The Midwife: A Memoir of Birth, Joy, and Hard Times (15 page)

The pebbles of Brighton beach are nasty at the best of times, but if you happen to be wearing six-inch stiletto heels, they are murder. We had planned to swim in the nude, but no one had thought of what we might use for towels. It had been a cold winter and early spring, but nobody had thought about the temperature either.
About six of us stripped off, and with falsely jolly shouts to cheer each other on, we plunged into the sea. Normally, I love swimming, but the cold stabbed like a knife, taking my breath away, and brought on an asthma attack that lasted for the rest of the night. I swam a few strokes, then crawled out of the sea, gasping for breath. I sat on the wet pebbles shivering with cold. I had nothing to dry myself with, nothing to wrap around me. What a fool I had been! Why did I get myself into these crazy situations? I tried to dry my shaking shoulders with a small lace handkerchief. No help. My lungs were on fire, and air just didn’t seem to go into them. Some of the boys were really enjoying themselves, tumbling about with one another. I envied their vitality. I hadn’t even the strength to crawl back up the beach to the car.
Jimmy came out of the water, laughing and throwing seaweed at someone. He walked towards me. We couldn’t really see each other as he threw himself on the pebbles beside me, but at once he sensed that something was wrong. Perhaps he could hear me wheezing. His gaiety left him, and he became kind, concerned, thoughtful, as I had always known him when he was a little boy.
“Jenny! What’s up? You’re ill. You’ve got asthma. Oh, my dear, you are frozen. Let me dry you with my trousers.”
I couldn’t answer. I could only fight for breath. He wrapped his trousers around my back and rubbed hard. He gave me his shirt with which to dry my face and wet hair, and dried my legs with his socks and underpants. He had kept his vest dry, and he put it on me, as I had none of my own. He helped me into my thin cotton dress, then put his shoes on my feet, and helped me walk up the beach to the car. His own clothes were soaking wet, but he seemed impervious to this.
Everyone was sleeping in Lady Chatterley, sprawled about all over the place, and there was nowhere for me even to sit. Jimmy soon dealt with that. He shook a boy. “Wake up, and move over. Jenny’s having an asthma attack. She needs somewhere to sit down.”
Then, to another: “Wake up there, and take your jacket off. I need it for Jenny.”
Within minutes he had procured a corner for me to sit comfortably and a jacket to place around my shoulders. He woke another lad, and took his jacket to put over my legs. He did it all with charm and ease, and everyone liked him so much that no one grumbled. Not for the first time I reflected on what a pity it was that I couldn’t love Jimmy. I had always liked him, but no more than that. I had love for only one man, and this had eclipsed the possibility of loving anyone else.
Eventually we started back for London. The boys who had been swimming were in high spirits, invigorated by the swim and bantering with each other. All the girls were sleeping. I sat, leaning forward, elbows on my knees, by an open window, trying to get my lungs working properly again. There were no nebulisers in those days; the only treatment was the breathing exercises I was doing. An asthma attack usually passes in the end. Death from asthma is a new phenomenon related to modern living - indeed we used to say “no one dies from asthma”.
A beautiful midsummer dawn was breaking as we left Brighton. We made our slow, majestic way north, several times stopping to let Lady Chatterley cool down. At the foot of the North Downs she refused to go any further.
“Everyone out. We’ll have to push,” cried the driver, gaily. It was all right for him. He would be sitting at the steering wheel, or so he thought.
The sun was well up, and the summer morning spread over the countryside. We all climbed out of the vehicle. Worried that the physical effort of pushing might bring on another attack of asthma, I said, “I’ll take the wheel. You can push. You are stronger than me, and you don’t get asthma.”
I sat at the wheel of Lady Chatterley while the others pushed her up the North Downs. My heart went out to those poor girls in their stiletto heels pushing all that way, but there was nothing I could do about it, so I simply enjoyed the ride.
The rest must have done the old lady good because, over the crest, as we freewheeled down, she gave a deep cough of contentment, and the engine purred into life. We continued back to London with no further troubles. We were all working that morning, mostly starting at 9 a.m. I was supposed to be on duty at 8 a.m., miles away in the East End. I got back to Nonnatus House just after ten o’clock expecting serious trouble. But, once again, I realised how much more liberal the nuns were than the inflexible hospital hierarchy. When I told Sister Julienne about the night’s adventures I thought she would never stop laughing.
