The Midwife's Confession

Noelle nodded and began searching in the narrow bedroom closet, grabbing the neatly folded towels and sheets and pillowcases from the shelves. In the other room, she found James trembling over water-filled pots on the stove.

“I need to dip one of these in warm water.” Noelle pointed to the pots. “Which one’s warmest?”

“This one, maybe.” He nodded toward the one closest to her and she dipped the washcloth into the water, then wrung it out in the sink and carried it back to the bedroom.

Her mother partly unfolded one of the sheets and slid it under the girl’s bottom. Then she took the warm washcloth and held it to the bizarrely stretched skin that circled the baby’s head. Noelle leaned down to whisper in her mother’s ear, “Is this normal?” She pointed between the girl’s legs and her mother brushed her hand away.

“Completely normal,” her mother said out loud, and Noelle knew she was trying to reassure the girl at the same time she answered the question. “Why don’t you go help the boy?” she suggested.

Noelle shook her head. “I want to stay here.”

“Then get a chair.” She nodded toward the girl. “Let her hold your hand.”

Noelle dragged a straight-backed chair from the living room to the side of the bed. The girl was gripping the edge of the mattress with her fist, and Noelle awkwardly pried her fingers loose and then pressed them around her own hand. The girl squeezed her fingers hard. Tears ran down the sides of her face and tiny dots of perspiration covered her forehead. Her skin was lighter than James’s, and even with her face contorted with pain, Noelle could see how pretty she was. And how scared.

She reached forward, wiping the girl’s tears away with her fingertips. “What’s your name?” she asked.

“Bea,” the girl whispered. “I’m dyin', ain’t I? This baby goin’ kill me?”

Noelle shook her head. “No,” she said. “My mother—”

Bea interrupted her with another scream. “I’m splittin’ apart!” she yelled.

“No woman’s ever split apart, darlin',” Noelle’s mother said, “and you’re stretching just like you’re meant to do.”

“My thing’s burnin’ up!” Bea said. She let go of Noelle’s hand to reach between her legs. Her eyes widened as she touched whatever was down there out of Noelle’s line of sight. “Lord Jesus!” Bea said. “Lord Jesus, save me!”

“Yes, Lord Jesus,” Noelle’s Jewish-Lumbee-Dutch mother said with a laugh, probably using those words together for the first time in her life. “Your Lord Jesus is right here with you, darlin', if you need him to be.” She lifted her head. “Noelle, you want to see this baby come into the world?”

Noelle stood and walked to the end of the bed. The dark circle had grown even larger and she held her breath, wondering how her mother was going to get that baby out of skinny little Bea. All of a sudden, Bea let out a yelp and the dark haired, dusky-skinned head popped from her body.

Noelle gasped with amazement.

“Beautiful!” her mother said. “You’re doing beautifully.” She held her hands above and below the baby’s head, not touching it, not touching Bea, just holding her hands there as if supporting the head in midair by magic. The baby’s head turned to the side and Noelle could see its tiny face, all scrunched up as if this being-born business was as much work for him or her as it was for Bea. Suddenly, the little squinty eyes and blood-streaked lips blurred in front of Noelle’s face and she realized that for no reason she could name she was crying.

All at once, the baby slipped from Bea’s body into her mother’s hands.

“A precious boy!” Her mother wrapped the squawking infant in a towel and rested him on Bea’s belly, the movement so quick and easy that Noelle knew she’d done it hundreds of times before.

“I don’t want this baby,” Bea moaned, but she was lifting the corner of the towel, touching the damp hair of her son.

“We’ll see about that,” her mother said. “Right now we have a little more work to do down here.”

Noelle watched as her mother cut the cord and delivered the placenta, answering her questions and explaining everything she was doing. Her mother was not the same woman who made their dinner each night, who cleaned their house and fed the chickens and grew tomatoes and mowed their scrawny lawn. In that room filled with animal cries and sweat and blood and air too thick to breathe, her mother became someone else—someone mysterious, part sage, part magician. She was beautiful. Every line in her face. Every gray thread in her hair. Every swollen knuckle in the hands that had brought the baby into the world with such ease and grace. Noelle knew in that moment that she wanted to be like her. She wanted to be exactly like her.

