The Bush Doctor's Challenge. Carol Marinelli
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little one’s still bottoms up, Shelly, so I’m just going to move you.’
To Abby’s stunned amazement, in one quick motion he scooped Shelly up as easily as if she were a child and deposited her gently on the laundry bench. Then, pulling a basket over, he kicked it upside down and pushed Abby’s shoulders firmly down till she was sitting. As the fog cleared from her shell-shocked brain Abby realised Shelly was actually in the perfect position for a breech delivery.
‘You’re a nurse?’ Abby muttered, as the baby edged ever closer.
‘And a midwife,’ Kell whispered, guiding her hand to take the weight of the buttocks now being delivered. ‘You never said.’
‘You never asked.’
There wasn’t time for a smart reply. Shelly started to groan in earnest now, her frightened screams filling the small laundry. ‘I want Ross!’
‘He’ll be here soon, Shelly.’ Kell’s smile was far more effortless and, Abby realised, far more reassuring than hers.
‘I wanted him to be here!’ Shelly’s voice was rising as another contraction gripped her, and with a grunt that defied her tiny frame she bore down, but seemed to change her mind halfway, her arms flailing in agony, panic overwhelming her. Breech deliveries required a supreme maternal effort combined with concentration and Abby looked up anxiously, worried by Shelly’s lack of focus, knowing she needed her onside here.
‘Shelly, listen to me…’ Abby started, but a warm hand on her shoulder halted her in mid-sentence and she briefly turned her anxious eyes to Kell, who nodded assuredly.
‘She’ll be fine,’ he mouthed, then turned his attention to the restless woman. ‘Shelly, Ross is on his way, and we all know how much you need him right now, but holding back until he gets here isn’t the right thing to do. This little one isn’t waiting for anyone, so you need to do what Abby says and stay with us, OK?’
There was an air of authority in his laid-back voice, an assurity that to this point had been missing from the room, and Shelly responded to it.
‘I’m just scared.’
‘Why?’ Kell asked easily. ‘Abby’s got it all covered. You and the baby are both going to be fine.’
There was a strange pecking order in medicine. The fact Abby was a doctor supposedly overrode Kell, and, given that she had started the delivery, if Kell were to rush in and take over it could, by some, be seen as professional discourtesy. But at that moment Abby would have very happily given up her seat on the upturned basket and willingly handed the reins to a far more experienced midwife. This was not the welcome she had expected, and Abby took a deep, calming breath trying to quell the mounting panic inside her before the next contraction came and they set to work again.
‘All right?’ Kell checked, and Abby felt both embarrassed and strangely pleased that he seemed to sense her trepidation.
‘I hope so,’ Abby mouthed, and then suddenly it was her turn to benefit from his rather dazzling smile.
‘You’ll be fine, too,’ he said quietly as Shelly pushed for all she was worth as Abby and Kell shouted encouragement. With the lower trunk of the baby delivered, Shelly had a welcome break for a moment or two, but there was no time for Abby to relax. She checked a loop of the cord and nodded to Kell, the steady pulsing of the cord reassuring her that the baby wasn’t in distress, but she had the shoulders to deal with next and then the hardest part, the head.
‘OK, let’s go.’ Kell sounded as enthusiastic as he had when he’d started his bike as the next contraction started.
Abby felt a surge of confidence. Surely if Kell wasn’t worried she must be doing OK. One strong hand assisted her, gently pushing Abby’s hand, guiding her to deliver the baby’s shoulder downwards towards the floor. Suddenly Abby felt in control, the textbooks, the deliveries she had observed springing into her mind like a much-watched video. The shoulders were out now and she cast a quick glance up to Kell.
‘Hold steady a moment, Shelly.’ Coming round to Abby, he guided her arm to the infant, so that the baby was effectively straddling Abby’s forearm with its arms and legs. ‘Just let it hang for a moment,’ Kell said gently, and Abby gave a grateful nod, the weight of the baby allowing gravity to help with the delivery of its head. His hand was back on hers now, guiding her middle finger into the infant’s mouth as Abby used her other hand to increase the flexion of the head.
She drew the body of the babe first downward and then forward, the baby over Shelly’s abdomen as the last inches of the birth canal were negotiated, until finally, with a relief that literally overwhelmed Abby, the head was out, the baby was out and safe, taking a huge breath, its little eyes blinking in indignation as it was delivered. Abby placed the slippery bundle on Shelly’s stomach, whose hands moved down to scoop the babe up to her, tears streaming down her face as Kell rubbed the stunned little baby vigorously with a towel.
‘A little girl,’ she gasped. ‘I’ve got a little girl.’
‘A beautiful little girl, too.’ Kell’s words were coming out almost as choked as Shelly’s and to Abby’s amazement she watched as a sparkle of tears flashed in his dark eyes. ‘Look how blonde she is—she’s her father’s daughter all right.’
‘And she’s OK?’
Better than OK. One little girl was pinking up before their very eyes as Kell continued to rub, her dark red lips parted to allow a furious scream to escape.
As Kell dashed off to find a duvet Abby clamped and cut the cord, the placenta delivering with satisfying ease. Wrapping a bundle of towels around the baby and a large bath sheet around a shivering Shelly, she stood for a moment, just revelling in the sheer and utter miracle of birth.
‘Abby.’ Kell was at the door, only his face peering around as he pushed the duvet through the gap. ‘Cover Shelly up, I’ve got a little guy here who’s woken up with a bit of a fright.’
‘Matthew?’ Shelly gasped, tearing her eyes away from her newborn as Abby quickly tucked the duvet around the pair. ‘He must be terrified.’
‘He’ll be fine,’ Abby said assuredly, but Shelly begged to differ.
‘He won’t understand.’ Her eyes met Abby’s. ‘You don’t understand. Matthew’s got Down’s syndrome. Ross and I had planned how we were going to introduce him. I was supposed to be in bed, the baby in a crib, Ross was going to—’
‘Do you want me to help you into the bedroom, get you settled a bit before he sees you?’
Shelly shook her head. ‘He’s awake now, you’d better just tell Kell to bring him in.’
Abby nodded and, doing a quick check to make sure there was nothing that might scare Matthew, she went to open the laundry door.
‘Abby.’ Turning, Abby smiled at Shelly, her hand on the doorhandle. ‘Would you hold her for me? It might make things a bit…’ Her voice trailed off and Abby stood there, looking at the mother cradling the daughter she had just delivered, and suddenly the lump that had been missing in her throat till now was so big it threatened to choke her.
‘I’d be glad to.’
A mother’s love…
Taking the swaddled bundle, Abby stared into the most innocent of all faces. Every fibre in Shelly’s being would be telling her she should be holding her baby, and yet a deep maternal instinct also told her that a little guy needed her now. Needed his mum to hold her arms out to him, to tell him what had taken place while he’d quietly slept.
Carefully holding the baby close, Abby pulled open the laundry door.
Two blue eyes met hers, two blue bewildered little eyes in a sleep-crumpled face.
‘This is Abby, Matty,’ Kell crooned gently. ‘She’s Tennengarrah’s new doctor.’ Wisely Kell didn’t acknowledge the baby Abby was holding, leaving that introduction