“It’s a good thing we are not busy,” she commented. “You had better go and get a hot bath and a good breakfast. We don’t want you down with a cold. You can start your morning’s round at eleven o’clock, and sleep this afternoon. I like the sound of your Jimmy, by the way.”
 
A year later Jimmy got a girl into trouble and married her. He could not support a wife and child on his apprentice pay, so he left his training in the fourth year and took a job as a draughtsman with a suburban county council.
About thirty years later, quite by accident, I bumped into Jimmy in a Tesco’s car park. He was staggering under the weight of a huge box, walking beside a large, cross-looking woman carrying a potted plant. She was talking incessantly in a rasping voice that assailed my ears before I even noticed them. He had always been slight, but now he looked painfully thin. His shoulders were stooped, and a few grey hairs were brushed across his bald head.
“Jimmy!” I said as we came face to face. His pale blue eyes looked into mine, and a thousand memories of the fun of a carefree youth instantly sparked between us. His eyes lit up, and he smiled.
“Jenny Lee!” he said, “After all these years!”
The woman poked him heavily in the chest with her thumb, and said, “You come along with me, and don’t hang about. You know the Turners are coming round tonight.”
His pale eyes seemed to lose all their colour. He looked at me despairingly and said, “Yes, dear.”
As they left, I heard her say, suspiciously: “Who is that woman, anyway?”
“Oh, just a girl I used to know in the old days. There was nothing between us, dear.”
He shuffled off, the epitome of the hen-pecked husband.
LEN AND CONCHITA WARREN
 
Large families may be the norm, but this is ridiculous, I mused as I ran through my day list. The twenty-fourth baby! There must be some mistake. The first digit is wrong. Not like Sister Julienne to make a mistake. My suspicions were confirmed when I got out the surgery notes. Only forty-two years old. It was impossible. I’m glad someone else can make mistakes as well as me, I thought.
I had to make an antenatal visit to assess the mother and the viability of the house for a home delivery. I never liked doing this. It seemed such an impertinence to ask to see people’s bedrooms, the lavatory, the kitchen, the arrangements for providing hot water, the cot and the linen for the baby, but it had to be done. Things could be pretty slummy, and we were used to managing in fairly primitive conditions, but if the domestic arrangements were really quite unviable, we reserved the right to refuse a home delivery, and the mother would have to go to hospital.
Mrs Conchita Warren is an unusual name, I thought as I cycled towards Limehouse. Most local women were Doris, Winnie, Ethel (pronounced Eff ) or Gertie. But Conchita! The name breathed “a beaker full of the warm South ... with beaded bubbles winking at the brim”.
3
What was a Conchita doing in the grey streets of Limehouse, with its pall of grey smoke and the grey sky beyond?
I turned off the main road into the little streets and, with the help of the indispensable map, located the house. It was one of the better, larger houses - on three floors and with a basement. That would mean two rooms on each floor, and one basement room, leading into a garden - seven rooms in all. Promising. I knocked on the door, but no one came. This was usual, but no one called out “Come in, luvvy”. There seemed to be a good deal of noise inside, so I knocked again, harder. No reply. Nothing for it but to turn the handle and walk in.
The narrow hallway was almost, but not quite, impassable. Two ladders and three large coach prams lined the wall. In one, a baby of about seven or eight months slept serenely. The second was full of what looked like washing. The third contained coal. Prams were very large in those days, with huge wheels and high protective sides and I had to turn sideways to squeeze myself past. Washing flapped overhead, and I pushed it aside. The stairway to the first floor was straight ahead and was also festooned with washing. The sickly smell of soap, dank washing, baby’s excreta, milk, all combined with cooking smells was nauseating to me. The sooner I get out of this place the better, I thought.
The noise was coming from the basement, yet I could see no steps down. I entered the first room off the hallway. This was obviously what my grandmother would have called “the best parlour”, filled with her best furniture, knick-knacks, china, pictures, lace, and, of course, the piano. It was only used on Sundays and on special occasions.
