“All right,” I said, and snatched the heaviest of my surgical scalpels. “Jamie, hold her—oh, you’ve got her, good.” Muttering “Jesus, Mary, and Bride, bloody help me …” I laid the blade at the base of her navel.

But before I could make the incision, she screamed as though the touch of cold metal had been a cattle prod, jerked her knees up, then drove her heels down into the dirt, arched her back, thumped down again, and …

“What the devil’s that?” Jamie said, trying to look over the obstruction of Mrs. Cloudtree’s belly.

“It’s a head,” I said. “Jesus H. Roosevelt Christ. Push, Susannah!”

She hadn’t waited for instructions. With a ferocious noise, she pushed, and the baby did shoot out like a greased pig. I caught him—was it a him? Yes, it was—in my apron. I thumbed his nose and mouth clear, turned him over, and thumped his wet back lightly. The tiny buttocks squeezed together in protest, relaxed and let out a small spurt of dark fecal matter, but he was making regular huffing noises, sounding much like his mother, though not nearly as loud.

“Agnes!” I shouted. She was already at my shoulder as I turned and I detached my apron, wrapped it hastily round the infant, and thrust him into her arms.

“Shall I cut the cord, Sassenach?” Jamie was squatting by my other side, sgian dubh in hand.

“Yes,” I said breathlessly, and forgot about it, thrusting my hand into the birth canal, hoping for another head.

No such luck. Limbs everywhere, in the tight, slippery dark. I closed my eyes to see better, feeling urgently for a foot. Just one, I prayed. Just one foot … And then a powerful contraction came on, quite different, like an ocean wave rolling through Susannah’s body, but slowly enough that I managed to get my hand out of the way. And there it was. A tiny foot, its limp toes tinged with unearthly blue.

“Bloody, bloody, bloody …” I realized that I was muttering senseless things and clamped my jaw tight. I knew it was too late, but there was nothing else to be done. Once more I reached up, fumbling into the dark, and this time found the other foot without trouble. Without trouble because the baby wasn’t moving.

A sense of remoteness came over me, and I closed my eyes and swallowed, feeling the solid stillness of a tiny body come into my hands. They call it stillbirth because it is. Not because the child is dead, but because everything—everything—goes quiet. A tiny, still girl. I knew she was gone, but stubbornness made me lift her and try to push breath into the still lungs, my fingers on the tiny chest, hoping against hope … but she was gone.