Hugh leaned on his shovel. "That does it, Joe."
"Let me tidy up around the gate." They were at the upper end of their ditch where the stream had been dammed against the dry season. It had been on them for weeks; the forest was sere, the heat oppressive. They were extremely careful about fire.
But no longer so careful about bears. It was still standard practice to be armed, but Duke had killed so many carnivores, ursine and feline, they seldom saw one.
The water spilling over the dam was only a trickle but there was water for irrigation and for household needs. Without the ditch they would have lost their garden.
It was necessary every day or so to adjust the flow. Hugh had not built a water gate; paucity of tools, scarcity of metal, and a total lack of lumber had baffled him. Instead he had devised an expedient. The point where water was taken from the pond had been faced with brick and a spillway set of half-round tile. To increase the flow this was taken out, the spill cut deeper, bricks adjusted, and tiles replaced. It was clumsy; it worked.
The bottom of the ditch was tiled all the way to house and garden; a minimum of water was lost. Their kiln had worked day and night; most of their capital gain had come out of the clay bank below the house and it was becoming difficult to dig good clay.
This did not worry Hugh; they had almost everything they needed.
Their bathroom was no longer a joke. Water flowed in a two-stall trough toilet partitioned with deerhide; tile drainpipe "leaded" with clay ran down the manhole, out the tunnel, and to a cesspool.
Forming drainpipe Hugh had found very difficult. After many failures he had whittled a male form in three parts-in parts, because it was necessary to shape the clay over it, let it dry enough to take out the form before it cracked from shrinking over the form.
With practice he cut his failures to about 25 percent in forming, 25 percent in firing.
The damaged water tank he had cut painfully, mallet and chisel, lengthwise into tubs, a bathtub indoors and a washtub outdoors. The seams he had calked with shaved hide; the tubs did not leak-much.
A brick fireplace-oven filled one corner of the bath-kitchen. It was not in use; days were long and hot; they cooked outdoors and ate under an awning of empty bears-but it was ready against the next rainy season.
Their house now had two stories. Hugh had concluded that an addition strong enough to stop bears and tight enough to discourage snakes would have to be of stone, and solidly roofed. That he could do-but how about windows and doors? Glass he would make someday if he solved the problems of soda and lime. But not soon. A stout door and tight shutters he could manage, but such a cabin would be stuffy.
So they had built a shed on the roof, a grass shack. With the ladder up, a bear faced a twelve-foot wall. Unsure that a wall would stop all their neighbors, Hugh had arranged trip lines around the edge so that disturbing them would cause an oxygen bottle to fall over. Their alarm was tripped the first week, scaring off the intruder. It had also, Hugh admitted, scared the bejasus out of him.
Anything that could not be hurt by weather had been moved out and the main room was rearranged into a women's dormitory and nursery. Hugh stared downstream while Joe finished fussing. He could make out the roof of his penthouse. Good enough, he mused. Everything was in fair shape and next year would be better. So much better that they might take time to explore. Even Duke had not been as much as twenty miles away. Nothing but feet for travel and too busy scratching to live- Next year would be soon enough.
"A man's reach should exceed his grasp, or what's a heaven for?" They had started with neither pot nor window. This year a pot- Next year a window? No hurry- Things were going well. Even Grace seemed contented. He felt certain that she would settle down and be a happy grandmother. Grace liked babies, Grace did well with babies- How well he remembered.
Not long now. Baby Karen was fuzzily vague but her guesses seemed to show that D-day was about two weeks off, and her condition matched her guess, as near as he could tell.
The sooner the better! Hugh had studied everything in his library on pregnancy and childbirth; he had made every preparation he could. His patients seemed to be in perfect health, both had satisfactory pelvic measurements, both seemed unafraid, and they helped each other with friendly nagging, not to gain too much weight. With Barbara to hold Karen's hand, with Karen to hold Barbara's hand, with Grace's motherly experience to bolster them, Hugh could see no trouble ahead.
It would be wonderful to have babies in the house.
With a warm wave of euphoria Hugh Farnham realized that he had never been so happy in his life.
"That's it, Hugh. Let's catch those tiles on the way back."
"Okay. Take the rifle, I'll carry the tools."
