that was keeping her awake—the house could be in silence and she’d still be lying here awake.

  It was the overwhelming fact that he was here.

  CHAPTER TWO

  WAKING up before her alarm, Ally washed and dressed in record-breaking time, layered her lashes with mascara and headed down to the kitchen. Berating the fact she’d flung all the sugar and milk down the sink, and loath to grind beans at this hour, Ally settled instead for a cup of black tea and a slug of honey as she stared at her ancient toaster and willed it to get a move on so that she could hopefully get out before Rory appeared.

  The doctors normally started arriving on the ward around eight, an hour after Ally’s shift started, but, given it was his first day, no doubt Rory would be keen to make an early appearance. But Ally was determined to be in her car before Rory even hit the shower. Collecting up her pens and stethoscope and slinging her identity tag around her neck, Ally wondered if she shouldn’t give him a quick knock before she left. There were no signs of life coming from his bedroom. Normally, or at least a few years ago, Rory would have been up like a lark, noisily hogging the shower, breakfast radio blaring, and Ally wondered if he’d thought to set his alarm clock before he’d gone to sleep.

  Of course he had, Ally assured herself. After all, he’d managed to work his way through two pizzas and had written her a note to go with her perfume before he’d gone to bed, It wasn’t as if he’d slept round the clock since she’d left him at lunchtime the previous day. And anyway, Ally decided, if he couldn’t remember to set his own alarm clock, it was hardly her problem. Closing the front door behind her at a quarter to seven, guilt caught up with her and she re-opened the door, this time slamming it with rather more force than she’d intended, causing her neighbour to frown as he picked up his newspaper from the nature strip and starting every dog in the vicinity yapping as if the postman was about to arrive.

  Surely that would shift him!

  ‘I told you that you’d be on the home run!’ Walking into the delivery room after handover, Ally took a very agitated Lucy’s hand.

  ‘You told me I’d have had it by now!’ Lucy shouted, her face red from exertion. ‘I can’t do this! I want an epidural. Where the hell’s the anaesthetist?’

  Ally had actually been rostered on for the postnatal ward this morning but, hearing how agitated and upset Lucy had become, it had been decided to do a hasty swap with the nursing allocations—continuity of care was always preferred and in some cases, such as this, essential. Lucy was starting to lose control, her high expectations of her labour—a quick natural birth—hadn’t apparently eventuated. Because Ally had seen Lucy on a number of occasions in Antenatal and on her arrival yesterday evening, it had been considered appropriate that she be present for Lucy’s delivery in the hope a familiar face might calm her.

  ‘It’s too late for an epidural, Lucy.’ Ally kept her voice firm, checking her patient’s observations and the latest CTG recording and noting that everything was progressing completely normally, though maybe not as quickly as Lucy would have liked. ‘You’ve already started pushing. Your baby’s going to be here very soon.’

  ‘It hurts,’ Lucy shrieked, fighting the contraction that overwhelmed her.

  ‘Lucy, take a deep breath and push.’ Ally’s voice overrode her patient’s scream. ‘Don’t waste your energy. Come on, push over the pain…’ For a second or two Lucy listened, pushing hard as Ally encouraged her. ‘That’s it. Come on, push down into your bottom.’

  ‘I can’t,’ Lucy gasped, lying back on the bed and shaking her head.

  ‘The harder you push, the sooner your baby will be here.’

  ‘It hurts.’

  ‘Because the contractions are working,’ Ally said. ‘Lucy, nothing we give you now for pain is going to have time to take effect. Your baby is nearly here, and if we give you drugs now it won’t help with your pain but it could make the baby drowsy at birth. What about trying the gas?’

  ‘I hate the gas!’ Lucy roared, but thankfully as another contraction came, this time she gritted her teeth and bore down as Dean, clearly thankful that things seemed a touch more in control, encouraged his wife to keep on pushing as Ally slowly counted to ten. ‘And again,’Ally said. ‘You’re doing marvelously. Take a big breath and push again!’

  She was doing marvellously! In fact, just as Ally was debating whether to give the on-call a ring and let them know they’d be needed in the next hour or so, things started looking rather more imminent. Lucy’s shouts were getting louder and her language was getting more colourful as she struggled to get off the bed. The timid woman Ally had got to know was gone now as her baby prepared to make a rapid entrance.

  ‘Get me the bloody anaesthetist!’ Lucy roared. ‘Or I’m going home this very minute.’

  ‘Good morning!’

  So calm and polite was Rory’s welcome, so huge his presence as he quietly made his way into the delivery room, that for a minute Lucy literally seemed to forget that she had a baby coming. Her angry face swung towards him, her bulging eyes struggling to focus as he walked over to the delivery bed.

  ‘Lucy Williams, I’m Rory Donovan.’

  ‘The anaesthetist?’ Lucy demanded. ‘About time!’

  ‘Afraid not.’ He gave an apologetic smile. ‘I’m an obstetrician. I thought about doing anaesthetics for a while, but I decided that I prefer my patients awake.’

