"Sassenach, can ye deliver a child? Or had I best go for the midwife?" Jamie turned to me, questioning. I didn't hesitate in my answer.
I shook my head. "Get the midwife." I had seen only three births during my training; all conducted in a sterile operating room, the patient draped and anesthetized, nothing visible save the grotesquely swelling perineum and the suddenly emergent head.
Having seen Jamie on his way to fetch the midwife, Mrs. Martins, I followed Ian up the stairs.
Jenny was sitting in a chair near the window, leaning comfortably back. She had put on an old nightgown, stripped the bed and spread an aged quilt over the feather mattress, and was now just sitting. Waiting.
Ian hovered nervously over her. Jenny smiled too, but with a distracted, inward look, as though listening to something far off, which only she could hear. Ian, fully dressed, fidgeted about the room, picking things up and putting them down, until Jenny at last ordered him to leave.
"Go downstairs and rouse Mrs. Crook, Ian," she said, smiling to ease the dismissal. "Tell her to get things ready for Mrs. Martins. She'll ken what to do." She drew in her breath sharply then, and put both hands on her distended abdomen. I stared, seeing her belly draw up suddenly tight and round. She bit her lip and breathed heavily for a moment, then relaxed. Her belly had resumed its normal shape, a slightly pendant teardrop, rounded at both ends.
Ian put a hand hesitantly on her shoulder, and she covered it with her own, smiling up at him.
"Then tell her to feed ye, man. You and Jamie will be needing a bit to eat. They say the second babe comes faster than the first; maybe by the time you're done wi' breakfast, I'll be ready for a bite myself."
He squeezed her shoulder tightly, and kissed her, murmuring something in her ear before turning to go. He hesitated in the doorway, looking back, but she waved him firmly away.
It seemed a very long time before Jamie arrived with the midwife, and I grew more nervous as the contractions grew stronger. Second babies were said to be faster, as a rule. What if this one decided to arrive before Mrs. Martins?
At first, Jenny carried on light conversation with me, only pausing to bend forward slightly, holding her stomach, as the contractions tightened their grip. But she quickly lost the urge to talk, and lay back, resting quietly in between the increasingly powerful pains. Finally, after one that almost bent her double in her chair, she rose to her feet, staggering.
"Help me walk a bit, Claire," she said. Unsure what was the proper procedure, I did as she said, grasping her tightly under the arm to help her stand upright. We made several slow circuits of the room, pausing when a contraction struck, going on when it eased. Shortly before the midwife arrived, Jenny made her way to the bed and lay down.
Mrs. Martins was a reassuring-looking person; tallish and thin, she had wide shoulders and muscular forearms, and the sort of kind, down-to-earth expression that invited confidence. Two vertical creases between her iron-grey brows, always visible, deepened when she was concentrating.
They stayed shallow as she made her preliminary examination. Everything normal so far, then. Mrs. Crook had produced a pile of clean, ironed sheets for our use, and Mrs. Martins took one of these, still folded, and pushed it under Jenny. I was startled to see the dark stain of blood between her thighs, as she raised herself slightly.
Seeing my look, Mrs. Martins nodded reassuringly.
"Aye. Bloody show, it's called. It's all right. It's only when the blood is bright red, and a terrible lot all at once, that ye worry. There's nothing wrong."
We all settled down to wait. Mrs. Martins talked quietly and comfortingly to Jenny, rubbing the small of her back, pressing hard during the contractions. As the pains became more frequent, Jenny began to clamp her lips together and snort heavily through her nose. Often, there was a deep, faint groan as the full force of the pain came on.
Jenny's hair was soaked with perspiration by this time, and her face bright red with the strain. Watching her, I realized fully why it was called "labor." Giving birth was bloody hard work.
Over the next two hours, little progress appeared to be made, except that the pains grew obviously stronger. Able at first to answer questions, Jenny quit responding, lying panting at the end of each contraction, face fading from red to white in a matter of seconds.
She clamped her lips through the next one, beckoning me to her side as it eased.
"If the child lives…" she said, gasping for air, "and it's a girl… her name is Margaret. Tell Ian… name her Margaret Ellen."
"Yes, of course," I soothed. "But you'll be able to tell him yourself. It won't be long, now."