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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I remember what I was doing when I was fourteen. It was a lot worse than coffee, and somehow I made it to fifteen. So I told myself this coffee thing is okay, she knows what she wants, and tried to chill out.

She must have put in two whole packets of Sweet'n Low. And I'll bet the coffee still wasn't as sweet as my girl looked to me. She was still in her nightgown, and she had on those slipper socks on her feet: big wool socks with leather soles. Rand was already up and out the door-until this whole horrible thing is over, I think the only time he'll ever get any work done is before the rest of the world is even awake-and she just shuffled into the kitchen, shuffled across the floor, shuffled over to the coffee mugs on the pegs by the toaster, and started pouring herself a cup.

I think I must have been staring by the way she stopped mid-pour and then looked over at me.

"Okay if I have a cup?" she asked.

And that's when this really weird sentence formed in my head, the sort of sentence I can hear my own mother saying to me: Don't you think you're a little young? So I just nodded like, you know, no big deal. And while on the one hand it isn't-it's coffee, and she sees her dad and mom practically mainlining the stuff-on the other hand, it is. It's one more step for our girl.

I want to write "little girl." But she hasn't been a little girl in years. I probably shouldn't even think of her as a girl anymore. The person in a nightgown and slipper socks is a young woman. (God, wasn't it just yesterday she was calling them "slippy socks"? Probably not. It was probably half a decade ago.) And I don't just mean she's a young woman physically, though it's clear as she stands in her nightgown that her body has changed. Height. Hips. Breasts.

I mean she's becoming this young woman emotionally. She's always been very mature for her age, but she has some moments these days when she seems totally grown up to me. She still sounds pretty kid-like when she's on the phone with Tom Corts, and from a distance she still looks pretty kid-like when she's grooming the McKennas' horse with Rollie. But the way she's handling the bigger things right now is amazing to me. That's when she seems like this little grown-up person. Like when she was reading all those horrible newspaper stories Sunday morning. She was practically dissecting them like she was one of those Sunday-morning news commentators on TV.

Or when she met my lawyer last night. That's a perfect example. When she met Stephen. She was this little diplomat, making sure he had whatever he needed, asking him these really good questions, and telling him these really funny stories.

She even asked him if he could stay for dinner. Just like a little diplomat. Just like a young diplomat. Not little. Young. And while he couldn't stay for dinner last night, I have a feeling he will be having dinner with us other nights this spring. Connie will have to see a lot of him, which is only unfortunate because of what he does, not because of who he is.

I know Connie's scared. I know I'm scared. I don't know what to do about that in either of our cases.

Here's what I think I'll do about the coffee. She can have coffee in the morning before school, but not after dinner. If she wants to start the day with a cup of coffee, that's cool. But none before bedtime because she is still growing, and she does need her sleep. That's how we'll handle this coffee thing.

– from the notebooks of Sibyl Danforth, midwife

WHEN CHARLOTTE FUGETT BEDFORD died, the midwives were scared. The lay midwives, that is, the ones without any medical training, the ones who did the home births. Not the nurse-midwives: They worked with doctors and delivered babies in hospitals, and had no reason to be frightened.

But the lay midwives feared-rightly, it would prove-that the medical community would try and use the woman's death as an indictment of home birth in general. As winter slowly gave way to spring, however, and my mother was charged with a crime and treated like a criminal, when the midwives learned the conditions of my mother's bail, their fear quickly grew into anger. Fury, to be precise. And while the midwives I have met in the course of my life have many, many strengths, an ability to have a dispassionate conversation about home versus hospital birth or a willingness to discuss the conduct of one of their own with anything that resembles an objective detachment is not among them. Moreover, if-as Tom Corts had put it-doctors are predatory pack animals like wolves, then midwives are herd animals like elephants: Attack one, and the others will rush to the wounded animal and do all that they can to defend it.

In the months after Charlotte Fugett Bedford died, our house was filled with midwives. Sometimes they came with food as if someone in our family had died, sometimes they came with flowers: When May arrived, our house grew rich with the sweet aroma of lilacs; in June the dining room and kitchen were filled with the scent of sweet honeysuckle and narcissus. Occasionally they brought with them the names of other midwives around the country who had also experienced a-to use the midwife's euphemism for virtually any fatality, deformity, or grotesque malformation-"bad outcome." Sometimes they appeared with the names of those women's lawyers, a gesture which initially I assumed Stephen Hastings would find threatening. I was wrong. He was thrilled.

Early on he asked my mother to share with him the names of these midwives and their attorneys so he could discuss with them their trials and their defense strategies. From a lawyer in Virginia he got the name of one of the forensic pathologists who would eventually testify on my mother's behalf; from a midwife in Seattle he heard the story of the midwife in California who had been tried for practicing medicine without a license after she injected Pitocin and Ergotrate into a woman in labor.

The midwives who visited us came from all over New England and upstate New York, and a few traveled distances that absolutely astonished me, just for the opportunity to meet and console my mother. When some of the news articles about her were sent over the wires, midwives in places as far as Arkansas and New Mexico read about her plight, and one from each of those states ventured to Reddington as a show of solidarity.

These women, regardless of whether they were from a rural corner of northern New Hampshire or an urban neighborhood in Boston, regardless of how well they knew my mother, were huggers. They never shook her hand when they met her, they always embraced her. This went for my father, too, if he happened to be home, and for Stephen Hastings if he happened to be visiting. They, too, would be hugged. Moreover, these were not the sort of mannered little squeezes society matrons or youthful debutantes might share at dining clubs or cotillions in Manhattan, these were emphatic bear hugs of impressively long duration. These were the sorts of decorum-be-damned greetings that begin with arms opened like wings, which then close around one like a straitjacket. I hate to think of the sort of damage they might have done to their clothes if these midwives or my mother had been the sort who wore makeup.

The Vermont midwives, all of whom knew my mother, rallied around her like Secret Service agents around a president who's been shot. They brought her casseroles and stews; they left in our kitchen absolutely mammoth tureens of gazpacho, escabeche, or sweet pea and spinach soup. They baked multigrain breads and blueberry muffins, gingerbread cookies and decadent chocolate tortes. They wrote my mother poems. They penned editorials for the opinion pages of Vermont newspapers; they wrote letters to legislators and the state's attorney. They conducted "teach-ins" to explain home birth at public libraries in St. Johnsbury and Montpelier. Cheryl Visco and Donelle Folino organized a quilt sale to raise money for my mother's legal defense fund, while Molly Thompson and Megan Blubaugh wrote hundreds of fund-raising letters on her behalf. Midwife Tracy Fitzpatrick's sister and brother-in-law owned a vegetarian restaurant in Burlington, and she convinced them to have a special fund-raising dinner one night, with all of the proceeds going toward my mother's defense.

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