Birth of Adonis by Marcantonio Franceschini
Birth of Adonis by Marcantonio Franceschini

Births, marriages, deaths. These are the building blocks of stories. But what does it take to write a good childbirth scene? Is it even necessary to describe how a fictional baby comes into the world? Not always, I would say. But sometimes, as shown by the examples below, the birth is much more than a biological event. It is an important driver of the story which has an impact on how the characters behave later on. We have to be there with these women in their hour of need.

There is a short story in Annie Proulx's 2008 collection Fine Just the Way It Is called Them Old Cowboy Songs which contains one of the most tragic birth scenes imaginable. The mother is a teenage girl living alone in a cabin in a remote part of Wyoming in 1885 (were there any non-remote parts of Wyoming at that time? I'm not sure). Her young husband Archie has gone off on his last cattle drive before the birth, hoping to be back in time, having asked a neighbour to check in occasionally on Rose.

The next morning was cold and sleety and her back ached; she wished for the heat of summer to return. She staggered when she walked and it didn't seem worthwhile to make coffee. She drank water and stared at the icy spicules sliding down the window glass. Around midmorning the backache increased, working itself into a slow rhythm. It dawned on her very slowly that the baby was not waiting until September. By afternoon the backache was an encircling python and she could do nothing but pant and whimper, the steady rattle of rain dampening her moaning call for succor. She wriggled out of her heavy dress and put on her oldest nightgown. The pain increased to waves of cramping agony that left her gasping for breath, and on and on, the day fading into night, the rain torn away by wind, the dark choking hours eternal. Another dawn came sticky with the return of heat and still her raw loins could not deliver the child. On the fourth afternoon, voiceless from calling for Archie, her mother, Tom Ackler, Tom Ackler's cat, from screaming imprecations at all of them, at god, any god, then at the river ducks and the weasel, to any entity that might hear, the python relaxed its grip and slid off the bloody bed, leaving her spiralling down in plum-colored mist.

There follows a heart-rending scene where Rose crawls out of the cabin with her stillborn baby wrapped in a dish towel and tries to dig a grave with a spoon. I won't say any more.

At the risk of mentioning Lionel Shriver once too often in this blog, I have to include an extract from the birth chapter in We Need to Talk about Kevin because the savage eloquence of Eva, writing here to her husband Franklin, is so remarkable.

So I made an effort, at which point I had to recognize that I'd been resisting the birth. Whenever the enormous mass approached that tiny canal, I'd been sucking it back. Because it hurt. It hurt a whole lot. In the New School course, they drummed into you that the pain was good, you were supposed to go with it, push into the pain, and only on my back did I contemplate what retarded advice this was. Pain, good? I was overcome with contempt. In fact, I never told you this before, but the emotion on which I fastened in order to push beyond a critical threshold was loathing. I despised being spread out like some farm exhibit with strangers gawking between my canted knees. I detested Dr. Rhinestein's pointed, ratlike little face and her brisk, censorious manner. I hated myself for ever having agreed to this humiliating theatre, when I was fine before and right at this moment I could have been in France.

In some countries, one in four babies is now being delivered by caesarian section and yet it's not often you come across a description of a surgical birth. Maggie O'Farrell has one in her 2010 novel The Hand That First Held Mine. The birth is important in the book because things go drastically wrong just after this scene and the mother, Elina, spends most of the book recovering from the shock.

She could feel them, the two doctors, rummaging about inside her, like people who had lost something at the bottom of a suitcase. She knew it ought to hurt, it ought to hurt like hell, but it didn't. The anaesthetic washed coolly down and then up her spine, breaking like a wave on the back of her head. There was a green canvas screen bisecting her body. She could hear the doctors murmuring to each other, could see the tops of their heads, could feel their hands in her innards. Ted was nearby, at her left, perched on a stool. And there was a great heave and suck and she almost cried out, what are you doing, before she realised, before she heard the sharp, angry cry, surprisingly loud in the hushed room, before she heard the anaesthetist, behind her, saying a boy. Elina repeated this word to herself as she stared ahead at the tiled ceiling. Boy. A boy. Then she spoke to Ted. Go with him, she said, go with the baby.

There are various other flashbacks of the birth as Elina tries to piece together what happened and come to terms with it. The other option is to skip the technicalities of the birth altogether, as Mary Costello does in Academy Street.

The pain struck at dawn. Willa came. In the hospital foyer her waters broke. She looked down at her drenched shoes and began to cry.

That evening when it was all over she thought she had scaled Everest, stood at its peak, exhilarated.

What, that's it?
Actually there is a little more. Costello continues:

The next morning the enormity of it all hit her. She had brought forth life, rendered human something from almost nothing, and this power, this ability to create, overwhelmed her.

She did not take to the child. The light down on his skin resembled fur. She could not bear to touch the head, the unknitted bones of his crown. She thought of him as half-hatched, not quite finished. She was not in her right mind. Her body had been riven open, pummelled, her innards displaced. A disgust at her physical self took hold, at the engorged breasts, the bleeding. I am a cow, she thought. But cows are good mothers.

Nine and five years on I still remember the births of my own children in forensic detail and I remember feeling an urgent need in the early weeks and months to tell the story as often as I could (hopefully to a willing audience). Telling the story is a way of fully understanding and celebrating what has happened. It is too big an experience to fit into one day.

What about you? Do you think it's desirable for authors to write detailed fictional accounts of labour? Have you ever written a childbirth scene or read one that stayed with you?