‘My third one was fast. She was born out at Frog Hollow.’
‘But other than that it all went fine?’
Nadine nodded, unable to speak as another contraction gripped her. She was covered in a sheen of sweat and Luci wiped her forehead with a flannel.
‘Were there any complications with your other deliveries?’
‘No,’ she puffed.
Seb picked a stethoscope up from the trolley and listened to the babies’ heartbeats. They were both around one hundred and forty beats per minute—perfectly normal. Everyone else might be stressed but at least the babies weren’t.
Heather returned and this time she was wheeling two small cots side by side. She parked these in the corner of the room and lifted out a pile of blankets and a set of scales. She wiped out the cots and folded some of the blankets, putting them back into the cots to act as makeshift mattresses before covering them with clean sheets. ‘We had these in storage but there’s not much else,’ she said. ‘There’s pethidine if you need it but that’s about it.’
Seb got the message. He doubted he had time for pethidine to work to provide any pain relief for Nadine—these babies were in a hurry and Heather’s underlying message was that there was nothing else on hand to help him manage premature infants medically. There were no drugs, no Vitamin K injections, no heat lamps and no emergency team standing by.
Babies had been born for thousands of years without all the modern interference but Seb knew the survival rate of premature twins had been low in those days. He would do his best and hope that the ambulance arrived soon. He prayed silently that everything would go right.
His gaze swept the room, looking for anything at all that might come in handy. There was an oxygen tank attached to the wall. He looked at Luci and then back at the cylinder. ‘Can you see if that works?’ he asked her.
Luci put down the flannel and crossed the room. She had been very quiet and he hoped she was coping okay with the drama, he wasn’t really sure how much experience she had with this sort of situation. But her movements were practised and efficient. She knew the basic procedures and he just had to hope that he could prevent an emergency.
Luci opened the valve on the oxygen tank. She nodded.
That was one thing he had up his sleeve if needed, he thought as he turned back to Nadine.
Her labour was progressing quickly. That wasn’t surprising given that it was her fifth pregnancy and delivery, but Seb wished it wasn’t so. He would much prefer it if she could hold on until the ambulance reached them but that was looking highly unlikely because he could see the first baby’s head crowning.
‘I want to push,’ Nadine told him.
He’d barely had time to check the position of the babies but there was no going back now. ‘Okay. We’re ready to go.’
Nadine’s knees were bent. Luci stood beside her, holding her hand.
‘Push,’ he instructed.
He reached between her thighs and eased the baby’s head out.
‘Okay, relax now. Wait for the next contraction.’
Nadine panted swiftly between contractions and with the following one Seb delivered the baby’s shoulders. The little girl slid out swiftly and he hoped it was because Nadine’s body was familiar with the process and not because the other baby had kicked it out. He didn’t want to deal with a breech presentation as well as the premature delivery of twins.
‘It’s a girl,’ he told Nadine. She came out yelling and Seb placed her on Nadine’s chest. Luci had loosened the hospital gown at Nadine’s neck so the baby could lie skin to skin on her mother but Seb couldn’t leave her there for long. She needed to be checked and kept warm and he needed to get ready to deliver the second baby.
‘Can you do the Apgar test?’ he asked Luci as he cut the cord.
Luci nodded and reached for the baby. ‘I’ll just check her out,’ she explained to Nadine. ‘You’ve still got some work to do.’
Seb briefly watched Luci holding the baby. It suited her. She had an expression of contentment and he hoped for her sake that she had a child of her own one day. He knew that was what she wanted.
‘One minute Apgar eight out of ten. Pulse ninety-six, tinge of blue in the fingers,’ Luci said as she put the baby on the scales. He was aware of her weighing the baby as she updated him. ‘Two point four kilograms,’ she said as she wrapped the baby. There was no time to clean her up as she needed to be kept warm and Luci needed to be ready to help with the second delivery.
Nadine’s contractions were continuing strongly. The second twin was on its way. He checked what was happening and breathed a sigh of relief when he felt Twin B moving down into the pelvis.
Seb had to rupture the membrane for Twin B and the next thing he saw was the baby’s head crowning. Thank God it wasn’t breech.
‘Five-minute Apgar nine out of ten,’ Luci said, updating him on Twin A. ‘Colour is good, heart rate ninety-eight.’
He nodded in acknowledgement to Luci but spoke to Nadine. ‘Okay, time for number two. You can push with the next contraction.’
The second twin was slightly bigger but was delivered just as easily. He handed the little boy to Nadine then checked the cord before clamping and cutting it. Nadine had a quick cuddle before Luci took him to assess.
‘Six out of ten. Pulse ninety-four. Sluggish reflexes, blue extremities, resp. rate thirty-five.’
The little boy was bigger, but not as healthy as his sister.
‘He needs oxygen,’ Luci said, and Seb knew she was looking to him to fix the problem. They had oxygen but how was he going to get it into a premature infant?
He looked around the room for inspiration as he prayed that the ambulance would hurry.
His gaze rested on the acrylic bassinettes.
‘Can you connect some tubing to the oxygen cylinder?’ he asked Luci as he covered Nadine with a blanket. The little boy was his priority now and there was nothing else he could do for Nadine until the ambulance arrived. If he could manage to hold the two bassinettes together he would be able to fashion a makeshift oxygen tent, which would be better than nothing in the short term. Taking the little boy from Lucy he placed him in a bassinette alongside his sister. He emptied the second bassinette and inverted it over the first. He grabbed a roll of medical tape and ran it around the edges of the cribs, taping them together. There was an opening where the sides had been cut down that would allow the carbon monoxide to escape. The ‘tent’ would be less efficient than he would like but it would be good enough.
Luci had connected the tubing to the oxygen cylinder. She passed the end to him and he slid it into the bassinette, taping it in place too.
‘Run it at eight litres per minute,’ he said as Heather came back into the room.
‘The ambulance is five minutes away,’ she told them, and Seb thought that was the best sentence he’d ever heard. He could handle five more