The rescue squad came way too late to be of much use, and the atmosphere suddenly shifted in the little house. There were pointed questions. Shiny medical equipment. Sharp needles and bags of liquid hanging from poles. A stretcher on wheels.

Bea was afraid. “Don’t be.” Noelle’s mother squeezed her hand as two of the men in uniforms moved her from the bed to the stretcher. “You did a perfect job. You’ll be fine.”

“You deliver the baby?” one of the men asked her mother.

“She a midwife,” James said, and the rescuer raised his eyebrows.

“Just a neighbor, helping out,” Noelle’s mother said quickly. A few years earlier, she’d spent several days in jail for midwifing and Noelle knew she didn’t plan to go again. Daddy’s girlfriend, Doreen, had stayed over while her mother was gone. Doreen was a maid, her father had explained to her. Noelle might have been only nine years old but she wasn’t stupid. Her father eventually divorced her mother and married Doreen. Noelle hated that woman. Doreen had stolen her father. Stolen her mother’s husband. “Don’t ever hurt another woman the way Doreen hurt me,” her mother said to her later. “Just don’t ever.” And Noelle swore up and down that she never would and she thought for sure that she was telling the truth.

* * *

It was nearly dawn by the time they walked home. Their pace was slow and easy, and for a while neither of them spoke. The buzz of the cicadas had given way to a peaceful quiet that enveloped them in the darkness. Every once in a while, Noelle could hear the call of a bird from deep in the woods. She loved that sound. She’d hear that same bird sometimes when she wandered outside in the middle of the night.

They turned from the lane onto the dirt road that led to their house. “How did you know how to do all that?” Noelle asked.

“My mama,” her mother said. “And she learned it all from her mama. There’s no big mystery to it, Noelle. Doctors today would like you to think that there is. They make you think you need drugs and C-sections—that’s surgery that cuts the baby out of you—and all sorts of sophisticated interventions to have a baby. And sometimes you do. A good midwife needs to know when it’s safe for a woman to have a baby at home and when it’s not. But it’s not rocket science.”

“I want to do it.”

“Do what? Have a baby?”

“Be a midwife. Like you.”

Her mother put her arm around Noelle’s shoulders and hugged her close. “Then I want you to do it the right way,” she said. “The legal way, so you don’t have to hide your light under a bushel like I do.”

“What’s the legal way?”

“You become a nurse first,” she said. “I never took that step. I don’t think it’s necessary. Harmful even, because they indoctrinate you with the idea that more is better when it comes to having babies. But North Carolina’s got its laws and you need to do it legally. I’m not having a daughter of mine spending time in jail.”

Noelle thought back to Bea’s steamy little room where her mother had done nothing but good. “That Bea girl,” Noelle said. “She’s only a couple of years older than me. If I had a baby, I’d want it. I don’t understand not wanting your own baby.”

Her mother didn’t say anything right away. “Sometimes not keeping a baby is the loving choice,” she said. “Sometimes you know you don’t have the money or the support to give a baby a good chance in life and then letting the baby go to a good family is the right thing. That girl—” her mother drew in a long breath “—she’ll have to decide for herself. The baby being black makes it harder to find adoptive parents for it, so I do hope she decides to keep it and maybe her mama can help out with it. But fifteen is just plain too young. So do me a favor and don’t get pregnant until you’re a lot older than that.”

“Don’t worry. I don’t even want to kiss a boy, much less make a baby with one.”

“That’ll change.” Her mother was smiling. Noelle could hear it in her voice.

The sky was beginning to pink up with the sunrise. The dirt road was visible now beneath their feet, and ahead of them Noelle could make out the corner of their house beyond the woods.

“There’s something I need to tell you, Noelle,” her mother said suddenly, her voice so different it might have been another woman speaking. “It’s something I should have told you long ago, but with your father leaving and everything … it just seemed like too much of a burden to give you.”

Noelle felt the muscles tighten in her chest.

“What, Mama?” she asked.

“Let’s sit out in the yard while the sun comes up,” her mother said. “I’ll make some tea and we’ll have a good talk.”

Noelle slowed her footsteps as they turned into the gravel driveway, not sure she wanted to hear whatever it was that made her mother sound so strange and different. She couldn’t shake the feeling that she’d left the house that night as one person, but would be returning to it as another.

She was right.

