over the top so that her arms were free to guide me. ‘That’s it. Now, reach round with what I call your embracing hand, the one you’re cuddling her with, and hold her lips together with your fingers. There,’ Angie said encouragingly as I touched the teat to Megan’s lips. ‘You want a tight seal to create some suction.’
Megan’s mouth fell open and she shook her head, rooting. ‘Make sure you position the teat over her tongue,’ Angie said, pressing down gently on Megan’s chin. ‘The bottle has soft sides so you can squeeze them if she doesn’t seem to be getting much, but we’ve found she can suck effectively if you get the seal right. The cross-cut teats help.’ Latching onto the teat, Megan began sucking sleepily. At first there was a random slurping noise, a bit like the sound of a dog lapping at a puddle, and I could tell that it was a bit unproductive. ‘Don’t be afraid to be a bit more forceful. Unless you fix a seal she won’t get much milk,’ Angie said, placing her hand on my forearm.
‘I’m worried I’ll hurt her.’
‘You won’t. She’s a lot tougher than she looks, honestly.’
It was a tricky manoeuvre, and at the back of my mind I was wary of letting her suck too hard in case she choked, but after a couple of attempts I relaxed and got the hang of it. I couldn’t help smiling at the loud clicking noises she made as her tongue worked at the teat and then the cute little goya-goya of her swallows. She sucked with a sort of desperation, as if she knew she was going to have to fight harder than the other babies on the ward, the ones with parents close by.
Rivulets of milk ran from her nose down to her chin. Angie tucked a folded muslin square in the fold of her neck, reassuring me that leakage was normal with cleft babies. ‘Perfect,’ she said, patting my arm. But a minute or so later Megan jerked back, eyes widened in alarm. She fixed a panicked gaze directly on me as if to say, Please, DO SOMETHING! ‘Here you go,’ Angie said briskly, pressing the suction into my hand. With quickening pulse, I worked to clear her nasal passage while she floundered in my arms. It was a relief to find that the suction did its job quickly. Instinctively I shifted the baby to an upright position, making a pillow of my shoulder. After a few rattling breaths she gave a sigh, the curve of her back moulding itself magically into my palm. My heart melted. ‘That was great, Rosie, well done.’
I let out a breath and rolled my eyes. ‘Phew! That was a bit hairy.’
‘It is at first, I know, but you’ll get used to it,’ Angie said, as Megan began to complain. I set her on my lap again and offered her some more milk, keeping the suction close by on the arm of the chair. Megan pounced eagerly on the teat and Angie gave a little laugh. After a minute or so, she patted my shoulder and bustled off to the nurses’ station in the middle of the ward.
Knowing that I wasn’t causing Megan any discomfort, it was easier to fix a seal the second time around. Every so often she opened her eyes and gazed up at me, the look so trusting that my heart swelled. Time stalled and, immersed in what I was doing, I didn’t notice anyone approaching until a shadow fell across Megan’s face. I turned, taking in a pair of pink slippers. I looked up, the swollen but slightly deflated stomach belonging to the woman in front of me revealing that she was one of the newly delivered mothers.
‘Hi,’ she whispered, introducing herself as Erin. She smiled down at Megan. ‘Ah, bless, what a darling.’ Her eyes swept over Megan’s face, lingering on my fingers as they held the cleft together and the soft-sided bottle. Her brow furrowed inquisitively. ‘I can’t tell you how glad I am you’re here,’ she said after a short pause, leaning forward so that her face was level with mine. ‘My heart bleeds when she cries. She goes on and on, till she’s hoarse. We can’t bear it. She even whimpers in her sleep.’ Erin pouted her lower lip in a gesture of sadness and frowned. ‘Then all of a sudden she goes still, just staring up at the ceiling and you don’t hear a peep out of her. It’s like she’s given up, as if she knows no one’s coming.’
The methadone, I thought, glancing down at Megan, though of course, I didn’t say anything. She had stopped sucking and dropped off to sleep again, her soft breaths rattling in her chest. ‘I came over to give her a cuddle yesterday but’ – Erin rolled her eyes sideways in the direction of the nurses’ station then lowered her voice to a whisper – ‘I got told off. It’s not allowed apparently, but I can’t bear it, seeing her so upset and all alone.’
‘Don’t the nurses see to her when she frets?’
‘Oh yes, don’t get me wrong, they’re brilliant in here. They do their best but sometimes there’s no one free to pick her up. They’re so busy. That’s what I said to them – I don’t mind giving her a cuddle when my little one’s asleep, I said – but it’s against the rules and regulations and God knows what else. You know what these places are like.’
My stomach clenched at the thought of Megan’s cries being ignored. I held her a little closer after that, tilting her towards me so that her heart was next to mine. Through the tinted windows of the unit, the bright clear sky was subdued in dusty shades of pale blue and grey.
From my position in the low chair there was no view of the road and the only reminder of the city centre was the persistent hum of traffic and the faded shadow of inky buildings set against the sky. With Megan’s gentle warmth pressed against my chest and the hypnotic clicking noise as she began sucking again, the city streets fell away into a different realm, vague and irrelevant.
Barely five minutes later the peace was shattered by a series of howls and loud bangs coming from outside the unit. Turning sharply towards the glass security doors and the reception beyond, I must have jogged the bottle because Megan suddenly spluttered and began to choke again. Silently cursing myself and fumbling for the suction, the commotion going on behind me instantly faded.
I did my best to clear Megan’s airway quickly, only vaguely aware of Angie rushing across the ward, another nurse following hastily behind. As her breathing settled I snatched another glance over my shoulder, wondering what on earth was going on.
It was difficult to see anything beyond a blur of royal-blue uniforms, but from the nurses’ frantic movements and strained voices of forced calm, I could tell they were concerned. Perhaps sensing something, Megan began to cry. I got to my feet and soothed her, rocking gently from foot to foot. Thankfully she brought up some wind as I rubbed her back, and as soon as she’d quietened I settled her into her crib and popped her a fresh dummy back in. It was just as well I had because at that moment a midwife I didn’t recognise hurried over. ‘Mum’s outside,’ she said in a rush, reaching for my bag and handing it to me. ‘She’s insistent that it’s her time for contact so you’d best leave. We’ll take the staff exit.’
With a regretful glance Megan’s way, I followed the nurse past several other incubators, the tiny babies inside surrounded by a tangle of wires and tubes. Their parents, seated protectively nearby, stared between me and the commotion going on beyond the doors with shocked astonishment.
The further away from Megan I got, the more aware I became of the gritty, surprisingly deep voice of her mother. Almost at the other end of the ward, I couldn’t resist another glance behind and saw the face of a small woman somewhere in her early twenties pressed up against the glass doors, her hands resting either side of her like giant suction pads. Dressed in blue tracksuit bottoms and a loose white t-shirt, she had light, thin hair and a narrow face with bloated, heavily hooded eyes. She was flanked by two nurses, each trying to peel her hands away. ‘Get off o’ me!’ she bellowed, her words punctuated by a rattling buzz as she lunged out and jabbed at the intercom. ‘Why
