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Chris Bohjalian: Midwives

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Chris Bohjalian Midwives

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In the winter of 1981, trapped by unpassable roads, midwife Sibyl Danforth makes a life-altering decision when she performs an emergency cesarean section on a woman she fears has died of a stroke.

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My dad smiled and shook his head and said I might just as well expect the moon to drop out of the sky onto our rooftop.

I had never been to Westchester, but I had an immediate sense that the McKennas were from a town more mannered than Reddington: The terrace was a dead giveaway, but they were also a lot more stiff than those of us who had put in any time in Vermont-especially my parents' friends from the days when they hung out with the folks from the Liberation News Service and viewed love beads as a profound political statement. I liked the McKennas, but on some level I suspected from the moment Rollie introduced me to her mother that the family wasn't going to last long in our part of Vermont. They might do okay in Burlington, the state's biggest city, but not in a little village like Reddington.

I was wrong about that. The McKennas did all right here, especially Rollie. And while there were actually parents in town who would not allow their little girls to play at my house-some merely fearing their daughter would wind up at a birth if my mother was unable to find a baby-sitter, others believing that among the strange herbs and tinctures that were my mother's idea of medical intervention were marijuana, hashish, and hallucinogenic mushrooms-the McKennas didn't seem to mind that my mother was a midwife.

Telling Mrs. McKenna and her friend about Norman Charbonneau's passage through his mother's vaginal canal was as natural for me at nine as telling my parents about a test at school on which I'd done well, or how much fun I might have had on any given day in December sliding down the hill behind Sadie Demerest's house.

By the time I was fourteen and my mother was on trial, I had begun to grow tired of shocking adults with my clinical knowledge of natural delivery or my astonishing stories of home births. But I also understood that words like vulva were less endearing from a fourteen-year-old than from a younger girl.

Moreover, by the time I was fourteen and my own body was far along in its transformation from a child's to a teenager's-I had started to wear a training bra in the summer between fifth and sixth grade and begun menstruating almost a year before the county courthouse would become my second home-the whole idea of a nine-pound, two-ounce anything pushing its way through the ludicrously small opening between my legs made me queasy.

"I just don't see how anything that big will ever get through something that small!" I'd insist, after which my father would sometimes remark, shaking his head, "Bad design, isn't it?"

If my mother was present she would invariably contradict him: "It is not!" she would say. "It's a magnificent and beautiful design. It's perfect."

Because she was a midwife, I think my mother was bound to think this way. I'm not. Moreover, I'm thirty years old now, and I still cannot begin to fathom how anything as big as a baby will someday snake or wiggle or bash its way through what still looks to me like an awfully thin tunnel.

Although my mother would never have taken one of my little friends to a birth, just before I turned eight I began to accompany her to deliveries if a baby decided to arrive on a day or night when my father was out of town and her stable of sitters was busy on such short notice. I don't know what she did before then, but she must have always found someone when necessary, because the first birth I remember-the first time I heard my mother murmur, "She's crowning," which to this day makes me envision a baby emerging from the birth canal with a party hat on-occurred on a night when there was a tremendous thunderstorm and I was in the second grade. It was late in the school year, perhaps as close to the commencement of summer as the first or second week in June.

My mother believed babies were more likely to arrive when the sky was filled with rain clouds than when it was clear, because the barometric pressure was lower. And so when the clouds began rolling in that evening while the two of us were eating dinner on our porch, she said that when the dishes were done she might see who was available to baby-sit tonight, if it came to that. My father was on the New York side of Lake Champlain that evening, because builders were going to break ground the next day for a new math and science building he had helped to design for a college there. It wasn't his project solely-this was still three years before he would open his own firm-but my father could take credit for figuring out the details involved with building the structure into the side of a hill and making sure it didn't look like offices for the North American Strategic Air Command.

The first infant I saw delivered at home was Emily Joy Pine. E.J., as she would come to be called, was an easy birth, but it didn't look that way to me a month short of my eighth birthday. I slept through the phone call David Pine made to our house about ten in the evening, probably because my mother was still awake and answered promptly. And so Emily's birth began for me with my mother's lips kissing my forehead, and then the image of the curtains in the window near my bed billowing in toward the two of us in the breeze. The air was charged, but it had not yet begun to rain.

When we arrived, Lori Pine was sitting on the side of her bed with a light cotton blanket draped over her shoulders, but most of the other bedding-blankets and bedspread and sheets-had been removed and piled in a small mountain on the floor. There were some fat pillows at the head of the bed that looked as if they came from an old couch. The mattress was covered with a sheet with the sort of pattern that might have looked appropriate on a big, ugly shower curtain: lots of psychedelic sunflowers with teardrop-shaped petals, and suns radiating heat and light.

That sheet, I would overhear, had been baked in a brown paper grocery bag for over an hour in the couple's kitchen oven. It may have been tasteless, but it was sterile.

When my mother and I arrived, the woman who was her apprentice back then was already there. Probably twenty-four or twenty-five years old at the time, Heather Reed had already helped my mother deliver close to forty babies at home; when we walked into the bedroom, she was calmly telling Lori to imagine the view her baby had of the uterus at that moment.

My mother was nothing if not hygienic, and after she had said hello she went straight to the Pines' bathroom to wash up. She would probably spend ten full minutes scrubbing her hands and soaping her arms before she would place her palms softly upon a woman's stomach, or pull on a pair of thin rubber gloves and explore a laboring mother's cervix with her fingers.

When she emerged from the bathroom, she asked Lori to lie back so she could see how she was doing. Lori and David's two small sons had already been taken up the road to their uncle's house, while their aunt-Lori's sister-was here, rubbing Lori's shoulders through the blanket. David had just returned from the kitchen, where he had been preparing tea made from an herb called blue cohosh, which my mother believed helped to stimulate labor.

Lori lay back on the bed, and as she did her blanket fell away and I saw she was naked underneath it. I had assumed she wouldn't be sleeping in pajamas with pants like me, but it hadn't crossed my mind as I stood in the bedroom that she wouldn't be wearing a nightgown like my mother, or perhaps a big T-shirt of the sort my mother and I both slept in on hot summer nights.

Nope, not Lori Pine. Buck naked. And huge.

Lori Pine had always been a big woman in my eyes. She towered over me more than most moms when we would find ourselves standing together at the front register of the Reddington General Store, or in the crowded vestibule before or after church. Her boys were younger than I, one by two years and one by four, so I had no contact with her at school. But I did seem to find her standing near me often, and I had this fear at the time that if I ever needed to get past her in an emergency, she would plug up the entire doorway, an ample, spreading, broad-bottomed plug of a woman.

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