5

Tara

Wilmington, North Carolina 2010

It seemed like only a few weeks since I’d sat in this same church for Sam’s memorial service, and I’d had to force myself to come today. Emerson and I had planned the service in a daze. Em had asked me if I wanted to sing, which I did occasionally at weddings or receptions, but I’d said absolutely not. As I listened to one of my fellow choir members sing Fauré's Pie Jesu in her beautiful soprano, I was glad I’d passed. My voice would never have made it past the lump in my throat. Not here, where the memories of Sam’s service still hung in the air of the church. And not now, when I still couldn’t believe our Noelle was gone.

Noelle’s mother sat to my left. I hadn’t seen her in about a year, and at eighty-four she was showing the early signs of dementia. She’d forgotten my name, although she remembered Emerson’s and even Jenny’s, and she certainly understood that Noelle was gone. Sitting next to me, she pressed one crippled fist to her lips and shook her head over and over again as if she couldn’t believe what was happening. I understood the feeling.

Grace sat on my right next to Jenny, Emerson and Ted, twirling a strand of her long hair around her index finger the way she did when she was anxious. She’d pleaded to stay home. “I know it’s hard,” I’d said to her that morning. I’d sat on the edge of her bed where she had cocooned herself beneath her sheet. Her blue-and-green polka-dotted comforter lay in a heap on the floor and I had to stop myself from picking it up and folding it neatly on the end of the bed. “I know it reminds you of going to Daddy’s memorial service, but we need to be there to honor Noelle’s memory,” I said. “She loved you and she’s been so good to you. We need to be there for her mother. Remember how important it was to have people come to Daddy’s service?”

She didn’t respond and the hillock her head formed beneath the sheet didn’t move. At least she was listening. I hoped she was listening. “It wasn’t for Daddy that people came,” I continued. “It was for us, so that we’d feel their love and support and for people to be able to share memories about—”

“All right!“ She snapped the sheet from her head and pushed past me out of the bed, her hair a tangled mane down her back. “Do you ever stop talking?” she said over her shoulder. I didn’t criticize her for her rudeness. I was too afraid of pushing her even further away.

I noticed now that Grace was clasping Jenny’s hand between them on the pew and I was glad to see her comfort her best friend that way. Jenny looked even paler than usual. She’d already lost the little bit of tan she’d gotten over the summer, while Grace’s skin still had a caramel glow. Jenny had inherited Emerson’s too-fair skin and Ted’s thin dark hair, which she wore in a sweep across her forehead that nearly covered her left eye. She was cute and I loved her to pieces, but to my biased eyes, she nearly disappeared next to Grace. When I saw them together at school, I couldn’t help but notice the way the boys reacted to them. They would approach Grace and Jenny with their eyes glued to my daughter … until they all started talking. Then it was as though a magnet pulled them toward Jenny and my quiet child became invisible.

But Cleve had chosen Grace, not Jenny. Cleve was a handsome boy, the son of a white mother—Suzanne—and a black father, with killer blue eyes and a smile that could nearly make me weak in the knees, and I knew Grace thought she’d found The One. Now Jenny was seeing a boy named Devon, and Grace had to be feeling very alone. Father gone. Boyfriend gone. One inadequate mother remaining.

Ian sat in the pew behind us. He’d been the one to tell Emerson and me about Noelle’s will. He’d known of its existence for months because he found it while going through Sam’s files, but of course he’d said nothing to me about it and I’m sure he never expected it would be needed so soon. The will was fairly recent, written only a couple of months before Sam’s death. I was frankly surprised that Noelle had drawn up a will at all; she was never the most organized person. But I was even more surprised that she’d turned to Sam for it. True, she’d known Sam as long as she’d known me and they’d always been good friends despite a rough patch now and then. But the contents of the will were such that she’d had to have been uncomfortable talking to him about it, and I’m sure he felt a little awkward hearing her wishes.

In her will, Noelle had named Emerson her executor. I felt hurt when Ian told me. I couldn’t help it. Emerson, Noelle and I had always been very close. A threesome. I’d sometimes felt a little left out but I’d convinced myself it was my imagination. Noelle’s choice of executor told me I’d been right all along. Not that anyone would want the work involved in being an executor, yet I couldn’t help but wonder why Noelle didn’t have us share the job. Did Sam even think to suggest that to her?

