was already a full ten centimeters. The head was
visible. The mother was pushing and moaning loudly.
“Almost there!” Woody said.
“Um, not so sure.” David frowned over his mask. “The head
isn’t coming. The kid’s stuck.”
He slid one gloved hand in alongside and past the baby’s
face. “Great,” he grimaced. “The cord’s around the neck.”
Jill and Tricia both darted looks to the fetal monitor.
“What now?” asked Tricia.
“Come see.”
“I’ve only done this once,” Woody said.
The three watched David slide in his second hand, and
manually rotate the baby a quarter turn, from face down to a position where the
shoulders were vertical. Then, very gently, he pulled the shoulders first
downwards, and then upwards, until the baby and the umbilical cord were partway
out.
“This isn’t rare,” he told the others. “You need to do it
fast, or the cord will be compressed by the mother’s pelvic bone, which will
cut off the baby’s oxygen supply. The cord can also act like a noose and
strangle the baby.”
Woody quickly clamped the cord, still pulsating, in two
places close to each other. David nodded, and Jill used sterile scissors to cut
between the clamps.
“That’s it,” he said. And more brightly, looking up: “Momma,
you’re doing great.”
Momma smiled at him, gasping.
The rest of the baby, slippery with amniotic fluid, slid
right down into his hands, one hand at the junction of the neck and shoulder,
the other under and supporting the lower back. It was a girl. “Oh, beautiful!”
he said, holding the child up by her ankles while Tricia unwound what remained
of the cord, wiped the tiny face with a sterile cloth, and used a rubber bulb
syringe to suction her mouth and nostrils.
The newcomer began to breathe on her own, and let out a
lusty wail. Woody hooted and the others beamed as they put her, howling, on her
joyous mother’s chest. Jill tied the cord, and Tricia removed the clamps.
The rest - checking the placenta, administering Ergotrate to
contract the uterus - took just a minute. The whole birth had taken fourteen
minutes.
A welcome respite for Jill from her brooding. She even
smiled for David as they left the delivery area.
“Let’s see how Jenna’s doing,” he said, scrubbing out.
When they left he had his arm around her. Had seen her gloom
in the cafeteria, and in the elevator kissed her, lovingly and fully.
On the surgery floor, they made their way to neurosurgery
and Jenna Walsh’s ICU room - and a surprise.
She lay, eyes closed, on pillows with her bed slanted up and
her head swathed in bandages. A blue sheet and blanket covered her up to her
chin. Wires protruded from under her blanket to a beeping monitor. Her IV pole
by the monitor hung its tubing down to a vein on the back of her hand.
And seated sprawled across the bottom of the bed was a woman
with her face in her arms. She was crying softly. A man was seated next to her,
his head down, his arm across the woman’s back.
The man looked up as they entered. Blinked at their scrubs,
and blinked again as they approached. His bloodshot eyes saw their OB/GYN
nametags.
David and Jill introduced themselves.
“Oh,” said the man. “We’re Paul and Susan Sutter. The…baby’s
parents. Jenna was our surrogate.”
Susan Sutter was frail-looking with short, pale blond hair.
Her eyes were raw and her face was strained, but she struggled for composure.
Apologized, even, for crying, and thanked them for their efforts. Her hand
gripped her soggy tissue.
“Jenna’s not doing well,” Paul Sutter said, glancing back at
the pretty, comatose face on the pillows. “The surgeon was in a while ago. He
said there’d been damage to her brain. Hopefully only temporary.”
“Hopefully,” David said softly, peering at Jenna. “No
ventilator, she’s breathing on her own...”
“Is that a good sign?” Susan Sutter asked.
David