Coates Terri - Farewell to the East End: Farewell to the East End

Dedicated to Cynthia for a lifetime of friendship

My thanks and gratitude to:

Terri Coates, the midwife who inspired me to write these books, Dr Michael Boyes, Douglas May, Jenny Whitefield, Joan Hands, Helen Whitehorn, Philip and Suzannah, Ena Robinson, Mary Riches, Janet Salter, Maureen Dring, Peggy Sayer, Mike Birch, Sally Neville, the Marie Stopes Society.

Special thanks to Patricia Schooling of Merton Books for first bringing my writing to an audience.

All names have been changed. The Sisters of St Raymund Nonnatus is a pseudonym.

CONTENTS

Jennifer Worths memories of her years as a midwife were at once hilariously horrible and tremendously moving. She recounts a period when birth was both more frightening and more personal. Part of me wishes that my obstetrician had shown up at my house on a rickety old bicycle, and treated me both to a delivery and a hot cup of tea.

Ayelet Waldman, author of Love and Other Impossible Pursuits

Readers will fall in love with Call the Midwife... an affirmation of life during the best and worst of times.

Elizabeth Brundage, author of The Doctors Wife

With deep professional knowledge of midwifery and an unerring eye for the details of life in the London slums of the 1950s, Jennifer Worth has painted a stunningly vivid picture of an era now passed.

Patrick Taylor, MD, New York Times bestselling author of An Irish Country Doctor

Worths engaging memoir retraces [her] early years caring for the indigent and unfortunate during the pinched postwar era in London.... Her well-polished anecdotes are teeming with character detail.

Publishers Weekly

A charming tale of deliveries and deliverance. Worth sketches a warm, amiable portrait of hands-on medical practice.... Stocked with charming characters.... Worth depicts the rich variety of life in the slums [and] draws back the veil usually placed over the process of birth, described here as both tribulation and triumph.

Kirkus Reviews

Sheer magic.

The Lady (London)

Powerful stories delivered with sweet charm and controlled outrage.

Times Literary Supplement (London)

Worth is a vivid writer with a talent for the sting in the tail.

Evening Standard (London)

Call the Midwife is a powerful evocation of a long-gone world... and in Worth it has surely found one of its best chroniclers.

David Kynaston, Literary Review (London)

I loved the people, the nuns, the tough dockers, the prostitutes and pimps, seen with the fresh eyes of youth.

Guardian (London)

A chilling insight into life for the average mother [in the 1950s].

Sunday Express (London)

Worth is a stylish and dramatic writer. Worths book made me cry in a railway carriage.

Matthew Parris, Spectator (London)

In 1855 Queen Victoria wrote to her daughter Vicky, the Crown Princess of Prussia, who was expecting a baby:

What you say about the pride of giving life to an immortal soul is very fine, but I own I cannot enter into all that. I think very much more of our being like a cow or a dog at such moments, when our poor nature becomes so very animal and unecstatic.

Someone once said that youth is wasted on the young. Not a bit of it. Only the young have the impulsive energy to tackle the impossible and enjoy it; the courage to follow their instincts and brave the new; the stamina to work all day, all night and all the next day without tiring. For the young everything is possible. None of us, twenty years later, could do the things we did in our youth. Though the vision burns still bright, the energy has gone.

In the heady days of my early twenties I went to work in the East End of bomb-damaged London as a district midwife. I did it out of a yearning for adventure, not from a sense of vocation. I wanted to experience something different from my middle class background, something tough and challenging that would stretch me. I wanted a new slant on life. I went to a place called Nonnatus House, which I thought was a small private hospital, but which turned out to be a convent run by the Sisters of St Raymund Nonnatus. When I discovered my mistake I nearly ran away without unpacking my bags. Nuns were not my style. I couldnt be doing with that sort of thing, I thought. I wanted adventure, not religion. I did not know it at the time, but my soul was yearning for both.

The nuns generated adventure. They plunged headlong into anything, fearlessly: unlit streets and courtyards, dark, sinister stairways, the docks, brothels; they would tackle rogue landlords, abusive parents nothing was outside their scope. Sparky, saintly Sister Julienne with her wisdom and humour inspired us all to dare the impossible. Calm Novice Ruth and clever Sister Bernadette inspired respect, even awe, with their vast knowledge and experience of midwifery. Gruff and grumpy Sister Evangelina shocked and amused us with her vulgarity. And naughty Sister Monica Joan! What can be said of this wilful old lady of fey and fascinating charm who was once prosecuted for shoplifting (but found not guilty!)? Just a small oversight, she said. Best forgotten.

We took our lead from the Sisters, and feared nothing, not even getting our bikes out in the middle of the night and cycling alone through some of the toughest areas of London, which even the police patrolled in pairs. Through unlit streets and alleyways, past bomb sites where the meths drinkers hung out, past the docks where all was silent at night but for the creaks and moans as the ships stirred in their moorings, past the great river, dark and silent, past the brothels of Cable Street and the sinister pimps who controlled the area. Past no, not past into a small house or flat that was warm, bright and expectant, awaiting the birth of a new baby.

My colleagues and I loved every minute of it. Cynthia, who had a voice like music, and a slow, sweet smile that could calm any situation, however fraught. Trixie, with her sharp mind and waspish tongue. Chummy, a misfit in her colonial family because she was too big, too awkward, to fit into society, and who totally lacked self-confidence until she started nursing and proved herself a hero.

Youth, wasted on the young? Certainly not for us. Let those who waste their youth regret the passing of the years. We had experience, risk, and adventure enough to fill a lifetime. And to remember in old age is sweet; remember the shaft of sunlight piercing the black tenements, or the gleaming funnels of a ship as it left the docks; remember the warmth and fun of the Cockney people, or the grim reality of too little sleep and yet another call out into the night; remember the bicycle puncture and a policeman fixing it, or jumping barges with Sister Evangelina when the road was closed; remember the London smog, yellow-grey and choking thick, when Conchitas premature baby was born, or Christmas day, when a breech baby, undiagnosed, was delivered; remember the brothels of Cable Street, into which the child Mary was lured, and where old Mrs Jenkins lived, haunted by hallucinations of life in the workhouse.

I remember the days of my youth when everything was new and bright; when the mind was always questing, searching, absorbing; when the pain of love was so acute it could suffocate. And the days when joy was delirious.

Carters used to say that a working horse knew the way back to his stable and would pick up his feet and pull his cart with a lively step at the close of day, knowing that soft hay, food and water were at the end of the journey. That was how we midwives felt as we headed home after evening visits.

A cold but kindly west wind blew me all the way down Commercial Road and the East India Dock Road towards the welcome of Nonnatus House, the warmth of the big kitchen and most important of all food. I was young, healthy and hungry, and the day had been long. As I pedalled along, Mrs Bs home-made bread was foremost in my mind. She had a magic touch with bread, that woman, and I knew she had been baking that morning. Also in my mind was the puzzle Fred had presented us with at breakfast. I couldnt work it out three nines are twenty-seven, plus two makes twenty-nine so where was the other shilling? It was nonsense, didnt make sense, it must be somewhere. A shilling cant vanish into thin air! I wondered what the girls had made of it. Had they got any closer to solving the riddle? Perhaps Trixie had worked out the answer; Trixie was pretty sharp.