A Mission of Hope, Chapter Fourteen

 

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The Behle clan occupied a large homestead of several rondavels, circular stucco buildings covered by thick thatch roofs. Surrounded by a thorn bush fence, the kraal enclosed the umzi and offered protection for the cattle. Much like the brick work and courtyards of Poplar, the kraal created a protected world.

As the old rover rumbled up to the gate, a young girl ran from her place guarding the cattle to let them in. She shouted words in Xhosa to the doctor, then returned to her post. Ibo, Thembe’s husband, jumped from the vehicle before it came to a halt, but was stopped before he could enter the main house.

An older woman stood in the doorway. She wore the intricate headdress and beadwork of the first wife, a position that had no greater power than at this moment. The young man tried to push past her to see his wife and was rebuffed. Sister Julienne had been right: Patrick Turner would not have been welcome.

Fitzsimmons turned to Shelagh. “The Xhosa are strong-minded people, Mrs. Turner. They will not suffer British arrogance, nor will they allow you to ignore their ways. Doctor Turner has assured me that you are, in fact, Thembe’s best chance, but I must tell you it’s against my better judgement.” She turned her face away, but not before Shelagh saw a look of anxiety.  “I haven’t delivered a baby in far too long. The chances of this ending badly are extremely high.”

Shelagh took in a breath and held it for a long moment. “I can do this, Doctor, and so can you. Between us, we will deliver this baby.”  

“I hope to God you’re right.” With a shrug of her shoulders, Myra Fitzsimmons erased all sign of fear from her face and stepped from the car.

Despite her confident words, Shelagh felt her earlier boldness begin to wane. As she followed Doctor Fitzsimmons into the dimly lit home, she struggled to clear her mind of fear.

Umakhulu greeted them as they arrived at the rondavel’s entrance, and seemed to immediately accept Shelagh’s presence. Rare as it was for the villagers to call on Doctor Fitzsimmons for the sacred rite of childbirth, it was clear the old woman was willing to sacrifice her own pride for her granddaughter.

As she listened to the two women speak, Shelagh glanced about the room. The floor was hard-packed earth, and several small windows clustered high on the southern curve, their light bouncing along the bright white interior walls. Beds edged the rondavel, and a square table dominated the center. Shelagh quickly absorbed her surroundings, trying to acclimate herself.

A low sound came from a bed at the far end of the room, and she turned to their patient. Thembe was far thinner than she should be despite her swollen belly. The young woman  lay on her side, her body twisted with pain. Shelagh took in another slow, deep breath as she sent up a prayer for courage and she knelt at the young woman’s side.

Umhlobo,” she said gently as she pressed her hand to her heart. “Nceda.

The woman’s forehead glistened and her eyes were glazed with pain. “Umhlobo?” Thembe whispered. Shelagh reached out and took the frightened woman’s hand and nodded. Without turning her head, she said, “I’ve exhausted my Xhosa, I’m afraid, Doctor. You’ll have to translate.”

A moment passed before Doctor Fitzsimmons responded. “I think perhaps you know all that’s truly necessary, Nurse.” She spoke softly to Thembe, and the young woman’s grip tightened on Shelagh’s hand. “I’ve told her what you’re going to do, and that it will be painful, but at the end of this long day, she’ll hold her beautiful baby in her arms.”

Thembe gasped as a pain contorted her face. Shelagh placed a cool hand on her forehead and watched as the contraction ran its course.

“I’ll need to examine her, Doctor. The pains sound as if the labor is beginning to progress, and I don’t want to miss the window where I can help. Is she ready for me?”

The old woman approached Shelagh, pointing out the bowl of water set aside to clean her hands. Her voice clicked words of support, her arms gesturing to her granddaughter. Shelagh smiled and said gently, “I can help, Umakhulu. Nceda.”

The bowl of water looked fresh, the bar of soap next to it untouched. Shelagh made a decision, then began to scrub her hands in the cool water. She needed their trust as much as anything else. An insult to the cleanliness of their home would do as much damage as ignorance. The bottle of surgical spirits in her bag would help disinfect her hands.

Her soft voice filled the room as she spoke, her small hands expertly manipulating the tense muscles of the frightened woman’s abdomen. Her eyes kept a close watch on Thembe’s face, noting the fear that never left the young woman’s mind. “Tell her I’ve done this many times before,” she told Fitzsimmons. “Tell her I can feel her baby moving inside her.”

As Fitzsimmons spoke, Shelagh moved lower. She paused and asked Thembe for permission. “I’ll have to examine the birth canal, Thembe. This will feel a wee bit uncomfortable, but I’ll be as quick as I can.” She waited for her request to be translated, then moved when she saw Thembe nod.

