hours later Marcus surveyed his two residents, his registrar, and the MUM, Midwifery Unit Manager, in his new office as he outlined his plans. And it felt good.
They’d had a ward round on each floor, the gynae floor on top and antenatal beds next down with the antenatal clinic. Then the neonatal nursery floor and on the ground the birthing units and theatres.
He’d done a double take when Gina, the midwife in charge, had proudly pointed out the new large baths in the labour ward for pain relief in labour. Apparently they’d been put in from fundraising by one of the new graduate midwives but he hadn’t commented as yet on that. No doubt she’d noticed her announcement hadn’t been greeted with shouts of joy.
‘Diligent observation with strict documentation, a medical officer for each birth if possible, though I do understand sometimes babies come in a rush. But I’d like admission foetal monitoring on all women until the baby’s wellbeing has been proved. Risk assessment on every woman will be an area I’ll scrutinise thoroughly.’
The medical officers all nodded, though Gina didn’t look impressed. Well, tough. The buck stopped with him. ‘Any questions?’
Gina spoke up. ‘This isn’t a training hospital for midwives. My girls are all qualified and very observant, up to date and extremely diligent already.’
‘I’m sure they are.’ But … ‘Not all midwives have the same level of experience.’
Gina wasn’t finished. ‘I thought the studies said admission foetal monitoring increased a woman’s risk of unnecessary intervention?’
He’d heard it before. ‘I’m glad you asked that.’ He knew what could go wrong. ‘I’ve seen the studies but I’m not convinced. I’ll leave some less publicised clinical trials for you to look at.’
When Tilly walked in for the afternoon shift handover there seemed an unusual quietness over the ward. There were a few gloomy faces from the students, the senior midwives were in a huddle with the MUM, and the other new grad, her friend Zoe, who’d almost finished her shift, drifted across.
‘Why so glum?’ Tilly looked at her with raised eyebrows.
‘Dream’s gone,’ Zoe said sadly. ‘Our new broom has arrived and we’re not happy, Tilly. Ward meeting in five.’
Tilly frowned. At least she’d hear the worst instead of imagining it. They’d been so excited about the new consultant, too. With a younger man appointed to the post there’d been great hopes of a shift away from the medical model of over-monitoring and early intervention. How come the basic concept that women were designed to have babies had been lost somewhere in the teaching of new doctors?
Their previous consultant had been old school and a bit dithery, so you could almost understand his reluctance to change, but now it looked like they were worse off.
She followed Zoe into the meeting room. ‘So he’s not young and modern?’
Zoe pulled a face. ‘He’s young, majorly good-looking in a serious way, but not much of a sense of humour.’
Sounded like someone she’d met recently but this was not the time to think of social disasters. This was work and the thought of going backwards into a more medical mode of midwifery sucked big time.
Gina called them together and outlined the new directives. ‘Full electronic monitoring of babies on admission for the moment, please, where possible. And he doesn’t like the idea of the baths, but will tolerate them for pain relief as long as no babies are born in there, until we’ve reassessed the policy.’
Tilly couldn’t believe it. ‘After all our work? What’s to assess? New South Wales Health said, “Make pain relief in water an option.”’
Gina sighed. ‘I hear you, Tilly. Just make sure your women have been well informed, have signed consent, and agree to a land birth before they get in. We don’t want that option of pain relief taken away until we can change his mind about the actual birth.’
That double-sucked. The last thing most women about to give birth wanted was to move, especially out of a warm, buoyant bath into a cool room and a hard bed.
Tilly chewed her lip and as the meeting broke up Gina drew her aside. ‘This probably affects you most, Tilly. I know you put a lot of work into the fundraising. You have the same passion and instincts as your mother and all I can say is go slow.’
Tilly sighed and accepted she’d have to pull back. ‘Doesn’t sound like he’d appreciate Mum’s philosophy.’
Gina smiled. ‘Perhaps not that enlightened yet. We’ll work on him.’
It didn’t occur to Tilly not to grind her teeth. Control was overrated. ‘It’s offensive that we have to work on any body. Back to being handmaidens. We should all be here for the women—including him.’
‘Give him time.’ Gina was always the voice of reason—a woman aware that passion needed nurturing and sometimes steering into less controversial paths. ‘We’ll show him we can provide safety and support as well as an optimal environment. Then he’ll understand.’
The shift passed quietly, two normal births who arrived at the last minute, no time for excessive monitoring or to call for medical help, Tilly thought with satisfaction, and no sight of the new head of obstetrics.
Tilly went home consumed with curiosity and not a little disappointment. She wanted to see this man that had everyone quaking in their boots but she’d just have to wait.
The next morning, like most mornings since she’d moved into Hill Street, Tilly headed for the ocean. She couldn’t help her glance up at the guest-bedroom windows in Mrs B.’s house.
Her dreams last night had been populated by a particular tall, dark and dark haired policeman who seemed to catch her speeding every time she drove onto a particular country road. No doubt there was something deep and meaningful in there somewhere but Tilly had been left with a feeling of anticipation and the wish that she actually owned a car to give her the chance of it coming true. Shame he wasn’t younger than she was and she could try for a fling.
Maybe she should just paint the hallway. And refix the falling picture rail. That would keep her mind where it should be.
As Marcus jogged back up the hill after his run he saw three young women leave the house next door. The annoying one wasn’t with them.
The crash and muffled scream happened as he passed her gate and the repeated swear word, not a bad one in the scheme of things, floated out the window towards him. He sighed.
Obviously she was alive, but his Hippocratic oath demanded he at least check she wasn’t about to do more damage. ‘Hello?’
The swearing stopped.
He called out again. ‘It’s Marcus from next door. Just checking. You all right?’ Marcus tilted his head and listened at her front door, which he could see was unlocked. Typical. Why’d she do that? Didn’t she read the papers? Foolish woman.
‘Um. I’m okay. Thanks.’
She didn’t sound it. In fact, if he wasn’t totally mistaken he had the feeling she was almost in tears. ‘Can I come in?’
He heard the scrape of furniture and a muffled sob. Nothing else for it, he had to check.
‘I’m coming in.’
She was sitting on the floor, the ladder was on its side and the annoying one was sitting beside it with her foot in her hand. He hoped to hell she hadn’t fallen off the ladder.
He crouched down next to her. ‘Matilda, isn’t it?’ As if he didn’t remember. ‘What happened? Did you hit your head?’
‘Hello, Marcus.’ She brushed a long tangled spiral of hair out of her eyes and his hand twitched at the unexpected desire to catch a tendril she’d missed. How did it spring all over like that and still be so soft?
‘No.