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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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In a real emergency, I now imagine, Lori Pine would actually have used her size to whisk me up and out of danger, tossing me through an exit or doorway with the same ease with which I throw my cats outside the house in the morning.

But what struck me most when I saw Lori Pine naked on her bed was simply her pregnant belly. That's what I saw, that's what I remember: a massive fleshy pear that sat on her lap and protruded as high as her bent knees, with a small nub in the middle that reminded me of those buttons that pop from the breasts of fully cooked chickens or turkeys. I didn't know then that a pregnant belly was a pretty solid affair, and so I expected it to flatten and slip to her sides like a dollop of mayonnaise when she lay back; when it didn't, when it rose from the bed like a mountain, I stared with such wonder in my eyes that Lori rolled her face toward me and panted what I have since come to believe was the word "Condoms."

I've never figured out whether the word was meant for me as a piece of advice that I should take to heart, as in "Demand that your man always wear a condom so you don't end up trying to push a pickle through a straw," or as a warning against that particular form of contraception: "This is all the fault of a condom. There are better forms of birth control out there, and if I'd had any sense at all, I'd have used one."

Whether Lori Pine really did say the word condoms or something else or merely my name when she saw me standing there-my name is Constance, but at a young age I learned to prefer Connie-I'll never know. I like to believe she said condoms; so many other beliefs shatter when we grow up, I want to keep this one intact.

In any case, whatever she said made everyone in the room aware of the fact that I was there, leaning against the wall.

"Do you mind if she stays, Lori?" my mother asked, nodding slightly in my direction. "Tell me honestly."

Lori's husband took her hand and stroked it, adding, "She could join the boys at their uncle's, you know. I'm sure Heather wouldn't mind driving her up there."

But Lori Pine was as generous and uninhibited as she was large, and she said she didn't mind having me there at all. "What's one more pair of eyes, Sibyl?" she said to my mother, before starting to wince from a contraction, her head snapping toward me as if she'd been slapped.

And so I stayed, and got to see Lori Pine's labor and E.J. Pine's birth. My mother and I had arrived about ten-thirty in the evening, and I stayed awake through much of the night and into the next morning. I did doze in the bedding that had been tossed onto the floor, especially when the thunder that had rolled east across the Champlain Valley and the Green Mountains passed over us into New Hampshire, but they were short naps and I was awake at quarter to six in the morning when my mother had Lori begin to push, and again at seven thirty-five when E.J. ducked under the pubic bone for the last time, my mother pressing her fingers against the infant's skull to slow her down and give her mother's perineum an extra few seconds to yawn.

E.J. was born at seven thirty-seven-like the airplane. Labor was about nine and a half hours, and it was in the opinion of everyone present a breeze. Everyone but me. When I dozed, it was probably because I could no longer bear to watch Lori Pine in such pain and had shut my eyes-not solely because I was tired and my eyes had drooped shut on their own.

The room was dim, lit only by a pair of Christmas candles with red bulbs David had pulled from the attic for the event just after my mother and I had arrived. Had it not been such a windy night, they would have used real candles, but Lori wanted to labor with the windows open, and David had recommended sacrificing authenticity for safety.

Lori had started to express her disappointment when she saw David reappear with the plastic sconces instead of wax candles, but then another contraction ripped through her body and she grabbed my mother's arms with both hands and screamed through clenched teeth: a sound like a small engine with a bad starter trying to turn over.

"Breathe, Lori, breathe," my mother reminded her placidly, "breathe in deep and slow," but by the way Lori's eyes had rolled back in her head, my mother might just as well have told her to march outside and hang a new garage door, and that was the last any of us heard that night from Lori Pine about candles.

I hadn't really seen an adult in pain until then. I had seen children cry out, occasionally in what must have been agony-when Jimmy Cousino broke his collarbone when we were in the first grade, for example. Jimmy howled like a colicky baby with a six-year-old size set of lungs for speakers, and he howled without stopping until he was taken by a teacher from the playground to the hospital.

It was a whole other experience, however, to see an adult sob. My mother was great with Lori, endlessly smiling and reassuring her that she and her baby were fine, but for the life of me I couldn't understand why my mother didn't just get her the adult equivalent of the orange-flavored baby aspirin she gave me when I didn't feel well. The stuff worked miracles.

Instead my mother suggested that Lori walk around the house, especially in those first hours after we got there. My mother had her stroll through her two boys' bedrooms; she recommended that Lori take a warm shower. She asked Lori's sister to give the woman gentle backrubs and massage her shoulders. At one point, my mother had Lori and David looking at snapshots together in a photo album of the home births of their two sons-pictures that had been taken in that very bedroom.

And while I don't believe witnessing Lori Pine's pain frightened me in a way that scarred me, to this day I do remember some specific sounds and images very, very well: My mother cooing to Lori about bloody show, and the blood that I glimpsed on the old washcloth my mother had used to wipe the sheet. Lori's panting, and the way her husband and her sister would lean over and pant beside her, a trio of adults who seemed to be hyperventilating together. Lori Pine slamming the back of her hand into the headboard of her bed, the knuckles pounding against it as if her elbow were a spring triggered by pain, and the noise of the bone against cherry wood-it sounded to me like a bird crashing into clapboards. The desperate panic in Lori's voice when she said she couldn't do it, she couldn't do it, not this time, something was wrong, it had never, ever hurt like this before, and my mother's serene reminder that indeed it had. Twice. The times late in the labor when Lori crawled from her bed and was helped by my mother and Heather to the bathroom, her arms draped over their shoulders as if she were the sort of wounded soldier I'd seen in the movies who was helped from the battlefield by medics, good buddies, or fellows who hadn't previously been friends. The image of my mother's gloved fingers disappearing periodically inside Lori Pine's vagina, and the delighted sweetness in her voice when she'd say-words spoken in a hush barely above a whisper-"Oh my, you're doing fine. No, not fine, terrific. Your baby will be here by breakfast!"

And it was. At quarter to six in the morning when Lori Pine started to push, the sky was light although covered with clouds, but the rain had long passed to the east. No one had bothered to unplug the plastic Christmas candles, so I did: Even in 1975, even just shy of eight, I was an environmentalist concerned with renewable resources. Either that or a cheap Yankee conditioned to turn off the lights when they weren't needed.

Chapter 2.

The books say conception occurs when a sperm penetrates a female egg, and they all use that word-penetration. Every single one of them! It's as if life begins as a battle: "Let's storm the egg!" Or, maybe, as an infiltration of spies or saboteurs: "We'll sneak up on the egg, and then we'll crawl in through the kitchen window when she's asleep!" I just don't get it, I don't see why they always have to say penetrate. What's wrong with meet, or merge, or just groove together?

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