swallowed as she realised the implications. ‘She needs a Caesarean section, you mean?’
Jack nodded. ‘Yes. There isn’t any other option open to us at this stage. The only way to get that baby out is by doing a section otherwise we’re going to lose both of them.’ He glanced at the young woman and for a moment his face contorted with pain. ‘It might be too late even now but we have to try.’
Meg didn’t question his judgement because she knew he was right. If they didn’t operate immediately then both Leah and her baby would die. She stood up and there was a new determination in her eyes when she looked at Jack. Even if there was only a slim chance that they could save them then they had to try.
‘What do you want me to do first?’
Jack stood up as well and she felt her pulse leap as he smiled at her because for the first time ever there was a trace of admiration on his face. ‘Reckon we can do it, then, Meg?’ he asked quietly, his voice sounding very deep.
She squared her shoulders, striving for a calm she wished she felt, but it was hard to achieve that state when it felt as though dozens of butterflies were fluttering around inside her stomach. To see Jack look at her that way was everything she could have wished for, even though she wasn’t sure why it should have mattered so much.
‘Yes. If anyone can help Leah, I know you can,’ she said quietly, knowing in her heart that it was true.
He inclined his head in brief acknowledgement but that didn’t mean she missed the flare of some other emotion in the depths of his eyes…
She turned away before her mind could start racing along paths there simply wasn’t time to follow right then. She focused strictly on what Jack was saying as he rattled out a list of instructions. Fortunately, they had all the supplies they could possibly need close to hand, although the thought of performing the operation under such conditions was daunting.
In the end, Meg decided that it would be better not to think about it and just get on with the job. If they didn’t operate, Leah and the baby would die. There simply wasn’t a choice so she had to accept the problems and deal with them.
‘Do you want me to fetch Lesley or Kate?’ she offered once she was sure she knew exactly what he wanted doing.
He shook his head. ‘No, there’s no need to disturb them just yet. I’ll get Moses to wake them if I think it’s necessary, but I’m sure you and I can cope, Meg. However, I will wake Rory. We’ll need him to give the anaesthetic.’
Meg nodded her agreement before she hurried away to collect what was needed, but she couldn’t deny that her heart had lifted when she’d heard Jack say that. Maybe he was beginning to trust her after all? Odd how much comfort she derived from that thought.
Afterwards, when Meg looked back on that night, she found it hard to believe that she hadn’t dreamt it. There had been a surreal quality to the whole event which made it hard to believe it had actually happened.
At Jack’s insistence, more candles and an old paraffin lamp had been brought into the hut to supplement the inadequate lighting, but conditions for performing the operation had still been far from ideal. It had been quite a struggle too to source basic supplies and equipment from the packing cases in the trucks.
They’d had to leave Leah on her bed for starters, as there had been no other suitable surface to use. Meg had covered the straw mattress with several sterile sheets, then had brought in a packing case to lay their implements on, draping that as well with a sterile cover. It had seemed very inadequate protection against infection but it had been the best she could do in the circumstances.
Jack had scrubbed up, then let her help him into a gown, holding out his hands so that she’d been able to snap the thin surgical gloves onto his hands.
‘We need to double-glove for this,’ he advised her softly. ‘It would be foolish to take any risks.’
Meg nodded as she went to fetch a second pair large enough to fit him. Aids was endemic in many African countries so she knew he was right to take extra precautions. She followed his lead and put on a second pair of gloves herself, before going to assist him.
Rory looked up and grinned when they joined him by the bed. ‘Typical, isn’t it? You think you’re going to have a nice peaceful start to things and suddenly find yourself thrown in at the deep end!’
Jack’s brows rose. ‘How many of these trips have you been on now? And when has anything ever gone the way we’d planned it? I think I’d worry more if it did!’
Both men laughed ruefully. It was obvious to Meg that they had a great deal of respect for each other and she found herself thinking how wonderful it must be to be an accepted part of the team. She shot a look at Jack and smiled to herself. Still, maybe things weren’t quite so black as they’d appeared a few hours earlier if he was prepared to let her help him?
‘Right, let’s make a start if you’re happy with everything, Rory? We can’t afford to waste any time.’
Jack glanced at the younger man who nodded. Leah had been given an epidural anaesthetic as the risks to both mother and child were far less than if she’d been given a general anaesthetic in her weakened state. She hadn’t made a murmur when Rory had injected local anaesthetic into the epidural space surrounding her spinal cord. It was obvious to Meg that Leah was completely worn out by the ferocity of her labour and she knew that the sooner it was over the better. As to whether they would be able to save both mother and child, that was something they would have to wait and see, but she murmured a fervent prayer that everything would go in their favour from here on.
‘Scalpel.’ Jack’s face was set with concentration as she slapped the razor-sharp knife into his gloved palm. He swiftly and deftly made a horizontal incision in Leah’s abdomen just above her pubic bone. Meg stood beside him, watching intently as he carefully slit through the lower part of the uterus. She could see the baby now and held her breath as Jack lifted it free and handed it to her, working swiftly as he tied and cut the cord.
‘Right, it’s up to you now, Meg,’ he told her tersely, turning his attention back to the young woman.
Meg didn’t say anything because there wasn’t any time to waste. It was a baby boy and she could see at once that he was in some distress. Carrying him swiftly away from the makeshift operating table, she sank onto a chair and laid him across her knees then used a thin piece of sterile tubing to suction the mucus out of his mouth. He hadn’t cried as yet and her heart was racing as she tipped him head down so that any fluid he might have swallowed would drain from his lungs.
‘Come on, poppet,’ she muttered, willing the tiny scrap to take his first breath. ‘Come on, you can do it!’
She tapped the soles of his feet, mentally running through everything she knew about childbirth. Since she’d learned that she’d been accepted by the agency, she’d spent hours poring over her textbooks, brushing up on skills which had become a bit rusty through lack of use. However, all the reading in the world couldn’t compensate for hands-on experience and she prayed that she would be able to help the child. She would never forgive herself if he died!
Laying the baby across her knees again, she placed her mouth over his nose and mouth and gently breathed into his lungs, willing him to respond. There was no sound in the hut apart from the measured rhythm of her breathing as time after time she inflated the infant’s lungs. When Jack appeared beside her Meg didn’t look up because she couldn’t afford to