"I think," Joe said, "we ought to-"
His words chopped off at a gunshot; they froze. It was followed by two more. They ran.
Barbara was in the door. She held up a gun and waved, went inside. She came out before they reached the house, stepping carefully down off the stoop and moving slowly; she was very gravid. Her belly bulged huge in shorts made from wornout jeans that had belonged to Duke; she wore a man's shirt altered to support her breasts. She was barefooted and no longer carried the gun.
Joe outdistanced Hugh, met her near the house. "Karen?" he demanded.
"Yes. She's started."
Joe hurried inside. Hugh arrived, stood panting. "Well?"
"Her bag of waters burst. Then the pains started. That was when I fired."
"Why didn't you- Never mind. What else?"
"Grace is with her. But she wants you."
"Let me catch my breath." Hugh wiped his face, tried to control his trembling. He took a deep breath, held it, let it out slowly. He went inside, Barbara following.
The bunks near the door had been taken down. A bed stuck out into the doorway but space cleared by removing shelves left passage. One bunk was now a cot in the living corner. The bed was padded with a grass mattress and a bear rug; a calico cat was on it.
Hugh squeezed past, felt another eat brush his ankles. He went into the other bay. The bunks there had been rebuilt into a bed across the end; Karen was in bed, Grace was seated, fanning her, and Joe stood by with an air of grave concern.
Hugh smiled at his daughter. "Hi, Fatty!" He stooped and kissed her. "How are you? Hurting?"
"Not now. But I'm glad you're here."
"We hurried."
A cat jumped up, landing on Karen. "Unh! Damn you, Maggie!"
"Joe," said Hugh, "round up the cats and put them in Coventry." The tunnel mouth had been bricked up, but with air holes, and a cat door which could be filled with a large brick. The cats had a low opinion of this but it had been built after Happy New Year had become missing and presumed dead.
Karen said, "Daddy, I want Maggie with me!"
"Joe, make that all but Maggie. When we get busy, grab Maggie and shut her up, too."
"Can do, Hugh." Joe left, passing Barbara coming in.
Hugh felt Karen's cheeks, took her pulse. He said to his wife, "Is she shaved?"
"There hasn't been time."
"You and Barbara get her shaved and washed. Punkin', when did your bowels move?"
"Just did. I was on the pot when it happened. Just sitting there minding my own business-and all of a sudden I'm Niagara Falls!"
"But your bowels moved?"
"Oh, yes!"
"That's one less thing to worry about." He smiled. "Not that there's anything to worry about, you'll play bridge most of the night. Like kittens, babies show up in the wee, sma' hours."
"All night? I want to have this little bastard and get it over with."
"I want it over with, too, but babies have minds of their own." He added, "You'll be busy a while and so will I. I'm dirty." He started to leave.
"Daddy, wait a minute. Do I have to stay back here? It's hot."
"No. The light is better by the door. Especially if young Tarzan has the decency to arrive during daylight. Barbara, turn that used bear over; it'll be cooler. Put this sheet on it. Or a clean one if there is one."
"The sterilized one?"
"No. Don't unpack the boiled sheet until the riot starts." Hugh patted his patient's hand. "Try not to have a pain until I'm clean."
"Daddy, you should have been a doctor."
"I am a doctor. The best doctor in the world."
As he left the house he encountered Duke, soaked from a long run. "I heard three shots. Sis?"
"Yes. No hurry, labor just started. I'm about to take a bath. Want to join me?"
"I want to say hello to Sis first."
"Hurry up; they're about to bathe her. And grab Joe; he's incarcerating cats. They'll want us out of the way."
"Shouldn't we be boiling water?"
"Do so, if it will calm you. Duke, my O.B. kit, such as it is, has been ready for a month. There are six jars of boiled water, for this and that. Go kiss your sister and don't let her see that you're worried."
"You're a cold fish, Dad."
"Son, I'm scared silly. I can list thirteen major complications-and I'm not prepared to cope with any of them. Mostly I pat her hand and tell her that everything is dandy-and that's what she needs. I examine her, solemn as a judge, and don't know what to look for. It's just to reassure her... and I'll thank you to help out."
Duke said soberly, "I will, sir. I'll kid her along."
"Don't overdo it. Just let her see that you share her confidence in old Doe Farnham."