Her hands moved swiftly as she visualized the path the baby was taking. Keeping her face impassive, she turned to Fitzsimmons. “The baby is most definitely breech, not quite transverse, but I’m more concerned that the head is wedged under the ribcage. I’ll have to coax the baby down a bit before I can turn.”

She smiled at Thembe. “Your baby isn’t quite ready yet Thembe dear.  Will you trust me, and let me help?” There was another pause for translation, and Thembe nodded.

“Help my girl, umhlobo. Please.”

“So it’s a girl then?” Dr. Fitzsimmons teased. Her own fear seemed to lessen as Shelagh took the situation under control.

Umakhulu laughed, relief clear in the sound. “A girl for my girl. There is little better a woman can know. You, umhlobo, do you have your girl?” She touched Shelagh’s wedding ring.

“Nurse Turner has a beautiful little girl, Thembe,” Myra Fitzsimmons answered.  “She will insist on feeding the monkey at the table, I’m afraid, but she has laughing eyes.”

Shelagh turned in surprise to the doctor, but the moment was cut short by a deep contraction. “I’d best begin, Thembe. Now this will hurt, but I know you are strong.”

 

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A/N: I know!!! Two chapters in one day!!! I finally have a quiet weekend, and the weather is just right for writing. Hopefully I’m back on a roll with this fic, though I can’t promise a chapter a day!

Here is a link to an Airbnb site that features photos of  a traditional Xhosa homestead.

https://www.airbnb.com/rooms/12153240

And here are some Xhosa translations for words I’ve used in this chapter:

Umakhulu:  grandmother

Umhlobo:  friend

Nceda:  help

As always, I ask that you forgive any blunders I may have made in my research and interpretation of Xhosa culture. Any mistakes are unintentional. Please do not hesitate to advise me.

A Mission of Hope, Chapter Thirteen

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Previous Chapter

By morning, the relief brought by the rainstorm evaporated with the rising heat. Puddles shrank quickly, and mists of steam swirled from the canvas of the mess tent. The provisional shelter provided enough space for a jumble of rough-hewn tables and hodgepodge of chairs, and like the table at Nonnatus, became the center of the community.

“I do enjoy having our meals al fresco,” Sister Winifred chirped as she settled in at the long table. “The fresh air, the sun, it really is quite lovely. It’s just too bad we can’t do this at Nonnatus House.”

“With our London fog, it might not be so pleasant, I’m afraid,” Sister Julienne commented in her wry voice. “We’d never have crisp toast!”

“We don’t get crisp toast here,” muttered Fred, as he wiped his already damp brow. “And what I wouldn’t give for a nice rasher…” He stirred the bowl before him with a pained expression.

“I know what you mean, Fred. A full English might be the thing I miss the most about home.”  Scooting behind chairs, Patrick slid a bowl of mieliepap, a South African corn mash, in front of Angela as Shelagh sliced her a piece of melon. She looked up in gratitude, and he squeezed his wife’s shoulder before taking the seat next to her.

“Angela, please sit still at the table. You tumble from your perch, angel girl,” Shelagh warned in a gentle voice. The upturned wooden box strapped to Angela’s chair raised the child to table height and allowed her to feed herself, both a help and a hindrance. A large smock made from one of Patrick’s old shirts helped keep laundry at a minimum, and Shelagh considered it her most clever “invention of motherhood” yet.

“Dr. Turner,” Dr. Fitzsimmons low voice came from the end of the table, “I’d like to spend the morning reviewing the hospital schedule with you. If you’re going to be spending most of your time here, I’d like you to take over the training of the staff.”

Patrick glanced up from his tea cup, his eyes flickering to his wife. “I think you’ll find the nurses know more about the day-to-day management of the floor than I do, Doctor.”

“Yes, of course. Mrs. Turner has been very helpful organizing a new file system for us. Hopefully, our lack of traditional office supplies won’t make it superfluous to our situation.”

There was an awkward silence, and then Shelagh answered, “We did consider that, Dr. Fitzsimmons. I believe you’ll find this system minimizes much of the paperwork for that very reason.”

“Nurse Turner’s been quite clever about it, really. By using cards rather than full sheets of paper, there’s very little waste,” Trixie was quick to interrupt. “And we’ve always found that an efficient system of patient notes provides us with the chance to put more of our energies into patient care.”

“I’m sure,” Dr. Fitzsimmons voice dismissed the subject. “The operating room, however, will need the expertise of a medical doctor, as I’m sure you’ll all agree.  After breakfast, Dr. Turner, we shall need to discuss how we can incorporate the changes we’ve been discussing.”