More telling, though, was the division of her assets. She’d lived simply, but she’d managed to save a little more than fifty thousand dollars over the years. She wanted Emerson to be sure her mother’s needs were met first. If there was money left over, it was to be put in trusts for Jenny and Grace in a seventy-five/twenty-five percent split, with Jenny getting the larger sum. How did Sam feel as Noelle made it clear that she favored Ted and Emerson’s daughter over his own? I knew the division was fair. It was right. Jenny had helped Noelle with the babies program and she seemed to appreciate Noelle in a way that Grace did not. The money itself didn’t matter. It was the jolt to my solar plexus, the realization that the friendship between Emerson, Noelle and myself had been more lopsided than I’d imagined.

Also in her will, Noelle had requested that Suzanne take over the babies program if she was willing, which she was. Suzanne sat in the pew behind us next to Ian. Her big fiftieth birthday party was right around the corner and now I wondered if we should cancel it. Long ago, she’d worked as a doula with Noelle and they’d been friends ever since, through Suzanne’s divorce and two bouts with cancer. After this last time, her hair grew in curly and full and snow-white. When I greeted her before the service, I noticed how healthy she looked. Her huge round blue eyes always made me think of an awestruck little girl and it was hard to look at her without smiling, even in the days when she was sick and bald from chemo. Those eyes would hold you captive.

I’d imagined that all the women who had been Noelle’s patients would have turned out for this service, but when I glanced over my shoulder I saw that the small church was less than half-full. I put my arm around Noelle’s mother, willing her not to look behind us. I didn’t want her to see that the people Noelle had touched had not cared enough to come.

The mayor was giving the eulogy and I tried to pay attention. He was talking about how they’d tried to give Noelle the Governor’s Award for Voluntary Service for her babies program and she’d refused to accept it. So like Noelle, I thought. None of us had really been surprised. Noelle didn’t think helping others should be treated as anything special.

I felt a tremor run through her mother’s body as we listened to the mayor and I tightened my arm around her shoulders. At Sam’s funeral, I’d sat with my arm around Grace. We’d been like two blocks of wood that day. Her shoulders had felt stiff and hard and my arm had simply gone numb—so numb that I’d had to pry it from her shoulders with my other hand. I remembered sitting so close to her that day, the length of our bodies touching. Now there was nearly a foot of space between us on the pew, nearly two inches of distance for every month Sam had been gone. Too much space for me to reach across. I couldn’t put my arm around her now if I tried.

I wondered if, like me, Grace thought about the what-ifs. What if Sam had left the house five seconds later? The three of us had been rushing around the kitchen as we always did in the morning, not talking much, Sam pouring coffee into the hideous striped purple travel mug Grace had given him for his birthday years ago, Grace scrambling to find a book she’d mislaid, me straightening up behind them both. Sam forgot the mug when he raced out the door. I’d glanced at it on the counter, but figured he’d already pulled out of the driveway by then. What if I’d run out the front door with it? Would he have seen me? Then he would never have stopped at Port City Java for his coffee. He never would have been crossing the Monkey Junction intersection at exactly the wrong moment. Would he be sitting next to me right now if I’d tried to catch him?

If, if, if.

To my right, Emerson was sniffling, and the tissue wadded up in my hand was damp with my own tears. Emerson glanced at me and tried to smile, and I wished Grace and Jenny had not been between us so I could touch her arm. Emerson and I were a mess. When it came to Noelle’s suicide, the what-ifs that tormented us were huge and haunting. Maybe there really had been something we could have done to change the course of things for Noelle. Noelle had killed herself. Much different than the freakish collision of two cars at an intersection. Much more preventable if one of us had only seen the symptoms. Yet what symptoms had there been? Noelle committing suicide made no sense. She’d always been so life embracing. Had we missed an emptiness in her? I wondered. She’d never married after breaking off her engagement to Ian years ago and she’d delivered baby after baby with no babies of her own. She’d seemed content in her choices, but maybe she’d put on a game face for all of us. I remembered Noelle comforting me as I grieved for Sam that Saturday night in July. I’d thought only of myself. What small, telltale ache had I missed in her that night?

