She increased her pace and they reached the couple quickly.
‘Thank goodness you’re here.’ The man looked pale and tired, his arm around his pregnant wife, who was lying on the ground, her bump smothered by an enormous weatherproof jacket. ‘I didn’t know what to do.’
‘Well, first we need to sit her up,’ Sally said quickly, shrugging the pack off her back and dropping to her knees next to the woman. ‘I’m Sally. I presume you must be Lucy, unless there’s another pregnant woman wandering the fells today.’
Tom dropped to his haunches. ‘Lucy, what on earth do you think you’re doing?’
The young woman gave a gasp and pressed a hand to her swollen abdomen. ‘Oh, Mr Hunter! I didn’t know that you’d come. I just fancied stretching my legs and we lost track of time and then I fell … I’m so sorry to be a nuisance. I can’t believe I was stupid enough to slip!’
‘You’re not a nuisance,’ Sally said immediately, ‘but we do need to sit you up. Lying flat can cause problems at your stage of pregnancy because the weight of the baby presses on your major blood vessels.’
Tom was by her side and together they lifted the woman into a sitting position, propped against a large boulder.
‘She’s been having pains for the past half an hour,’ Lucy’s husband told them, his face drawn and anxious. ‘We never should have come on this walk but it was such a beautiful day when we started out.’
Lucy screwed up her face and sucked in a breath. ‘Oh—the pain is terrible.’
Tom frowned. ‘In your ankle?’
‘No.’ Lucy shook her head, her eyes tightly shut as she struggled with the pain. ‘I think the baby is coming.’
‘Don’t be ridiculous, Luce.’ Her husband spoke in a falsely cheerful tone that was supposed to hide his anxiety and didn’t. ‘It isn’t due for another three weeks and babies don’t come that quickly.’
Lucy’s features relaxed and she opened her eyes. ‘Sorry to scare you, Mick, but it feels as though it’s coming to me.’
Her husband glanced at Tom, horrified. ‘She’s wrong, isn’t she? It can’t possibly be coming here. That quickly.’
‘Babies don’t usually care too much about the venue and they don’t always care about the timing either,’ Tom said, squatting down beside Lucy and sliding a hand over her abdomen. ‘They come when they’re ready. And you’re definitely having contractions. Sally, you monitor them. I’m going to take a look at your ankle, Lucy, so that we know what we’re dealing with here. If you are in labour, we need to get you to hospital.’
Mick looked horrified. ‘But it usually takes a long time, yes? Labour takes ages.’
‘Usually, but not always,’ Sally muttered, placing her hand on the top of Lucy’s uterus to feel the strength of the contraction while Tom gently removed Lucy’s boot. ‘Has everything been normal in your pregnancy?’ A gust of wind blew her blonde hair across her face and she anchored it back with her hand, contemplating the fact that she’d never had to ask these questions on a mountain rescue before. ‘Any problems at all with you or the baby?’
Lucy shook her head. ‘The baby was breech for a while but it turned about a month ago and the head has been engaged for a week. I saw Mr Hunter in clinic last week and he said everything was looking fine. Oh—’ She broke off with a gasp of pain and Sally felt the power of the contraction as the uterus tightened under her hand.
‘All right, Lucy, remember your breathing.’ She glanced at her watch. ‘Your contractions are very frequent. How long have you been in labour? When did the pains start?’
Lucy screwed up her face and shook her head. ‘I didn’t know I was in labour, but I was very uncomfortable in the car. We’d been to see my mum and we thought we’d stop and stretch our legs.’
‘Stretch your legs?’ Tom glanced up from examining her ankle. ‘You walked for an hour.’
‘It was just so beautiful we sort of lost track of the time, and walking helped the pain,’ Lucy muttered. ‘And it isn’t as if pregnancy is an illness. I felt fine until I lost my balance.’
Tom looked at Sally, a question in his eyes. ‘Well?’
‘She’s definitely in strong labour,’ Sally said quietly, and Tom let out a breath.
‘All right—let’s take this one stage at a time,’ he suggested, his tone calm as he finished his examination. ‘In my opinion your ankle is sprained, not broken, but you’re certainly not going to be walking anywhere on it for a while. If you’re in labour, we need to get you to a hospital as fast as possible.’
‘You can get a helicopter, yes?’ Mick raked a shaking hand through his windblown hair, visibly shaken by the news that his wife was certainly in labour. ‘Something fast.’
Lucy screwed up her face and grabbed Sally’s hand. ‘I’ve got another pain coming … Oh! I want to push—I can feel it.’
Even Tom looked startled by her terrified announcement and Sally found herself struggling not to smile, despite the potential seriousness of the situation. She’d never seen Tom out of his depth before, but at the moment he looked seriously disconcerted.
‘I think you’d better unpack some of that equipment you brought, Tom,’ she suggested calmly. ‘It looks as though we’re going to need it.’
Sally waited until the contraction had passed and then gently released Lucy’s hand so that she could assess the progress of her labour more accurately. ‘All right, I’m going to unzip your coat and see what’s going on.’
Tom had moved to one side and was using the radio, presumably to talk to Sean at the mountain rescue base.
Sally concentrated on the labouring woman. Because there was no doubt in her mind that the woman was about to deliver. She didn’t even need to pull on a pair of gloves and examine her. As Lucy was gripped by another powerful contraction, Sally clearly saw the top of the baby’s head.
For a moment she felt a shaft of panic and then she reminded herself that there was no reason why a healthy woman couldn’t deliver perfectly well outdoors. She had to forget about all the potential complications and concentrate on the job in hand. Their biggest problem was just the cold.
‘Your baby is definitely coming, Lucy,’ she said calmly, wishing Tom would get off the radio and help. Deciding that she’d better get on with it on her own, she delved into the rucksack and removed various packs. ‘Mick, can you get a tent up, please? Something to keep the wind off. Check in Tom’s rucksack.’
Creating a shelter wouldn’t help that much, but at least it would be better than nothing.
Tom finished talking on the radio and strode back to her. ‘They’re sending a helicopter.’
Sally looked at him. ‘You can’t deliver a baby in a helicopter,’ she pointed out logically, and he ran a hand over the back of his neck.
‘She’s that close? Seriously?’
‘I can see the head.’ Sally looked at him, wondering what was the matter with him. ‘I need a tent, Tom. Now. It’s not much in the way of shelter, but it will help.’
Tom seemed to stir himself. ‘Right. A tent. Mick, I need a hand.’
Sally left the two of them to sort out some shelter and turned her attention back to Lucy.
‘Don’t you worry about a thing,’ she said cheerfully. ‘We girls are going to manage this with no problem.’
Lucy gave a hysterical laugh and caught Sally’s hand again. ‘Would you believe that I actually dismissed the idea of a home birth because they convinced me it was dangerous for my first baby? And here I am on the side of a