“Of course,” Patrick nodded. “We’re all here to help.”

Anxious to break the tension, Barbara announced, “Looks like Angela’s made a friend.”

Heads turned to see the little girl hand a piece of melon to a small vervet monkey. She giggled and reached for more fruit from her bowl.

“Angela Julienne, no!” Shelagh stood. “Shoo, Biscuit! Shoo!”

The monkey calmly looked up at the small woman and continued to savor his ill-gotten gains. Patrick stood and took the melon from his daughter’s hand. “No, Angela, this is for people. We do not feed wild animals at the table.”

Irritated, the monkey sauntered away. Angela let out a wail of frustration, great tears welling up in her eyes. “Dadda, Bizkit come back! Pease, Dadda? Bizkit come back.” Her arms reached up for comfort, and Patrick, never one to resist, lifted her up into his arms. He glanced down at Shelagh. Twin creases of worry formed between her brows, and she pressed her lips together tightly.

“Biscuit seems a very brave little monkey, to come so close to humans,” Sister Julienne noted, diplomatically steering the conversation.

“They’re little thieves, vervets. It won’t do to encourage the animals, Mrs. Turner. Once he thinks it’s acceptable to approach the table, he’ll be in the kitchens in no time.” Clearly, Myra Fitzsimmons had an opinion about animals near the table.

Two pink spots appeared on Shelagh’s cheeks. “Of course not, Doctor. It won’t happen again.”

Angela was in full throttle by now, and Patrick soothed, “Shhh, sweet girl, Biscuit only went up to his tree. See? Up in his perch.” The little girl lifted her head, her face blotchy and wet. “See there? Biscuit’s watching you right now, but a monkey’s place is in the tree, not at the table with people, sweetheart.” He tapped his daughter’s nose. “Come sit with me, Angela. Daddy needs his tea after facing the fierce beast.”

Angela giggled, her tears drying as quickly as they appeared. “Bizkit watching, Mama,” she sagely informed her mother. She reached out for a fresh piece of fruit and settled into Patrick’s lap more comfortably.

“Yes, dearest. Biscuit can watch from the tree, but no more Biscuit at the table.” For a moment the frustration and embarrassment that came of parenting with an audience dissolved and she pressed a kiss to the child’s sticky hand.

A sudden shout came from the front yard, followed by the sound of feet pounding on the hard earth. “Doctor, Doctor, you must come!” A tall thin man ran around the front of the building and came to a halt before the tent. He gasped, “It is time–Themba’s time has come!”

Dr. Fitzsimmons stood abruptly, her face tight. “Umakhulu sent you? When did it begin?”

“At the daybreak. Come doctor, you must help her!” His desperate eyes took no notice of the crowd of strangers staring at him.

Dr. Fitzsimmons turned to Patrick and rattled off the vitals. “Prima gravida, not quite full-term. It’s a little early, and the family has a history of breech births. Themba’s lost one child already, and her own mother died in childbirth when she was born.”

“Will you try to turn the baby?” Patrick asked. He rose and handed Angela to his wife.

“I’ve not had success with turning a fetus, I’m afraid. Midwifery is not my strength, Patrick. It’s rare for the women to turn to me for assistance; they prefer to keep it within the family. Her grandmother must be very worried to send for me. I’ll need you to assist me. Jacob, bring the rover up front, please.”

“With all due respect, Dr. Fitzsimmons,” Nurse Crane interrupted, “but perhaps this task might be better suited to a midwife.” Her polite words did little to mask the conviction of her tone.

“I agree,” Sister Julienne added. “We must consider as well that it’s not likely a man would be welcomed into the birthing room here, especially a white stranger.”

Trixie added her voice to the chorus. “Shelagh should go. An early baby is bound to be small, and if it is a breech, there’s none better than her to turn him. When we delivered the Meg Carter’s twins, Sister Bernadette was a marvel, remember Doctor Turner?”

A small smile lifted his mouth at one side. “I remember.”

“I’m sure Mrs. Turner is quite capable. But a caesarean section will be the best option. We’ll drive out and bring Thembe back here to the hospital.”

Shelagh stood, all her former discomfort gone. “Forgive me doctor, but a caesarean section will have a far greater risk. There’s not enough blood supply, and the chance of sepsis is too high. More importantly, there may not be time. I can turn the baby and keep him in the proper position until he’s safely in the birth canal. Patrick–”

A look passed between the two, and Patrick nodded. “Go.”

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Thanks for sticking in there with me, friends. The next chapter will be up soon, I promise!