the darkness was split by pinpricks of white as the searchlight did its endless sweep through the holes in the flimsy planks, in the only place we could call home.
I was dozing at the front of the hut, knowing Irena was in the early stages. A sudden cry from her bunk next to the stove broke the silence, as a fierce contraction coiled within her and split her uneasy sleep, spilling through her broken teeth.
‘Anke, Anke,’ she cried. ‘No, no, no … Make it stop.’
Her distress wasn’t of weakness – Irena had done this twice before in peacetime – but of the inevitable result of this process, of labour. A birth. Her baby would be born, and that to Irena was her worst nightmare. While her baby lay inside, occasionally kicking and showing signs it had not sucked away its mother’s life juices and still found wanting, there was hope. On the outside, hope diminished rapidly.
I was soon at her side, gathering the rags and paper we had been harbouring, a bucket of water drawn painstakingly from the well before curfew. She was agitated, in a type of delirium usually seen in the typhus cases. The name of her husband – probably long since dead in another camp – burbled through her dry lips time and again as she thrashed on the thin hay mattress, causing the wooden slats below to creak.
‘Irena, Irena,’ I whispered her name repeatedly, bobbing to catch her gaze while her eyes opened and closed. Unlike women in the Berlin hospitals, mothers in the camp often became otherworldly in labour, taking themselves to another place, a palace of the mind. I imagined it was a way of avoiding the reality that they were bringing their babies into this stark world of horror, creating a perfect nest in their dreams where life failed to provide it.
Much like third labours generally, this one progressed quickly. After simmering for several hours, contractions came one after another, spiralling rapidly. Rosa was soon by my side, roused from her half sleep too. She stoked the pitiful fire and put some of the water on to boil, while another woman brought an oil lamp, the fuel saved for such occasions. That was as much as we had, other than faith in Mother Nature.
The contractions were fierce and the waters broke during one particularly strong moment – a pathetic, meagre amount – but Irena was resisting. In any other scenario, the body would have been forced to bear down, the natural expulsion overwhelming and unrelenting. Women in their first pregnancies often worried whether they would know when it was time to push, and we as midwives could only reassure them – you will know, a power from within like no other, a tidal wave to ride instead of fight. Irena, however, was hanging on to her baby for dear life, a thin snake of mucousy blood just visible now as I looked under her covering. It signalled the body was eager, more than ready to let go. Only a mother’s iron will was clamping the gates shut.
Eventually, after several strong contractions, Irena’s womb won out; a telltale primal grunt, and with the help of the lamplight I saw the baby was on its way, his or her head not yet visible but a distinctive shape behind the thin, almost translucent skin of Irena’s buttocks, rounding out her anatomy. She swished her head in distress, panting and muttering: ‘No, not yet, baby, stay safe,’ fluttering her hands towards her opening in a desperate attempt to will the baby back in. Rosa was at Irena’s head, whispering reassurance, giving her sips of the cleanest water we could find, and I stayed with the lamp below.
Oblivious to its future, this baby was determined to be born. In the next contraction, black hair sprouted through the strained lips of Irena’s labia, and I urged her to ‘Blow, blow, blow,’ hoping to slow her down and avoid any skin tears that we had no equipment or means to stitch, another open wound the rats and lice would target.
Sensing the inevitable, Irena gave in, and her baby’s head slid past the confines of its mother, corkscrewing its way into the world. For a moment or so, as with so many births I’d seen, time stood still. The baby’s head lay on the cleanest rag we had, shoulders and body still inside Irena. Her sweat-stained head fell back on Rosa, a body convulsed with sobs of relief and sadness, and only a sliver of joy. The hut was silent – most of the women had woken, two or three visible heads to a bunk, as curiosity triumphed over the desire for sleep. Still, they only glimpsed, respecting what little privacy she had.
The baby had emerged back to back, looking up at me squarely, and I could see eyes opening and shutting like a china doll’s, mouth forming into a fish-like pout, as if he or she were breathing. The seconds ticked by, but there was no worry, the baby’s lifeline umbilicus giving filtered oxygen from Irena, far purer than the stagnant air around us.
‘It’s fine, all is well, your baby will be here soon,’ I whispered. But nothing, I knew, would make Irena feel anything other than impending fear or sadness.
The contraction brewed, and she shifted her buttocks to make room as the baby’s head made a half turn to one side, allowing the breadth of the shoulders to come through, and Irena’s son slipped out, bathed in only a little more water, mixed with blood. He was a sorry scrap of a thing, a head too large for his tiny, scantily covered limbs and bulbous testicles. Irena had grown him the best she could on her meagre diet of almost no protein or fat, and this was the result. I took the next best rag and wiped off the fluid, stimulating his flaccid body that gave out no sound, and a small part of me thought: ‘Just slip away now, child, save yourself the pain.’ But I carried on chafing at his delicate skin, rubbing some zest into him, as part of our human instinct to preserve life.
Immediately, Irena was back in this world, panicked. ‘Is it all right? Why doesn’t it cry?’
‘He’s just a little shocked, Irena, give him time,’ I said, feeling my own adrenalin peak then as I chanted in my own head: ‘Come on, baby, breathe for her, come on,’ while talking and blowing on his startled features: ‘Hey, little one, come on now, give us a cry.’
After one more vigorous rub, he coughed, gasped, and seemed almost to take in his surroundings with even wider eyes. Instantly, I passed him up to Irena, and settled him next to her skin. The effort of labour had made her the warmest surface in the room and he began murmuring at her, rather than a lusty cry. Still, any sound was breathing; it was life.
For the first time in months, Irena’s features took on a look of complete satisfaction. ‘Hey, my lovely,’ she cooed, ‘what a handsome boy you are. How clever you are.’ After two girls he was her first boy, her husband’s desire. What everyone was thinking, but no one voiced, was that she was unlikely to see any of them grow into their potential, into people. Not a soul would burst her temporary bubble.
Without a word, Rosa and I went into our defined roles. She stayed with Irena and the baby, tucking him further under any covers we had, while I kept a vigilant eye on Irena’s opening as blood pooled onto the rag. It was normal – for now. But since I began my training, placentas had made me twitch far more than babies ever had. Sheer exhaustion could make the body shut down and simply refuse to expel the placenta. Beads of sweat began forming on my brow and at the nape of my neck. To lose a woman and baby at this stage would seem like Mother Nature really had no soul.
Yet she came through, as she had again and again, a constant in this ugly, shifting humanity. Irena’s features, still awash with hormones of sheer love, crumpled with pain, as another contraction took hold. In another two pushes, the placenta flopped onto the rags, tiny and pale. The baby had stripped every ounce of fat from this pregnancy engine and it was a wrung-out rag with its stringy cord attached. Well-nourished German women produced fat, juicy cords that coiled like helter-skelters into blood-red tissue, fed well in their nine months. I hadn’t seen anything other than meagre ones since coming into the camp.
Once I had checked to ensure the placenta had all come away – anything left inside could cause a fatal infection – we opened the door to the hut and threw it outside, away from the entrance. There was a fierce scrabbling as several of the rats,