"I will."
"If Joe gets the jitters, get him out. He's the worst. Grace is doing fine. Hurry up or they won't let you in."
Later, bathed and calmed down, Hugh climbed out of the stream ahead of Joe and Duke, walked back carrying his clothes and letting the air dry him. He paused outside, put on clean shorts. "Knock, knock!"
"Stay out," Grace called. "We're busy."
"Then cover her. I want to scrub."
"Don't be silly, Mother. Come in, Daddy."
He went in, squeezing around Barbara and Grace, and on into the bathroom. He trimmed his nails very closely, scrubbed his hands with ditch water-then again with boiled water, and repeated it. He shook them dry and went into the main room, being careful not to touch anything.
Karen was on the bed at the door, a ragged half sheet over her. Her shoulders were swaddled in a grayish garment that had been the shirt Hugh had worn the night of the attack. Grace and Barbara were seated on the bed, Duke stood outside the door, and Joe sat mournfully on the bunk beyond the bed.
Hugh smiled at her. "How is it going? Any twinges?"
"Nary a twinge, damn it. I want to have him before dinner."
"You will. Because you don't get any dinner."
"Beast. My daddy is a beast."
"Doctor Beast, please. Skedaddle, friends, I want to examine my patient. Everyone but Grace. Barbara, go lie down."
"I'm not tired."
"You may be awake most of the night. Take a nap. I don't want to cope with a seven-month preemie."
He folded back the sheet, looked Karen over, and palpated her swollen belly. "Has he been kicking?"
"Has he! I'm going to sign him up with the Green Bay Packers. I think he's wearing shoes."
"Wouldn't be surprised. Did you have shoes on when you started him?"
"What? Daddy, you are a nasty man. Yes."
"Prenatal influence. Next time take them off." He tried to judge whether the child was in the head-down position, or whether it was-God forbid!-a breech presentation. He was unable to decide. So he smiled at Karen and lied. "Shoes won't bother us, as he is head down, just as he should be. It's going to be an easy birth."
"How can you tell, Daddy?"
"Put your hand where mine is. That's his little pointy head, all set to take the dive. Feel it?"
"I guess so."
"You could see, if you were where I am." He tried to see if she was dilated. There was a little blood and he decided against a tactile examination-he did not know how it should feel and handling the birth canal would increase danger of infection. He knew that a rectal exploration should tell him something but be did not know what-so there was no point in submitting Karen to that indignity.
He looked up, caught his wife's eye and thought of asking her opinion, decided not to. Despite having borne children, Grace knew no more about it than he did; the only result would be to shake Karen's confidence. -
Instead he got his "stethoscope" (three end papers from his encyclopaedia, rolled into a tube) and listened for fetal heartbeat. He had often heard it lately. But he got only a variety of noises which he lumped in his mind as "gut rumble."
"Ticking like a metronome," he 'announced, putting the tube down and covering her. "Your baby's in fine shape, baby girl, and so are you. Grace, did you start a log when the first pain showed?"
"Barbara did."
"Will you keep it, please? But first tell Duke to take the ropes off the other bed and rig them here."
"Hubert, are you sure she should pull on ropes? Neither of my doctors had me do anything of the sort."
"It's the latest thing," he reassured her. "All hospitals use them now." Hugh had read somewhere that midwives often had their patients pull on ropes while bearing down. He had looked for this in his books, could not find it. But it struck him as sound mechanics; a woman should be able to bear down better.
Grace looked doubtful but dropped the matter and left the shelter. Hugh started to get up. Karen grabbed his hand. "Don't go 'way, Daddy!"
"Pain?"
"No. Something to tell you. I asked Joe to marry me. Last week. And he accepted."
"I'm glad to hear it, dear. I think you are getting a prize."
"I do, too. Oh, it's Hobson's choice but I do love him, quite a lot. But we won't get married until I'm up and around and strong. I couldn't face the row with Mother, not now."
"I won't tell her."
"Better not tell Duke, either. Barbara knows., she thinks it's swell."
A contraction hit Karen while Duke war adjusting ropes. She yelped, chopped it off and gritted her teeth, reached for the ropes as Duke hastily handed them to her. Hugh put his hand on her belly, felt her womb harden as increasing pain showed in her face. "Bear down, baby," he told her. "And pant; it helps." .