I’d known Noelle since my freshman year in college and I had thousands upon thousands of memories of her since that time. Yet the one that would always stand out in my mind was the night she helped me give birth to Grace. Sam had agreed to a home birth only reluctantly, and frankly, if the midwife had been anyone other than Noelle, I wouldn’t have felt comfortable about it myself. I had total confidence in her, but Sam was afraid we were taking unnecessary risks, and the truth was, things did not go smoothly.

Noelle had been coolheaded, though. There are people whose presence alone can lower your blood pressure. Slow your breathing. Keep you centered. That was Noelle. I’ll take care of you, she told me that night, and I believed her. How many women had heard those words from her over the years? I’d known they were the truth. The lamp she’d aimed between my legs lit up her electric-blue eyes, and her wild hair had been pulled back from her face, damp tendrils of it clinging to her forehead. In the lamplight, her hair glowed nearly red. She’d walked me around the moonlit room. She gave me brandy and strange teas that tasted like earth. She turned me in odd positions that, given my big belly and shivering legs, made me feel like a contortionist. She had me stand with one foot on the kitchen stool she’d dragged into the bedroom and told me to rock my hips this way and that. I’d cried and moaned and leaned against her and my worried husband. My teeth had chattered even though the room was very warm. I’d hated feeling so out of control, but I’d had no choice but to turn myself over to Noelle. I would do anything she said, drink any brew she gave me. I trusted her more than I trusted myself, and when she finally said something about calling an ambulance, I thought, If Noelle says we should, then I guess we should.

But she never did call for help and the rest of the night became a blur of pain to me. I woke up in the darkness to find Sam sitting next to our bed, a fuzzy silhouette against the lamplight. For a moment I didn’t know where I was. My body ached and I felt raw and empty.

“You’re a mom, Tara.” He smoothed his fingers over my cheek. “You’re an amazing, brave and beautiful mom.” I couldn’t see his face, but his voice held a smile.

“Am I in the hospital?” All that I could force from my throat was a whisper. I had no voice. My mouth felt dry and scratchy.

“No, Tara. You’re here. You’re home. Noelle pulled it off. She thought for a while she might need to take you to the hospital, but she was able to turn the baby.” He smoothed my hair, held his hand against my cheek. I smelled soap.

“My mouth.” I licked my dry lips. “Feels like sand.”

Sam chuckled. “Cinders.” He held a glass toward me, guided the straw to my lips, and I felt the scratchiness ease as I sipped.

“Cinders?” Had I misunderstood him?

“You passed out after the baby was born. Noelle cut off some of my hair—” he touched the dark hair above his forehead “—and burned it and put the cinders beneath your tongue to bring you back.”

My head spun a little. “Did it work?” I asked.

He nodded. “I’m sorry everything was so hard on you, but our baby’s beautiful, Tara. You held her. Do you remember?”

All at once, I recalled the mewing cry of my daughter as I reached for her. I remembered the soft flannel-wrapped weight of her in my arms. The tug at my nipple. The memories were dreamlike and I wished I could recapture every minute detail.

“Where is she? I want to see her.” I looked past him toward the bassinet near the window.

“Noelle has her in the kitchen doing some midwifey thing to her. I told her I thought you were waking up and she said she’d bring her in.” Suddenly, he leaned toward me, resting his cheek against mine. “I thought I was going to lose you,” he said. “Lose both of you. I was so scared. I thought we’d made a terrible mistake, trying to have the baby here at home. But Noelle … no obstetrician could have done a better job. We owe her everything. She was so good, Tara.”

I felt the heat of his cheek, the stickiness of his damp skin against my own, and I rested my hand on the side of his face. “The baby’s name.” I whispered. We’d felt so certain the baby would be a boy, another Samuel Vincent, that we’d never settled on a girl’s name. Grace, Sara, Hannah had all risen to the top, but we hadn’t made a firm decision. “Noelle?” I suggested now.

He lifted his cheek from mine. For a moment, I thought I saw a flash of doubt cross his face, but then he smiled. Nodded.

“Here she is.” Noelle walked into the room carrying the tiny bundle. “Your mama’s waiting for you, darlin'.” She leaned her head close to the bundle and I felt a hunger unlike anything I’d ever known. If I could have leaped out of the bed to grab my child I would have, but I held out my arms and let Noelle settle the baby into them.