Telegraph Avenue

“Well, you’ve got gravity working for you,” Gwen tried, less inclined than her partner to patience or politeness but good for at least one go-round with an upside-down naked lady in labor. “But if anybody ever pushed out a baby in that jackknife thing you’ve got working right there, Lydia, then I never heard about it.”

“It could be interesting,” Aviva said. “Now that you mention it. Maybe you should give it a try.” The words were humorous, but her tone continued to be critical, at least to Gwen’s ear.

“Let me just wash my hands and whatnot, and then I’ll fire up my Doppler and see what’s happening in there,” Gwen said, dropping her bag on a black leather armchair. “Hi, honey.” Arcadia. “What do you think of all this, Miss Arcadia?”

The girl shrugged, eyes wide and teary but not despairing. Without cant or reference to the threefold moon goddess or other such nonsense, it was a deep and solemn business that they were about in this room, and nobody was going to feel that, in all its fathomlessness, like a kid. Certainly not old Garth over there, sacked out with one toe poking out of his left sock and sleep working the bellows of his skinny frame.

“Kind of gross,” the girl said, hoisting the birth plan higher as if to shield herself from the grossness of it. Article Seven requested that the umbilical cord not be cut until the placenta had ceased to pump. Article Twelve was some kind of nonsense about the use of artificial light. Gwen was not one to disrespect a well-made birth plan, but there were always wishful thinking and juju involved, and when things went the way they were going to go, as they must, many plans took on a retrospective air of foolishness. “No offense, Mom.”

“You don’t.” The string cinching tighter. “Have to. Watch it, baby. I told you—”

“I want to stay.”

“Gross can be interesting,” Gwen said. “Huh?”

Arcadia nodded.

Lydia lowered her hips and sank to her knees, giving way like a sand castle, and on all fours she rested, head hung, eyes closed, as if about to pantomime some animal behavior. “I’m going to push now,” she announced. In the same stewardessy voice, she added, “Everyone please shut up.”

Her tone was wrong and startling, like a struck wineglass with a secret flaw, and at once Garth sat up and gaped at Gwen, blinking, wiping his lips with his sleeve. “What’s wrong?” he said. His eyes came unstuck from Gwen’s, and he looked around, kicking up from the deep-sea trench of a dream, looking for his new baby, finding his wife, who was seeing nothing at all.

“Everything’s fine, sweetie,” Aviva said. “Only we’re going to need Frida Kahlo.”

Gwen went into the kitchen to drink a glass of water and, in the name of asepsis if not pride, eradicate every last whiff of Elsabet Getachew from her hands. No excuse for you—that was sterling dialogue. She strangled the renascent memory of her shame with a pair of latex-free gloves. When she came back into the living room, she saw that Frida Kahlo had been veiled with an orange bath towel. Lydia lay on her back, propped up on an old plaid bolster, pale abdomen shot like an eyeball with capillaries, making a new kind of low growling sound that built slowly to an energetic whoop and flowered in a burst of foul language that made everybody laugh.

“Good one,” Aviva said. “Good one.”

Though Aviva had caught a thousand babies with hands that were steady and adept, now that it was time, she deferred to her partner, to the virtuoso hands of Gwen Shanks, freaky-big, fluid as a couple of tide-pool dwellers, cabled like the Golden Gate Bridge.

As Aviva gave way to Gwen, she tried by means of her powerfully signifying eyebrows to communicate that she felt something in this situation to be amiss, something not provided for in the birth plan, which lay sagging and looped onto itself under the little girl’s chair. Aviva’s apparent psychic ability to know in advance when something might go wrong, especially in the context of a birth, was not merely the statistical fruit of an abiding pessimism. Skeptic that she was, Gwen had seen Aviva make unlikely but correct predictions of disaster too many times to discount. Gwen frowned, trying to see or feel what Aviva had detected, coming up short. By the time she turned to Lydia, every trace of the frown had been blown away.

“Okay,” she said, “let’s see what little old Miss Bella is up to.”