She started to pant, it turned into a scream.
Endless seconds later she relaxed, forced a smile and said, "They went that a-way! Sorry about the sound effects, Daddy."
"Yell if you want to. But panting does more good. Now rest while you can. Let's get this organized. Joe, you're drafted as cook. I want Barbara to rest and Grace to nurse-so you cook dinner, please. Fix some cold supper, too. Grace, did you log it?"
"Yes."
"Did you time the contraction?"
"I did," Barbara answered. "Forty-four seconds."
Karen looked indignant. "Barb, you are out of your mind! It was over an hour."
"Call it forty-five seconds," Hugh said. "I want the time of each pain and how long it lasts."
Seven minutes later the next one hit. Karen managed to pant, screamed only a little. But she did not feel like joking afterwards; she turned her face away. The contraction had been long and severe. Though shaken by his daughter's agony, Hugh felt encouraged; it seemed certain that labor was going to be short.
It was not. All that hot and weary day the woman brought to bed fought to void herself of her burden-white-faced and shrieking, belly hardening with each attempt, muscles in arms and neck standing out as she strained-then fell back limp as the contraction died away, tired and trembling, not speaking, uninterested in anything but the ordeal.
It got steadily worse. Contractions became only three minutes apart, each one longer and seeming to hurt more. Once Hugh told her not to use the ropes; he could not see that they helped. Quickly she asked for them and seemed not to have heard him. She did seem slightly less uncomfortable braced against them.
At nine that night there was bleeding. Grace became frantic; she had heard many stories of the dangers of hemorrhage. Hugh assured her that it was normal and showed that the baby would arrive soon. He believed it, as it was not massive and did not continue-and it did not seem possible that birth could be far away.
Grace looked angry and got up; Barbara slipped into the chair she vacated. Hugh hoped that Grace would rest-the women had been taking turns.
But Grace returned a few minutes later. "Hubert," she said in a high, brittle voice. "Hubert, I'm goi1~g to call a doctor."
"Do that," he agreed, his eyes on Karen.
"You listen to me, Hubert Farnham. You should have called a doctor at once. You're killing her, you hear me? I'm going to call a doctor-and you are not going to stop me."
"Yes, Grace. The telephone is in there." He pointed into the other wing. Grace looked puzzled, then turned suddenly and went away. "Duke!"
His son hurried in. "Yes, Dad?"
Hugh said forcefully, "Duke, your mother has decided to telephone for a doctor. You go help her. Do you understand?"
Duke's eyes widened. "Where are the needles?"
"In the smaller bundle on the table. Don't touch the large bundle; it's sterile."
"Got it. What dosage?"
"Two c.c. Don't let her see the needle, or she'll jerk." Hugh's head jerked; he realized that he was groggy. "Make that three c.c.; I want her to go out like a light and sleep until morning. She can tolerate it."
"Right away." Duke left.
Karen had been lying quiet between contractions, apparently in semi-coma. Now she whispered, "Poor Daddy. Your women give you a lot of grief."
"Rest, dear."
"I- Oh, God, here it comes again!"
Then she was saying between screams: "It hurts! Make it stop! Oh, Daddy, I do want a doctor! Please, Daddy! Get me a doctor!"
"Bear down, darling. Bear down."
It went on and on, far into the night, no respite and getting worse. It stopped being worth while to log contractions; they almost overlapped. Karen no longer could be said to talk; she screamed incoherent demands for relief when she strained, spoke unresponsively or did not answer in the brief periods between contractions.
Around dawn-it seemed to Hugh that the torture had been going on for weeks but his watch showed that Karen had been in labor eighteen hours-Barbara said urgently, "Hugh, she can't take any more."
"I know," he admitted, looking at his daughter. She was at the peak of a pain, face gray and contorted, mouth squared in agony, high sobbing moans coming out between her teeth.
"Well?"
"I suppose she should have had a Caesarean. But I'm no surgeon."
"I wonder."
"I don't. I'm not."
"You know more about it than the first man who ever did one! You know how to keep it sterile. We have sulfa drugs and you can load her up with Demerol." She did not try to keep Karen from hearing; their patient was beyond caring.