But if
this
fine room had ever been anyone’s best parlour the proud housewife would have wept to see it. About half a dozen washing-lines were attached to the picture rail just below the cornices of a beautifully plastered ceiling. Washing hung from each of them. Light filtered through a single faded curtain that appeared to be nailed across the window, screening this front room from the street. It was obviously impossible to draw this curtain back. The wooden floor was covered with what looked like junk. Broken radios, prams, furniture, toys, a pile of logs, a sack of coal, the remains of a motorcycle, and what seemed to be engineering tools, engine oil and petrol. Apart from all this, there were scores of tins of household paints on a bench, brushes, rollers, cloths, pots of spirit, bottles of thinners, rolls of wallpaper, pots of dried out glue, and another ladder. The curtain was pinned up with a safety pin by about eighteen inches at one corner, allowing sufficient light to reveal a new Singer sewing machine on a long table. Dressmaking patterns, pins, scissors, and cotton were scattered all over the table, and also, quite unbelievably, there was some very fine, expensive silk material. Next to the table stood a dressmaker’s model. Also hard to believe, and the only thing that would have resembled my grandmother’s front parlour, was a piano that stood against one of the walls. The lid was open, revealing filthy yellow keys, with several of the ivories broken off, but my eyes were riveted by the maker’s name - Steinway. I couldn’t believe it - a Steinway in a room like this, in a house like this! I wanted to rush over and try it, but I was looking for a way down to the basement, where the noise was coming from. I closed the door, and tried the second room off the hallway.
This room revealed a doorway that led down to the basement. I descended the wooden stairs, making as much clatter and noise as I could, as no one knew I was there and I didn’t want to alarm anyone. I called out “Hello” loudly. No reply. “Anyone there?” I called, fatuously. There was obviously someone there. Still no reply. The door was ajar at the bottom, and there was nothing for it but to push it open and walk in.
Immediately there was a dead silence and I was conscious of about a dozen pairs of eyes looking at me. Most of them were the wide innocent eyes of children but amidst them were the coal-black eyes of a handsome woman with black hair hanging in heavy waves past her shoulders. Her skin was beautiful - pale, but slightly tawny. Her shapely arms were wet from the washing tub, and soap clung to her fingers. Although obviously engaged in the endless household chore of washing, she did not look slovenly. Her figure was large, but not over-large. Her breasts were well supported, and her hips were large, but not flabby. A flowered apron covered her plain dress, and the crimson band which held back the dark hair accentuated the exquisite contrast between skin and hair. She was tall, and the poise of her shapely head on a slender neck spoke eloquently of the proud beauty of a Spanish Contessa, with generations of aristocracy behind her.
She did not say a word. Neither did the children. I felt uncomfortable, and started babbling on about being the district midwife, and getting no reply when I knocked, and wanting to see the rooms for a home confinement. She did not reply. So I repeated myself. Still no reply. She just gazed at me with calm composure. I began to wonder if she was deaf. Then two or three of the children began talking to her, all of them at once, in rapid Spanish. An exquisite smile spread across her face. She stepped towards me and said, “
Si. Bebe
.” I asked if I might look at the bedroom. No reply. I looked towards one of the children who had spoken, a girl of about fifteen. She spoke to her mother in Spanish, who said, with gracious courtesy and a slight inclination of her sculptured head, “
Si
.”
It was clear that Mrs Conchita Warren spoke no English. In all the time that I knew her the only words that I heard her speak, apart from dialogue with the children, were “
si
” and “
bebe
”.
The impression this woman made upon me was extraordinary. Even in the 1950s that basement would have been described as squalid. It contained, haphazardly, a stone sink, washing, a boiler bubbling away, a mangle, clothes and nappies hanging all over the place, a large table covered with pots and plates and bits of food, a gas stove covered with dirty saucepans and frying pans, and a mixture of unpleasant smells. Yet this proud and beautiful woman was completely in control and commanded respect.
The mother spoke to the girl, who showed me upstairs to the first floor. The front bedroom was perfectly adequate: a large double bed. I felt it - no more sagging than any other. It would do. There were three cots in the room, two wooden dropsided cots, a small crib, two very large chests of drawers and a small wardrobe. The lighting was electric. The floor covering was lino. The girl said, “Mum’s got it all ready here,” and pulled open a drawer full of snowy white baby clothes. I asked to see the lavatory. There was more than that. There was a bathroom - excellent! That was all I needed to see.
As we left the main bedroom I peered briefly into the room opposite, the door of which was open. Three double beds appeared to be crammed into it, but there was no other furniture at all.
We descended two flights to the kitchen, our feet clattering on the wooden stairs. I thanked Mrs Warren and said that everything was most satisfactory. She smiled. Her daughter spoke to her and she said: “

.” I needed to examine the woman and take an obstetric history, but obviously I could not do that if we could not understand each other, and I did not feel that I could ask one of the children to interpret. I therefore resolved to make a repeat visit when her husband would be at home. I asked my little guide when this would be, and she told me “in the evening”. I asked her to tell her mother I would come back after six o’ clock, and left.