  ‘Well, Lucy’s awake,’ a terrified Dean said, nervously shaking Rory’s hand. ‘No doubt the whole ward is now.’

  ‘From what I hear, she’s doing great.’ Rory gave Lucy a very nice smile and Ally could only blink in wonder as the roaring banshee that had been lying on her back suddenly sat up a touch and even managed a small smile back. ‘And if you carry on pushing the way you have been, you’ll have your baby in time for breakfast. I saw Win loading up her trolley as I walked past—I can’t believe she’s still here.’ The second part of his comment had been directed at Ally as she opened up a delivery pack but it was put on hold as Lucy bore down again, only this time it was with a rather more concentrated effort, and as she finished he easily resumed the con
versation, this time including Lucy and Dean. ‘Win’s the domestic. She’s been here since they put the first coat of paint on and rumour has it that if you deliver before breakfast, she makes the lucky parents toast and eggs any way they want them. Sound good?’

  ‘Sounds great,’ Lucy gasped, gesturing for Dean to hand her some ice chips. In the momentary lull Ally headed over to the other side of the delivery room and started to pull up some drugs for the delivery and check the baby warmer.

  ‘Thanks for waking me.’ Rory’s sarcasm was delivered good-naturedly. ‘If your neighbour hadn’t had a dog barking the street down, I’d still be asleep.’

  ‘You should have set your alarm.’ Ally shrugged, refusing to take any responsibility. After all, she hadn’t seen him for three years—it was hardly fair for him to swan back into her life and expect her to suddenly start looking out for him! ‘I’m not your mother.’

  And as quickly as that the light-hearted banter faded, Ally instantly regretted her words. Rory didn’t have a mother; in fact, Rory didn’t have any relatives. An only child, his mother had died when he’d been small and his father had lost his battle with cancer just before Rory had left to go to America. Ally had no idea of the circumstances of his mother’s death. Rory had only referred to it a couple of times and had always been horribly awkward with her afterwards, insisting that he was well over it, that it had all happened years ago. But, still, her thoughtless comment had clearly hurt and that had never been her intention.

  Lord, how she wished somehow that she could take it back!

  ‘I’m sorry.’ Her apology was as embarrassed and as wooden as his response. ‘I should have known better—I just didn’t think…’

  ‘It’s no big deal.’ Rory shrugged those wide shoulders as if the words had barely registered, but his eyes told her otherwise. ‘I’ll go and see how Lucy’s doing.’

  Gently he examined her, sitting down on the bed beside her and talking comfortingly as he performed the rather uncomfortable procedure. Ally watched as the rapport he had so easily created with his patient the moment he had walked into the room grew. Lucy was clearly comfortable with her doctor and that was incredibly important—Ally knew that more than most. In the public health system, rarely did patients get much of a say in what doctor would deliver them. Often, as the doctor arrived for the delivery, there wasn’t even time for more than the briefest of introductions. This matter had been addressed at Bay View by the midwifery team, a group of midwives allocated to each patient, looking after the mother during her pregnancy, so that in most cases a familiar face was present at the delivery. But even if Rory’s face wasn’t familiar, this morning it was very welcome. Dean was listening carefully as Rory explained his wife’s progress.

  ‘She’s almost there, Dean. Just encourage her to keep pushing. You’re both doing a great job.’

  ‘Don’t go too far.’ Ally smiled as Rory stood up, no doubt realising there was a good half-hour’s work before the baby came and ready for a bit of TLC and catching up with Win. ‘We might be needing you soon.’

  ‘I’m not going anywhere,’ Rory said easily, picking up a newspaper Dean had bought from the mobile trolley, sitting down on the two-seater sofa in the corner and turning directly to his horoscope. ‘Do you know what you’re having, Lucy?’

  ‘A baby,’ she gasped, ‘hopefully.’

  ‘A Pisces,’ Rory corrected, ‘which is the same star sign as me—so you can’t go wrong.’

  And of all the things she’d remembered, this was one thing Ally had almost forgotten. Forgotten that unlike most doctors Rory didn’t just arrive for the grand finale but actually enjoyed the last act. It could have been annoying, a doctor peering over his newspaper every now and then and telling a labouring woman to push over the pain, but somehow it was comforting. That a doctor was here made Lucy feel safe, that he hadn’t dashed off and told her the end was in sight. It helped Dean, too, because if Rory thought this display from Lucy was absolutely fine, then maybe, just maybe, it was.

  ‘Time to get dressed.’ Standing up, he pulled on his gown and gloves but didn’t intervene, just stood behind Ally’s shoulder observing quietly as she attempted to deliver a rather large shoulder. At that moment, Ally was grateful for his calm presence. She felt a tiny beat of panic as she wondered if maybe this baby was too big, if this shoulder was ever going to free. ‘Finger behind,’ Rory murmured, and it wasn’t an instruction, more encouragement when so many doctors would have taken over. ‘Got it.’

  She could almost feel his smile shining over her shoulder as the baby’s shoulders were delivered and the baby uncurled, crying before the rest of its body was even out.

