Earlier this month our class had an art assignment. As you might have read in my newsletter update, we each had to write stories relating to midwifery as part of our project. I thought it might be nice for some of you to read mine, and wanted to give you that opportunity, so here it is!
“It's like trying to squeeze a watermelon out of a lemon” that was the only thing I knew. No doubt, multitudes of other girls felt equally as ill-equipped, confused, and fearful. As I can remember, this was the only information circulating in elementary schools on the topic of birth during my day. I can also recall my amazement that something could spend nine whole months hanging out inside of a cozy den, that once departed, could never return. It all seemed rather sad and quizzical to me.
The first birth I ever attended, was very much like the second and third. I could scarcely tell you a difference between them, besides the age and appearance of the women involved. As part of my schooling, I shadowed doctors and nurses throughout the largest county hospital in the south, and throughout that program, I came to witness many circumstances and procedures hidden to the normal citizen. In the case of these births, the nurses consulted a big board, or rather, a wall of names, and numbers. It was a towerous, ever-changing, collaborative chart: documenting the progression of labours in each of the rooms throughout the ward. Lines of numbers changed colours as women approached nearer their time, much like a stoplight cycling from red to green. It was a deceitful trick, this board, seemingly a considerate and tactful way to monitor women while leaving them to their privacy. I was fooled as much as the next person, thinking that the grand chart meant the women achieved a sort of distance from the hospital environment in order to labour more like fully capable women, than patients. Following a nurse into the rooms proved contrary. First, I had to adorn myself in the hospital green tissue gown, cap, and booties, and while encouraged to wear a mask, I politely declined. I thought, am I entering a quarantine zone, or a delivery room? “it's almost time!” quipped one of the floor nurses, eager for my observation as a young unseasoned student.
Peering past the nurse, I saw the woman. She was rocking the same pale green tissue, though in a much more complicated array, which allowed her legs to be splayed apart in the direction of the far wall, without revealing anything to the entries. The nurse carefully checked all of the wires linked up to the figure in the bed, as other nurses sifted in and began to arrange tinkering tools all about the room. There were subtle beeps and flashing numbers, and the stinging scent of antiseptic. The nurses chatted above the patient as she uncomfortably writhed and gritted her teeth. They had no need for me here, in fact, the way they bantered between themselves in ignorance of the labouring woman seemed to communicate that they could have this baby even without her. After checking all of her vitals, a doctor entered without so much as glancing at the patient. No, that's not true, he made a bee-line between her knees, gloving up and telling the tissue-draped darkness that he was going to check her dilation. Seeming satisfied with his discovery he retreated a few steps, snapped off his gloves, and whisked out of the room as quickly as he'd entered.
We all stood around awkwardly for awhile, watching this woman ball into intensity, and melt again into exhaustion, a few of the nurses chirped encouraging remarks as they watched. I could feel a confusion welling up and fighting within me. I did not know this woman, nor was I familiar with the progression of birth yet, but I wanted with everything inside of me to come up beside her, hold her hand, and fight through her contractions with her using empowering remarks. I felt helpless, I felt useless, I felt limited by this strange environment, that made me feel so out of place.
Hardly having time to cope with these feelings, they were shattered by urgent hollers and undecipherable exclamations. A nurse yelled for the doctor, a button was pressed, the door swung open, the transient man adorned a fresh pair of gloves and marched right back between the woman's legs. Things were yelled, recorded, passed, and somewhere someone mentioned a barbecue and homemade lemonade. I watched: a wallflower, no, an elephant, backed into the corner, trying to take it all in. Amidst all the hurry, I noticed, not a one was looking at the mother's face. In fact, she was scarcely looked at the whole time, I recalled. It seemed that despite the careful wrapping of green paper, all of that privacy was created only to have her integrity steamrolled by an armload of “capable” workers. The baby was extracted, severed from the mother, carried to a corner, looked over carefully, washed over once, wrapped up, and taken to the mother. The snap of the doctor's gloves were heard once more as this time he caught my eye and said, “that's all.”
