Her mother was ancient—fifty-two years old—and her mousy brown hair was streaked with gray. She had wrinkles around her eyes and on her throat. She was much older than the mothers of Noelle’s classmates and people often thought she was her grandmother. Her friends’ mothers painted their carefully shaped fingernails. They wore lipstick and went to the beauty parlor in Lumberton to get their hair done. Noelle was embarrassed by her mother’s age and unconventional demeanor. But as she dialed the rescue squad and did her best to explain to the dispatcher where James lived, she had the strangest feeling that her perception of her mother was about to change.

She hadn’t known her mother could run. They jogged down the dirt road behind James’s bike. Even carrying her blue canvas bag of supplies, her mother was outpacing her. The air was heavy with the smell of the river, and Spanish moss hung from the cypress trees lining the road. They turned onto the lane that bordered the creek and some of the moss brushed Noelle’s shoulders. When she was little, her mother told her that a Lumbee Indian chief’s wife had disobeyed him, so he chopped off her hair and tossed it over the branch of a tree, where it grew and multiplied and soon began covering the branches of all the neighboring trees. What that had to do with Spain, Noelle didn’t know, but she loved imagining that the Indian chief’s wife might have been one of her long-lost ancestors.

Noelle and her mother followed James around the last bend in the lane. Moonlight flickered on the peeling white paint of the tiny shack, but they heard the screams even before the house came into view. The voice sounded more animal than human, and it cut through the dank air like a sword. The screams made her mother run even faster while Noelle slowed her own pace, a little unnerved. Birth wasn’t completely foreign to her—she’d seen their cat give birth to kittens—but she’d never heard anything like those screams. “Where are your parents?” her mother asked as James tossed his bike to the ground.

“Ma’s up to Lumberton,” he said over his shoulder. He grabbed the knob of the beat-up front door and turned it. “Her sister took sick.”

He didn’t mention his father and Noelle’s mother didn’t ask. They raced into the house, which was no more than two squat little rooms. The first was kind of a kitchen and living room together, with a couch at one end and a sink and stove and half-size refrigerator at the other. Noelle’s mother didn’t seem to notice the room, though. She followed the wailing to the second room, where a girl, slim as a reed except for the giant globe of her belly, lay on her back in a double bed. She could only have been a couple of years older than Noelle, and she was naked from the waist down, her green T-shirt hiked up to her breasts. Her knees were bent and the place between her legs bulged with something huge and dark.

“Oh, my stars, you’re crowning already!” her mother said. She turned to James. “Fill every pot and pan in the house with water and set it to boil!” she commanded.

“Yes, ma’am!” James disappeared from the room, but Noelle stood frozen, mesmerized by what was happening to the girl’s body. It couldn’t be normal, could it? It looked and sounded like she was being torn apart.

“All right, darling.” Her mother began pulling things out of her bag as she spoke to the girl. “Do not push. I know you feel like pushing, but don’t push yet, all right? I’m going to help you and everything’s going to be fine.”

“Not…fine!” the girl yelled. “I don’t want no baby!”

“Well, you’re going to have one in just a few minutes, regardless.” Noelle’s mother turned to her. “Find me every clean towel and piece of linen that’s in this house,” she said as she wrapped her blood pressure cuff around the girl’s thin arm. “Then wet a cloth with some of that water the boy’s heating up and bring it to me.”

Noelle nodded and began searching in the narrow bedroom closet, grabbing the neatly folded towels and sheets and pillowcases from the shelves. In the other room, she found James trembling over water-filled pots on the stove.

“I need to dip one of these in warm water.” Noelle pointed to the pots. “Which one’s warmest?”

“This one, maybe.” He nodded toward the one closest to her and she dipped the washcloth into the water, then wrung it out in the sink and carried it back to the bedroom.

Her mother partly unfolded one of the sheets and slid it under the girl’s bottom. Then she took the warm washcloth and held it to the bizarrely stretched skin that circled the baby’s head. Noelle leaned down to whisper in her mother’s ear, “Is this normal?” She pointed between the girl’s legs and her mother brushed her hand away.

“Completely normal,” her mother said out loud, and Noelle knew she was trying to reassure the girl at the same time she answered the question. “Why don’t you go help the boy?” she suggested.

Noelle shook her head. “I want to stay here.”

“Then get a chair.” She nodded toward the girl. “Let her hold your hand.”

