Once there was a man who drove an ambulance. In that ambulance he’d drive sick people to help. In his ambulance he’d drive desperate people to urgent care in hospital. And sometimes he’d drive to a funeral home with the body of a person whose life had not be saved. Then he’ddrive slowly, gently, so his passenger’s last ride might be calm.
He liked his work. It felt important.
One day the Controller called him with a different task. The Controller said, Hurry, there’s a baby coming! The ambulance driver turned on his flashing light and his siren and he hurried. He hurried past cars that pulled off the road to let him past. He hurried up tram tracks, dodging terrified tram drivers. He hurried along the wrong side of streets, he hurried the wrong way up One-Way streets. He hurried until he arrived at the address.
The driver jumped out of his ambulance. A man was standing outside. The man shouted,Thebaby’scomingshe’sinsidehurrythebaby’scoming.
The driver hurried inside. On the bed lay a woman. She did not speak but gasped and strained and grunted. Her face was deep red. The sheets were wet and pink. The driver saw the woman’s bare bottom. And he saw the baby was coming.
The ambulance driver had seen childbirth before, one time only, back when he was learning the work. On that occasion he had nothing he had to do but watch and learn. Now he had some things he must do. He hoped he’d remember what to do.
The first thing was to watch closely. The second was to wait. He watched as the woman did the work. She took one great, final, gaspful of air, she strained long, she pushed mightily and with a slither and a gush and a cry, the woman’s work was done. The driver lifted the new person, all slippery and warm, and handed her to the man, who was suddenly a father. Take her to her mother, he said. And the man took the child to the woman who put the babe to her breast.
The ambulance driver did his jobs. Once again, the first job was to watch, while the cord pulsated and soon fell still. He asked the man who was now a father for some string. There was no string, but he brought a new shoelace. The driver tied the lace tight around the bluey cord, then he cut it. It felt like cutting squid. The ambulance driver knew the next job was the most dangerous. He placed his hand on the woman’s empty belly, he felt the contracted womb, then pulled gently. There was a gasp, Ooh! from the woman, a plop, a gush, and the dark meaty flesh of the afterbirth fell into his hand. The driver peered and poked at the flesh until he saw it was complete.
He cleaned up and gave useful advice to the wonderstruck couple and drove back to the Depot. As he drove, he thought: I did remember what I had to do. And for the remainder of his shift he realised in wonder, I helped to make a family today.
The ambulance driver finished work and drove home. As he drove, a feeling floated and formed in his mind. The feeling took shape as an idea. And by the time he was home, the idea became intention, and the intent gave birth to the words he would say to Elise, his wife.
He opened the front door. He opened his mouth and he started to speak…
***
Once upon that time, there worked a nurse in the emergency ward of a great hospital. Her name was Elise. There the nurse brought calm to people in panic, and skill to urgent tasks. Shewould inject and suture, she’d apply glue to torn skin, she’d swab abrasions, she’d canalise veins, and to all her people, she’d listen closely and speak kindly to fear and sorrow and pain.
She brought her skill and her calm kindness to her rotations in the great city and to placements in the smallest towns, where she’d work alongside a local nurse. Here she worked as one in a team of two.
The nurse liked her work. It felt significant.
Then, once upon a dawn time, came to this little hospital a woman in childbirth. The baby’s coming, she cried. The local nurse was older, more experienced. She looked and she felt and she timed the pains, while the younger nurse measured blood pressure and pulse rate and temperature. The older nurse said to her patient, This baby is in a hurry to be born. It isn’t going to wait for a long trip the big hospital. You’ll have your baby here, with us. And to her younger colleague she said, We’re not a maternity hospital, but we keep all the gear here, just for surprises like this.
The three women worked together. For the local nurse, a trained midwife, this would be a reprise of her earlier years, and the baby would be one more to add to her untold tally. This labouring woman, though, was about to give birth for the first time. It’s my first time, too, the younger nurse said to herself.
The three worked together through the early morning. There was much to do and all had to be done with care and quiet speed, and also, during phases of waiting, with calm and with patience.And by breakfast time they were four, for the baby was a girl. The younger nurse looked upon the newborn with amazement.
Neither a partner nor a parent of the new mother presented. The new mother gave no sign she expected anyone. She never said why and the two nurses respected her reticence and did not probe. They joined themselves to the new dyad without need of questions. The younger nurse tended the babe, and through her shift and for the duration of her placement, her wonder never left her.
As she returned to her place in the city, a feeling floated within her being. Slowly it formed itself into an idea, and as she drove, the idea firmed into intention, and the intent found form in words. She waited for her husband, an ambulance driver, to return home…
***
By the time I crossed paths with Elise, she was nursing in the emergency rooms of the suburban hospital where I’d come to work as a GP. She was unmistakeably pregnant and appeared radiant withal. She seemed always to wear a smile. Her happiness felt like a radiance that lit up all in her presence, and warmed us. She and I bonded quickly in the work we shared.
She told me the story of her pregnancy, how her ambulance driver husband and she had separately – and it seemed to them -simultaneously discovered pregnancy, not as a clinical phenomenon but as inspiration.
You know, we’re not young, she confided, we’re both close to forty. So my pregnancy is categorised as ‘high risk’. They call me an ‘elderly primigravida’, but everything is going naturally and so smoothly. Her smile widened as she contemplated the wonder of it all: Simon and I both want a normal birth. We’ve chosen a nice doctor who believes in the same things. She asked us to call her by her first name, Claire. Claire’s known to favour normal birth. She says, “When some little hitch arises, I don’t race to abandon the vagina.” Elise laughed: Her own words!
Elise’s time came near. I worked with her during her final shift before her maternity leave. Elise’s excitement, her inspired state, had affected me: Good luck, I said.
***
Six weeks later, Elise turned up for work. Welcome back, Elise! What did you have?
A girl. We called her Helen. She’s…
Elise stopped. Her eyes filled.
I waited.
She was born dead.
Now it was I who had no words.
Her head got stuck. Our doctor had to turn the baby with instruments, and her neck broke. She never breathed.
Oh, Elise…
They kept her breathing with a ventilator and transferred her to the Children’s Hospital. She spent seventeen days there, in Intensive Care.
She never took a breath, she never moved.
She never made a cry.
Day after day she lay there…
We knew it was pointless to continue, but we couldn’t let her go.
She was so beautiful.
Although it was hopeless, the hospital never pressed us to stop.
Finally we turned off the machine.
I wanted to hug Elise, to hold her.
She surprised me with what she said next: We learned something in that wonderful hospital. We learned how simple kindness can help you bear a terrible wound.
I wondered about the doctor who believed in the same things as Elise and her husband. The grief that doctor must feel, the wishing she could undo her decision to use instruments to procure a ‘normal birth.’
I wondered whether the parents might sue their doctor.
I wondered at Elise, her presence at work, her apparent state of peace.
Elise spoke again. My husband and I have started a project. We’re raising money to endow a Neonatal Intensive Care bed at the Children’s Hospital.
Wow, Elise!
(A bed doesn’t come cheap. You can’t just wander into Captain Snooze, and choose one.)
Elise continued, What with staffing and running abed, we’ll need a million dollars. We’re out raising money, my husband and me, our families, my hockey club and his football team.And Claire, our doctor.
We’re doing it together.
I must have looked surprised.
You know, Claire came to sit with little Helen in Intensive Care every day. Every day for seventeen days. And she was with us when we buried her.