It wasn't until much, much later, that I discovered, that was NOT all. I hadn't gone to Africa with any intentions of delivering babies. I had spent the past four months training in Primary Health Care for missions, and the previous three years figuring out that that was what I wanted to do with my life. I was excited to be working alongside doctors, nurses, midwives, and various other health-care providers, trekking out into african villages. We began our stay by teaching a primary health-care seminar to locals, and I hoped for myself to learn as much from them as we were planning to teach to them. I dissolved any ideas in my mind of what I hoped this outreach would be, and tried simply to be available. Available to God's prompting, and people's needs. I didn't think that would mean being available to assist in a birth, but as I walked past the L&D corridor with one of the midwives on staff, we heard a forceful grunting sound, with a shrill intake of breath echoing through the empty hospital.
The hospital, during it's prime time, had been maintained, and staffed by the Portuguese. A large concrete building amidst fleets of mud huts. It exhibited the peak of technology in the time that the foreigners ruled the land. A sugar plantation stood nearby, a remnant of the western control and her struggle to squeeze resources and revenue from the otherwise desolate land. Yet, when the country gained independence in 1975, the white men left, taking their doctors and fancy equipment with them. The hospital was abandoned, a lavish exoskeleton, to be ravaged, along with the country, in civil war for 15 years before peace. This was the heart-wrenching reality that we had come to.
Knowing that the doctors were scarce, the curious midwife who had been pacing to the classroom for our seminar wasted no time diverting her path. She crept through the wide archways of peeling blue paint, and disappeared into the dusky room. Checking around me, I saw no one else to come to help, and promptly followed her in to rudimentary excuse for a labour room.
A woman lay rolling from side-to-side, her belly stretched tightly, and bulging. She was on a plastic mattress, suspended on what seemed to be pure rust, in a room that was empty, aside from a bucket of bleach in the corner, and a tray with scissors and gloves perched at the foot of her bed.
My friend had already come to her side, and began to massage her back vigorously, relief evident across the woman's face. Within minutes, the pains overtook the woman's body, and for a minute the woman yelped, and breathed out a shrill , “mami!mami!”, but then as my friend encouraged her, prayed with her, and upon her “amen”, the woman looked her dead in the eyes. She clung to the bed with an incredible strength that rippled throughout her toasted skin. She swallowed her pain, a fierce determination overtaking her. Her lips pursed, as she locked eyes with the midwife, and she fumed deep, shuddering, breaths through her arrow-shaped, nose. She shone. She was raw, human strength. I was mesmerized. She was the most beautiful sight I could ever remember seeing. smooth velvety, cacao skin, licked by toffee knicks and scars, the upper half of her body lightly tangled in the brightest allure of african fabric that the colour spectrum could handle.
A clear, sweet-smelling fluid surged across the mattress and began to drip over the edge into the sunlight, and my companion wasted no time slipping the gloves onto her hands. I hastened to the spot she had left and began to fill in the role that I had just witnessed. I don't know where she summoned her strength, but this goddess of a woman throbbed energy and power. She briefly tossed her head back, and let out a slow moan. Enraptured by it all, I heard my comrade let out a laugh and I quickly looked down to see her dewy eyes engaged with the slippery, screaming, soul she held in her hands.
In the moments following, she handed the baby to me as I passed it to the mother. The baby's eyes fluttered open, and rested on her mother's. They shared an intense look of love encompassing them like a force-field, and I wondered to myself how many other stunningly beautiful moments I had never seen in my life. The midwife captured my attention, and directed me to aid her in the delivery of the placenta and the cutting of the cord. She guided me in checking the mother for any complications, as she and her prize snuggled below us in contented joy.
It could be different, it could be SO MUCH different even in the absence of the 'essentials' of the western world. This realization struck me with an eagerness to experience more, to understand more, to teach more, this pinnacle experience was merely the fuel for a journey I knew was far but over.