I had several other visits that morning, but my mind continually drifted back to Mrs Warren. She was so unusual. Most of our patients were Londoners who had been born in the area, as had their parents and grandparents before them. Foreigners were rare, especially women. All the local women lived a very communal life, endlessly engaged in each other’s business. But if Mrs Warren spoke no English, she could not be part of that sorority.
Another thing that intrigued me was her quiet dignity. Most of the women I met in the East End were a bit raucous. Also there was her Latin beauty. Mediterranean women age early, especially after childbirth, and by custom used to wear black from head to foot. Yet this woman was wearing pretty colours, and did not look a day over forty. Perhaps it is the intense sun that makes southern skins age, and the damp northern climate had preserved her skin. I wanted to find out more about her, and intended asking some questions of the Sisters at lunch time. I also wanted to tease Sister Julienne about writing the “twenty-fourth pregnancy”, when she really meant the fourteenth.
Lunch at Nonnatus House was the main meal of the day, and a communal meal for the Sisters and lay staff alike. The food was plain, but good. I always looked forward to it because I was always hungry. Twelve to fifteen of us sat down each day at the table. After grace was said I introduced the subject of Mrs Conchita Warren.
She was well known by the Sisters, although not a lot of contact had ever been made because of her lack of English. Apparently she had lived in the East End for most of her life. How was it, then, that she didn’t speak the language? The Sisters did not know. It was suggested that perhaps she had no need, or no inclination to learn the language, or perhaps she just wasn’t very bright. This last suggestion was a possibility, as I had noticed before that certain people can completely disguise a basic lack of intelligence simply by saying nothing. My mind flitted to the Archdeacon’s daughter in Trollope, who had the whole of Barchester society and London at her feet, praising her beauty and bewitching mind, when in fact she was profoundly stupid. She achieved this enviable reputation by sitting around on gilded chairs, looking beautiful and saying not one word.
“How did she come to be in London at all?” I asked. The Sisters knew the answer to this one. Apparently Mr Warren was an East Ender, born into the life of the docks, and destined for the work of his father and uncles. But when he was a young man, something had made him a rebel. He was not going to be cast into any mould. He cut loose, and went off to fight in the Spanish Civil War. It is doubtful if he had the faintest idea of what he was doing, as foreign affairs rarely penetrated the consciousness of working people in the 1930s. Political idealism could have played no part in it and whether he fought for the Republicans or the Royalists would have been immaterial. All he wanted was youthful adventure, and a war in a remote and romantic country was just the stuff.
He was lucky to survive. But survive he did, and came home to London with a beautiful Spanish peasant girl of about eleven or twelve. He returned to his mother’s house with the girl, and they obviously lived together. What his relatives or neighbours thought of this shocking occurrence can only be conjectured, but his mother stuck by him, and he was not one to be intimidated by a pack of gossiping neighbours. Anyway, they could hardly send the girl back, because he had forgotten where she came from and she didn’t seem to know. Quite apart from this, he loved her.
When it was possible, he married her. This was not easy, because she had no birth certificate and was not sure of her surname, date of birth, or parentage. However, as she had had three or four babies by then and looked about sixteen, and as she was presumably Roman Catholic, a local priest was persuaded to solemnise the already fecund relationship.
I was fascinated. This was the stuff of high romance. A peasant girl! She certainly didn’t look like a peasant. She looked like a princess of the Spanish court, whom the Republicans had dispossessed. Had the brave Englishman rescued her and carried her off? What a story! Everything about it was unusual, and I looked forward to meeting Mr Warren that evening.
Then I remembered the children. I said to Sister Julienne, saucily, “I’ve caught you out in a mistake at last. You put in the day book the twenty-fourth pregnancy when you must have meant the fourteenth.”
Sister Julienne’s eyes twinkled. ” Oh no,” she said, “that was no mistake. Conchita Warren really has had twenty-three babies, and is expecting her twenty-fourth.”
I was stunned. The whole story was so preposterous that no one could possibly have made it up.
The door was open when I returned to their home so I stepped in. The house was literally teeming with young people and children. I had seen only very young children and a girl in the morning. Now all the schoolchildren were home, as well as several older teenagers who had presumably returned from work. It seemed like a party, they all looked so happy. Older children were carrying tiny ones around, some of them were playing out in the street, some of them were doing what might have been homework. There was absolutely no discord among them and in all the contact I had with this family no fighting or nasty temper was ever in evidence.

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