  ‘What is it?’ Lucy cried, as Ally placed the tiny bundle onto its mother’s stomach. She was grateful that Rory didn’t answer, just rubbed the babe’s back as mum and dad had the pleasure of finding out. ‘A girl,’ Lucy gasped. ‘We’ve got a girl.’

  ‘Congratulations.’ Rory smiled as the baby’s body pinked with each and every lusty breath, angry fists flailing as Lucy pulled her in closer. ‘She’s beautiful.’

  She really was.

  Ally felt her eyes fill as they always did as a new life gave a bewildered blink at the world it had entered. She relished those couple of moments of naked beauty before she wrapped up the babe. Dark strands of hair were plastered to the infant’s head, round blue eyes fixed on her mother’s, and Ally was in no rush to break the spell. Taking a blanket from the warmer, she wrapped it around mother and daughter as Dean held them both close. She quietly got on with her work, the placenta being delivered easily as the baby suckled.

  ‘I’ll come back in a while,’ Rory said, slipping away, dimming the lights as he left.

  Even that small gesture touched her. Clearly he remembered how she liked to work: the curtains were still drawn and that was exactly how Ally liked it for morning births—the woman had laboured all night, and for a little while the darkness was still welcome. Later either she or Dean would welcome the new day in for the new arrival. Ally tidied up as best she could, recording her two patients’ observations as unobtrusively—completely happy with the newborn’s progress. Her skin was a healthy pink, her eyes wide as she vigorously suckled. All too soon Ally would have to weigh her, measure her, check her over, then call the paediatrician to do the same. All too soon, the babe would be bathed, the hair that was plastered to her head would become soft and fluffy, the creamy vernix—mother nature’s version of cold cream—that covered her now would soon be washed away, but for now she was as new as a newborn got and Ally wasn’t about to break this very special moment.

  ‘How are you doing, Lucy?’ Ally checked, smiling at the tired, delighted new mother who was too mesmerised by her daughter to even look up.

  ‘She’s OK?’

  ‘She’s perfect,’ Ally said softly, answering every mum’s question. ‘We’ll check her over properly later, but for now she looks wonderful. How are you feeling, Lucy? That’s important, too.’

  ‘Tired,’ Lucy admitted, then gave an almost apologetic grin. ‘I’m starving, actually.’

  ‘Why don’t I give Win a call and get the pair of you some breakfast? While you have that, I can weigh and check over this gorgeous girl of yours.’

  ‘Can I hold her for a moment longer?’

  ‘You can hold her for as long as you want.’ Ally smiled. ‘Win’s not as fast as she used to be, so breakfast might take a while!’

  Win, as always, timed it perfectly! Just long enough to give Mum and Dad that first long cuddle and just short enough for them not to feel guiltily relieved when Ally took their precious baby off for its myriad of tests while they tucked into tea and toast Win-style—although the eggs Rory had promised were no longer on the menu. Since Rory had last been here, things had changed. Meals were delivered directly from the kitchens, and even though the fridge groaned under the weight of the free-range eggs Win brought in from home, for health and safety reasons they could only be eaten by the staff. As Ally headed int
o the staffroom for a well-earned cuppa, she found Rory doing just that!

  ‘How are they?’ Rory looked up from his mountain of eggs and toast.

  ‘Great. Hugh, the paediatrician, is in looking at the babe now.’ Heading for the kettle, Ally’s tone was dry. ‘I’d hate to know your cholesterol level, Rory. It must be through the roof.’

  ‘Actually, it’s very low.’ Rory laughed.

  ‘I doubt it,’ Ally said, pouring herself a drink and picking up the newspaper—deliberately not turning to the horoscope section, even though she normally did every other day. ‘I cleared away two pizza boxes last night.’

  ‘Life’s bloody unfair like that sometimes.’ Rory rained more salt on his eggs as he chatted. ‘When I hit the big three-o I decided to take my own advice and get myself checked over properly. I kind of braced myself for a life of salad and steamed fish once I heard the result, but guess what?’ Looking up from her paper, Ally rolled her eyes as he continued, ‘I’m so healthy I’m almost unhealthy. My blood pressure and pulse rate are both so low it comes as a bit of a surprise that I’m not fainting all over the place, my iron level’s great, LFT’s completely average, cholesterol low…’

  ‘Lucky you.’ Ally poked her tongue out at him then carried on reading her paper.

  ‘What time do you finish?’

  ‘Three,’Ally said, without thinking.

  ‘I’m off at five.’

  ‘Good for you.’

  ‘We could have dinner.’

  ‘I can’t.’ Ally didn’t even look up. ‘I’ve got an antenatal class at six.’

  ‘Congratulations!’ Rory grinned. ‘You should have told me the news!’

  ‘I’m teaching an antenatal class at six,’ Ally said through gritted teeth. ‘A mature parents’ antenatal class.’

  ‘Which means it will go on for ever,’ Rory groaned in sympathy. ‘Why is it that the older they get, the more questions they have?’