The lights from the clinic glow through the windows as we step out of the ambulance. My teammate and I have arrived for night shift. As we walk in there is happy chatter, and one very tired little girl asleep on the couch. She accompanied her mom on what has so far been a pretty uneventful shift. Two women are labouring in the cubicles. One loudly and the other not. Their midwives hand over charts and voice any pertinent information. I am second up this evening and will receive Brittany’s labour. She takes me in to introduce me. Kathy and her husband look up as we walk in and let them know that I will be taking over care from Brittany. So far Kathy has been labouring quietly. She and her husband have a lot of questions though and seem to want a lot of reassurance. This is their first baby. Because they are coming to find me often to ask questions I finally settle on an empty bed next to them with some notes I am reviewing. By midnight I am sitting on a stool one cubical over charting a birth for one of my teammates. The third up midwife receives a labour, but due to some medical complications she transports her to the hospital for her birth instead. When she returns another labour is waiting for her. Kathy and her husband are starting to get anxious “when will the baby come?” “can you push the baby out by pushing on my stomach?” I reassure them as best I can, sometimes first babies just take longer, and no I can’t push the baby out, it will come when it is ready. By two I am once again sitting on a stool in another cubical charting a birth for a teammate. Once in awhile I catch the sound of Kathy as she moans and I stick my head through the curtain and say “you’re doing fine Kathy, just keep breathing”. Even said gently, these words still give me pause, she probably wants to hit me as I say them, but they are all I can offer right now. The night alternately inches and speeds along. Finally an hour later, Kathy is fully dilated and we let her start pushing. This baby is a little shy and takes his time coming out. We have Kathy stand, squat, rock her hips from side to side, and try different positions until he is right on the edge of my fingertips. She does a wonderful job at the end and little Izack oozes slowly into my hands. I carefully remove a cord wrap from around his neck and place him on his mothers stomach. When I weigh him, he weighs in at 2600 grams, small but not too small. The fear comes two days later when he returns for a baby check and weighs in at 2000 grams. I talk to Kathy about feeding and stress the importance of feeding Izack often and for long enough. She worries that she does not have enough milk, or that there is something abnormal about her. Once again I reassure her and ask another midwife to do the same. I don’t say what I really want to – “you have nothing lacking except some patience”. Instead I calm the screaming baby and talk with Kathy about talking to him gently and not being anxious. With the help of another midwife, we manage to get Izack nursing hungrily. Yesterday I waited anxiously for Kathy and Izack to come to their baby check, but they never arrived. I can only hope that Izack has gained some weight back and is doing ok.