Noelle dragged a straight-backed chair from the living room to the side of the bed. The girl was gripping the edge of the mattress with her fist, and Noelle awkwardly pried her fingers loose and then pressed them around her own hand. The girl squeezed her fingers hard. Tears ran down the sides of her face and tiny dots of perspiration covered her forehead. Her skin was lighter than James’s, and even with her face contorted with pain, Noelle could see how pretty she was. And how scared.

She reached forward, wiping the girl’s tears away with her fingertips. “What’s your name?” she asked.

“Bea,” the girl whispered. “I’m dyin’, ain’t I? This baby goin’ kill me?”

Noelle shook her head. “No,” she said. “My mother—”

Bea interrupted her with another scream. “I’m splittin’ apart!” she yelled.

“No woman’s ever split apart, darlin’,” Noelle’s mother said, “and you’re stretching just like you’re meant to do.”

“My thing’s burnin’ up!” Bea said. She let go of Noelle’s hand to reach between her legs. Her eyes widened as she touched whatever was down there out of Noelle’s line of sight. “Lord Jesus!” Bea said. “Lord Jesus, save me!”

“Yes, Lord Jesus,” Noelle’s Jewish-Lumbee-Dutch mother said with a laugh, probably using those words together for the first time in her life. “Your Lord Jesus is right here with you, darlin’, if you need him to be.” She lifted her head. “Noelle, you want to see this baby come into the world?”

Noelle stood and walked to the end of the bed. The dark circle had grown even larger and she held her breath, wondering how her mother was going to get that baby out of skinny little Bea. All of a sudden, Bea let out a yelp and the dark haired, dusky-skinned head popped from her body.

Noelle gasped with amazement.

“Beautiful!” her mother said. “You’re doing beautifully.” She held her hands above and below the baby’s head, not touching it, not touching Bea, just holding her hands there as if supporting the head in midair by magic. The baby’s head turned to the side and Noelle could see its tiny face, all scrunched up as if this being-born business was as much work for him or her as it was for Bea. Suddenly, the little squinty eyes and blood-streaked lips blurred in front of Noelle’s face and she realized that for no reason she could name she was crying.

All at once, the baby slipped from Bea’s body into her mother’s hands.

“A precious boy!” Her mother wrapped the squawking infant in a towel and rested him on Bea’s belly, the movement so quick and easy that Noelle knew she’d done it hundreds of times before.

“I don’t want this baby,” Bea moaned, but she was lifting the corner of the towel, touching the damp hair of her son.

“We’ll see about that,” her mother said. “Right now we have a little more work to do down here.”

Noelle watched as her mother cut the cord and delivered the placenta, answering her questions and explaining everything she was doing. Her mother was not the same woman who made their dinner each night, who cleaned their house and fed the chickens and grew tomatoes and mowed their scrawny lawn. In that room filled with animal cries and sweat and blood and air too thick to breathe, her mother became someone else—someone mysterious, part sage, part magician. She was beautiful. Every line in her face. Every gray thread in her hair. Every swollen knuckle in the hands that had brought the baby into the world with such ease and grace. Noelle knew in that moment that she wanted to be like her. She wanted to be exactly like her.

The rescue squad came way too late to be of much use, and the atmosphere suddenly shifted in the little house. There were pointed questions. Shiny medical equipment. Sharp needles and bags of liquid hanging from poles. A stretcher on wheels.

Bea was afraid. “Don’t be.” Noelle’s mother squeezed her hand as two of the men in uniforms moved her from the bed to the stretcher. “You did a perfect job. You’ll be fine.”

“You deliver the baby?” one of the men asked her mother.

“She a midwife,” James said, and the rescuer raised his eyebrows.

“Just a neighbor, helping out,” Noelle’s mother said quickly. A few years earlier, she’d spent several days in jail for midwifing and Noelle knew she didn’t plan to go again. Daddy’s girlfriend, Doreen, had stayed over while her mother was gone. Doreen was a maid, her father had explained to her. Noelle might have been only nine years old but she wasn’t stupid. Her father eventually divorced her mother and married Doreen. Noelle hated that woman. Doreen had stolen her father. Stolen her mother’s husband. “Don’t ever hurt another woman the way Doreen hurt me,” her mother said to her later. “Just don’t ever.” And Noelle swore up and down that she never would and she thought for sure that she was telling the truth.