“You must feel for the baby’s head,” she says.
My hand is inside her, turning and dipping. I feel a baby’s head. It’s crowning. Should there be blood?
“They will kill you after the babies are born,” whispers Samira. “You must get out of here.”
“Later.”
“You must go now.”
“Don’t worry about me.”
There’s a knock on the door. I undo the latch and Pearl hands me scissors, a ball of string and a rusty clip. Yanus hisses from behind him. “Keep the bitch quiet.”
“Fuck you! She’s having a baby.”
Yanus makes a lunge for me. Pearl pushes him back and closes the door.
Samira is pushing now, three times with each contraction. She has long slender lemurlike feet, roughly calloused along the outer edges. Her chin is tucked to her throat and oily coils of her hair fall over her eyes.
“If I pass out, you must make sure you get the babies out. Don’t leave them inside me.” Teeth pull at her bottom lip. “Do whatever you have to.”
“Shhh.”
“Promise me.”
“I promise.”
“Am I bleeding a lot?”
“You’re bleeding. I don’t know if it’s too much. I can see the baby’s head.”
“It hurts.”
“I know.”
Existence narrows to just breathing, pain and pushing. I brush hair from her eyes and crouch between her legs. Her face contorts. She screams into the flannel. The baby’s head is out. I hold it in my cupped hand, feeling the dips and hollows of the skull. The shoulders are trapped. Gently I put my finger beneath its chin and the tiny body rotates within her. On the next contraction the right shoulder appears, then the left, and the baby slides into my hands.
A boy.
“Rub your finger down his nose,” gasps Samira.
It takes only a fingertip to perform the task. There is a soft, shocked sob, a rattle and a breath.
Samira issues more instructions. I am to use the string and tie off the umbilical cord in two places, cutting between the knots. My hands are shaking.
She is crying. Spent. I help her back onto the bunk and she leans against the bulkhead wall. Wrapping the baby in a towel, I hold him close, smelling his warm breath, letting his nose brush against my cheek. Which one are you, I wonder, Pitter or Patter?
I look at my watch and make a mental note of the time: 2:55 a.m. What is the date? October 29. Where will they say he was born? In the Netherlands or Britain? And who will be his true mother? What a mixed-up way to start a life.
The contractions have started again. Samira kneads her stomach, trying to feel the unborn twin.
“What’s wrong?”
“She is facing the wrong way. You must turn her.”
“I don’t know how.”
Each new contraction brings a groan of resignation. Samira is almost too exhausted to cry out; too tired to push. I have to hold her up this time. She squats. Her thighs part still further.
Reaching inside her, I try to push the baby back, turning her body, fighting gravity and the contractions. My hands are slick. I’m frightened of hurting her.
“It’s coming.”
“Push now.”
The head arrives with a gush of blood. I glimpse something white with blue streaks wrapped around its neck.
“Stop! Don’t push!”
My hand slides along the baby’s face until my fingers reach beneath her chin and untangle the umbilical cord.
“Samira you really need to push the next time. It’s very important.”
The contraction begins. She pushes once, twice…nothing.
“Push.”
“I can’t.”
“Yes, you can. One last time, I promise.”
She throws back her head and muffles a scream. Her body stiffens and bucks. A baby girl emerges, blue, slick, wrinkled, cupped in both my hands. I rub her nose. Nothing. I hold her on her side, sweeping my index finger round her mouth and throat, trying to clear the dripping goo.
I drape her over my hand, with her arms and legs dangling and slap her back hard. Why won’t she breathe?
Putting her on a towel I begin chest compressions with the tips of my index and middle fingers. At the same time I lower my lips and puff into the baby’s mouth and nose.
I know about resuscitation. I have done the training and I have witnessed paramedics do it dozens of times. Now I am breathing into a body that has never taken a breath. Come on, little one. Come on.
Samira is half on the bunk and half on the floor. Her eyes are closed. The first twin is swaddled and lying between her arm and her side.
I continue the compressions and breathing. It is like a mantra, a physical prayer. Almost without noticing, the narrowest of chests rises and eyelids flutter. Blue has become pink. She’s alive. Beautiful.
A girl and a boy—Pitter and Patter—each with ten fingers and ten toes, squashed-up noses, tiny ears. Rocking back on my heels, I feel like laughing with relief, until I catch my reflection in the mirror. I am smeared with blood and tears yet have a look of complete wonderment on my face.
Samira groans softly.
“You’re bleeding.”
“It will stop when I feed them.”
How does she know so much? She is massaging her belly, which ripples and sways in its emptiness. I swaddle the baby girl and tuck her next to Samira.
“Go now!”
“I can’t leave you.”
“Please!”
An extraordinary calmness washes through me. I have only two options—to fight or to fall. I take the scissors, weighing them in my hand. Maybe there is a way.
I open the door. Pearl is in the passage.
“Quickly! I need a drinking straw. The girl. Her lungs are full of fluid.”
“What if I can’t?”
“A ballpoint pen, a tube, anything like that. Hurry!”
I close the door. He will leave Yanus to watch the passage.
Taking the babies from Samira, I lie them side by side on the floor of the bathroom, tucked between the sink and the toilet. Cupping my hands beneath the running water, I wash away the blood and clean my face.
I have been trained to use a firearm. I can shoot a perfect score with a pistol from thirty yards on an indoor range. What good is that now? My hand-to-hand skills are defensive but I know the vital organs. I glance again at the scissors.
It is a plan I can only try once. Lying on the bathroom floor, I face the bedroom, holding the scissors like an ice pick with a reverse grip. My thumb hooks through the handle. If I look toward my toes, I can see the babies.
Taking a deep breath I open my lungs, screaming for help. How long will it take?
Yanus shoulders the door open, shattering the lock. He charges inside, holding the knife ahead of him. In mid-stride he looks down. Beneath his raised foot is the afterbirth, purple slick and glistening. I don’t know what he imagines it to be, but the possibilities are too much for him to comprehend. He rears back and I drive the scissors into the soft flesh behind his right knee, aiming for the artery and the tendons that work his leg. The knee buckles and he swings his arm down in an arc trying to stab me but I’m too low and the blade sweeps past my ear.
I grab his arm and lock it straight, spearing the scissors into the inside of his elbow, severing another artery. The knife slips from his fingers.
He tries to spin and grab me, but I am already out of reach. Leaping to my feet, I jump onto his back and send him down. I could kill him if I wanted. I could drive the blade into his kidneys.
Instead, I reach into his pocket and find the masking tape. His right leg is flapping like the wooden limb of a marionette. Pulling his good arm behind his back, I tape it in a reverse sling around his neck. Another piece covers his mouth.
Yanus is groaning. I grab his face. “Listen to me. I have severed the popliteal artery in your leg and the brachial artery in your arm. You know this already because you’re a knife man. You also know that you will bleed to death unless you keep pressure on these wounds. You will have to squat on your haunches and keep this arm bent. I will send someone to help you. If you do as I suggest, you might still be alive when they get here.”
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