"Hugh, you must. She's dying."
"I know." He sighed. "But it's too late for a Caesarean, even ill knew how. To save Karen with one, I mean. We might save her baby." He blinked and swayed. "Only it would not. Who's to wet-nurse? You can't, not yet. And cows we don't have."
He took a deep breath, tried to get a grip on himself. "Only one thing left. Try to get it out Eskimo style."
"What's that?"
"Get her up and let gravity help. Maybe it'll work. Call the boys, we'll need them. I've got to scrub again; I might have to do an episiotomy. Oh, God."
Five minutes and two contractions later they were ready to try it. When Karen lay back exhausted after the second one, Hugh tried to explain what they were going to do. It was hard to get her attention. At last she nodded slightly and whispered, "I don't care."
Hugh went to the table where his equipment was now opened out, got his one scalpel, took the camp lamp in his other hand. "All right, boys. As soon as she starts, pick her up."
They had only seconds to wait. Hugh saw the contraction start, nodded to Duke. "Now!"
"With me, Joe." They started to lift her, each with an arm under her back, a hand under a thigh.
Karen screamed and fought them off. "No, no! Don't touch me-I can't stand it! Daddy, make them stop! Daddy!"
They stopped. Duke said, "Dad?"
"Lift her up! Now!"
They got her high in a squatting position, thighs pulled open. Barbara got behind Karen, arms around her, and pressed down on the girl's tortured belly. Karen screamed and struggled; they held her fast. Hugh got hurriedly to the floor, shined the light up. "Bear down, Karen, bear down!"
"Ooooooh!"
Suddenly he saw the baby's scalp, gray-blue. He started to lay the knife aside; the head retreated. "Try again, Karen!"
He readjusted the lamp. He wondered whether he was supposed to make the incision in front? Or in back? Or both? He saw the scalp show again and stop; with his hand suddenly rock steady and with no conscious decision he reached up and made one small cut.
He barely had time to drop the knife before he had both hands full of wet, slippery, bloody baby. He knew there was something else he should do now but all he could think of was to get it by both feet in his left hand, lift it and slap its tiny bottom.
It let out a choked wail.
"Get her on the bed, boys-but easy! It's still fastened by the cord."
They made it, Hugh on his knees and burdened with a feebly wiggling load. Once they had Karen down, Hugh started to put her baby in her arms-but saw that Karen was not up to it. She seemed to be awake-her eyes were open. But she was in total collapse.
Hugh was close to collapse. He looked dazedly around, handed the baby to Barbara. "Stay close," he told her, unnecessarily.
"Dad?" said Duke. "Aren't you supposed to cut the cord?"
"Not yet." Where was that knife? He found it, rubbed it quickly with iodine-hoped that it was sterile. Placed it by two boiled lengths of cotton string-turned and felt the cord to see if it was pulsing.
"He's beautiful," Joe said softly.
"She," Hugh corrected. "The baby is a girl. Now, Barbara, if you-"
He broke off. Suddenly everything happened too fast. The baby started to choke; Hugh grabbed it, turned it upside down, dug into its mouth, scooped out a plug of mucus, handed the baby back, started again to check the cord-saw that Karen was in trouble.
With a nightmare feeling that he needed to be twins he got one of the strings, tied a square knot around the cord near the baby's belly, trying to control his trembling so as not to tie it too hard-started to tie the second, saw that it was not needed; Karen suddenly delivered the placenta and was hemorrhaging. She moaned.
With one slash Hugh cut the cord, snapped at Barbara, "Get a bellyband on it!"-turned to take care of the mother.
She was flowing like a river; her face was gray and she seemed unconscious. Too late to attempt to take stitches in the cut he had made and the tears that followed; he could see that this flood was from inside, not from the damaged portal. He tried to stop it by packing her inside with their last roll of gauze while shouting to Joe and to Duke to get a bellyband and compress on Karen herself to put pressure on her uterus.
Some agonized time later the belly compress was in place and the gauze was backed by a dam of sanitary napkins-one irreplaceable, Hugh thought tiredly, they hadn't needed much. He raised his eyes and looked at Karen's face-then in sudden panic tried to find her pulse.
Karen had survived the birth of her daughter by less than seven minutes.