Gwen lowered herself by inches and prayers to the floor and, when she arrived, saw that the inner labia of Lydia Frankenthaler had conformed themselves into a fiery circle. A smear of fluid and hair presented its credentials at this checkpoint, advance man for the imminently arriving ambassadress from afar.

“You’re working fast now,” Gwen said. “You’re crowning. Here we go. Oh my goodness.”

“Lydia, honey, remember how you said you really didn’t want to push,” Aviva said, climbing in alongside Gwen, “well, now I would actually like you to stop. Stop pushing. Just let her—”

“Coming fast,” Gwen said. “Look out.”

There was a ripple of liquid and skin, then with a vaginal sigh, the little girl squirted faceup into Gwen’s wide hands. The small eyes were open, nebular, and dull, but in the instant before she cried out, they ignited, and the child seemed to regard Gwen Shanks. The air was filled with a hot smell between sex and butchery. The father said “oh” and pressed in beside Gwen to take the sticky baby as she passed it to him. Arcadia hung back, aghast and thrilling to the redness of the birth and the life kindling in her father’s hands. They wrapped the baby loosely in a candy-striped blanket, and as Aviva stroked Lydia’s hair and helped to raise her head, Garth and Arcadia made the necessary introductions of mother and baby and breast. That left Gwen, crouched at the other end of the silvery umbilicus, to observe the heavy flow of blood that seeped from Lydia’s vagina in a slow pulsation, like water from a saturated sponge.

It required all of Gwen’s training and innate gift for minimization of disaster not to pronounce the fatal syllables “Ho, shit.” But Aviva caught something in her face or shoulders, and when Gwen looked up from the pulsing blood that had begun to pool in a red half-dollar on the shower curtain, her partner was already on her way around to have a look. Aviva hunched down behind Gwen, an umpire leaning in on a catcher’s shoulder to get a better look at the ball as it came down the pike. She smelled of lemon peel and armpit in a way that barely registered with Gwen by now except as a steadying presence. They settled in to wait for the placenta. The soft click-click of the baby’s nursing marked the passing of several minutes. Aviva reached down and gave a gentle tug on the umbilical cord. She frowned. She made a humming sound deep in her throat and then said, “Hmm.”

Her tone pierced the bubble of family happiness up by Lydia’s head. Garth looked up sharply. “Is it all right?”

“It’s fine.”

Gwen ripped back the Velcro straps of her hypodermic kit, unrolled it, and felt around with her left hand for the vial of Pitocin.

“Right now,” Aviva said, “the placenta is feeling a little shy, so we just all want to really encourage the uterus to do some contracting for us. Lydia, you just keep right on nursing her, that’s the very best thing you can do. How’s that coming?”

“She went right on!” Lydia cried. Everything was wonderful in the world where she had taken up residence. “Great latch. Sucking away.”

“Good,” Gwen said, practicing the business of syringe and vial in a mindful series of ritual taps, sinking the vial onto the shaft of the needle, reading the tale of liquid and graduation. “Keep it up. And just to make sure it all gets nice and tight and contracted in there, we’re going to give you a little Pitocin.”

“What’s the deal?” said Garth. He craned forward to see what was happening between his wife’s legs. There was not, say, an ocean of blood, but there was more than enough to shock an innocent new father awash in a postpartum hormonal bath of trust in the world’s goodness. “Oh, goddammit. Did you guys fuck something up?”

He swore stiffly but with a sincere fury that took Gwen by surprise. She had pegged him as the gently feckless type of Berkeley white guy, drawstring pants and Teva sandals worn over hiking socks, sworn to a life of uxorial supportiveness the way some monks were sworn to the work of silence. Gwen didn’t know that Garth and Lydia had quarreled repeatedly over the idea of home birth, that Garth had viewed Lydia’s insistence on having their baby at home as the latest in a string of reckless and unnecessarily showy acts of counterconventionality that included refusing, to date, three separate proposals of marriage from Garth. Garth believed in hospitals and vaccines and government-sanctioned monogamy and had absorbed from his poor black and Latino clients powerful notions of the sovereignty of bad luck and death. He had suffered no ill fortune throughout the length of a tranquil, comfortable, and fulfilling life and so at any moment anticipated—even felt that he deserved—the swift equalizing