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Emma DonoghueA modern alternative to SparkNotes and CliffsNotes, SuperSummary offers high-quality Study Guides with detailed chapter summaries and analysis of major themes, characters, and more.
Julia leaves to find Dr. Lynn and ask her to sign Mary’s baby’s birth certificate. She could have any doctor sign the birth certificate, but she “kept asking after Dr. Lynn” (205). A junior nurse directs Julia to the end of the hall, where Dr. Lynn is using a small room as an office. Dr. Lynn praises Julia for helping Mary deliver a healthy baby and comments that she can’t go home because she knows the police are looking for her. Julia notices that Dr. Lynn wears a fur coat, and Dr. Lynn explains, “I’ve been trying to pass for an officer’s widow in a coat borrowed from a comrade who’s married to a count […] I affect to be a little lame in my left leg” (206). Dr. Lynn’s description of her disguise makes Julia laugh. Julia asks if it’s true that Dr. Lynn is guilty of a plot that involved smuggling guns from Germany. Dr. Lynn explains that this story is a conspiracy to justify locking people up; in reality, she and her fellow comrades were simply involved in a protest. Julia thinks, “I wondered if that could really have happened, that the gun-running conspiracy was trumped up. Dr. Lynn hadn’t denied her part in the Rising of ’16, after all, so if she claimed innocence on this occasion, I was inclined to believe her” (207).
Julia wonders why Dr. Lynn agreed to fill in at such a large hospital when she’s lying low from the police. Dr. Lynn says, “Oh, my dear girl, nowhere’s safe. But sufficient until the day and all that” (207). Julia notices a photograph of a woman on Dr. Lynn’s desk. Dr. Lynn says that the woman is her dear friend whom she also lives with. Julia comments that she disagrees with the rebels’ use of violence, saying, “But to found a nation on violence?” (209). Dr. Lynn responds, “Has any nation ever been founded otherwise?” She adds, “Here’s the thing—they die anyway, from poverty rather than bullets. The way this godforsaken island’s misgoverned, is mass murder by degrees” (209). Julia says that she doesn’t have time for politics and leaves.
On her way back to the ward, Julia picks up lunch for herself, Bridie, and the patients. After they finish eating, Honor starts coughing and says she thinks she wet the bed. Julia checks the sheets and realizes that Honor’s water has broken. Surprised and upset by the prospect of another premature labor, Julia examines Honor and discovers that the fetus is faceup, when it should be facing facedown for a healthy delivery. Honor admits that she’s been having pangs for a while, and Julia tells Honor that she should have said something. Julia helps Honor sit in a chair, hoping that the position will help the fetus turn around. Bridie leaves to find Dr. Lynn. Honor refuses chloroform to help with the pain. Julia thinks, “[P]erhaps she was putting herself through this labour in a spirit of grim penance for what the nuns called her second lapse, her second offence” (214). Julia helps Honor onto her hands and knees on the bed. Honor asks if she can lay down and begin pushing. Allowing Honor to lay down, Julia thinks, “I couldn’t say no to this overwhelming urge of hers. [...] I was praying for one of those last-minute miracles that nature sometimes worked—the fetus finally, suddenly, gloriously, corkscrewing into place, then into the light” (215).
Dr. Lynn arrives. After examining Honor, Dr. Lynn asks Julia for forceps, metal tools to help pull out the baby. Dr. Lynn inserts the forceps, causing Honor to cry out in pain. Honor is bleeding. After a while, Dr, Lynn sets the forceps aside. Julia thinks, “I’d never heard Dr. Lynn dither” (218). Julia notices Honor’s blood pressure dropping. The doctor asks if any blood donors are available. Julia says that all the nurses are registered blood donors and that she is Type O, a universal donor. Dr. Lynn inserts a needle and tubing into Julia’s vein and allows Julia to insert a syringe at the other end into a vein in Honor’s arm for a vein-to-vein blood transfusion. Color returns to Honor’s face and she begins to appear more alert. However, after a moment, Honor starts panting, and hives appear on her face and neck. Julia is surprised to realize that Honor is having a bad reaction to the blood transfusion despite Julia’s being a universal donor. She yanks out the needles, and Dr. Lynn tries using the forceps again. Finally, Honor delivers a baby boy. The baby has a cleft lip but otherwise appears healthy. Dr. Lynn recommends that Julia feed the baby with a bottle, rather than having Honor breastfeed him, because of the baby’s cleft lip. Julia shows Honor the baby, but Honor doesn’t try to hold or kiss him.
Julia thinks about how Honor and the baby will return to the home for unwed mothers. Julia realizes that no family would be likely to adopt the baby because of his cleft lip. Dr. Lynn recommends that Julia spend the night at the hospital to save her strength. Julia agrees. Sister Luke arrives to oversee the ward overnight, and Julia heads to the nurse’s dormitories to sleep.
When Julia and Dr. Lynn have a chance to talk in the doctor’s makeshift office, Dr. Lynn gives some reasons why she thinks Ireland should be an independent nation and why she’s involved in protests to gain Ireland’s independence from British rule. The doctor also explains that the police are searching for her because they think she’s involved in a gun-running operation but that this is all a conspiracy and is just an excuse to arrest Dr. Lynn and her fellow protesters. Julia wonders if this could be true, and figures that Dr. Lynn admitted to taking part in an earlier violent uprising, so it’s unlikely that she’d lie about this. This moment opens Julia’s eyes to the possibility of the authorities making up lies and conspiracies just to arrest and silence rebels. Julia tells Dr. Lynn she doesn’t agree that the rebels should use violent methods of protest, saying, “But to found a nation on violence?” (209). To that, Dr. Lynn points out, “Has any nation ever been founded otherwise?” (209). The doctor argues that people in Ireland are often poor and that “they die anyway, from poverty rather than bullets” (209). Julia still thinks, “I just don’t understand how a physician could have turned to the gun” (209). Julia condones nonviolence and tries not to get into politics, but Dr. Lynn’s arguments give Julia new perspective on these political issues. Finally, Dr. Lynn asks if Julia’s brother returned from the war healthy. Julia admits that her brother, Tim, is now mute due to psychological trauma. Dr. Lynn comments that “if he’s been to hell and back, how could he not be left altered?” (210). Although Dr. Lynn doesn’t say it outright, she disagrees with the fact that so many young Irish men have had to fight in the war on the British Army’s behalf. The British use of young Irish men as soldiers is just one way they abuse the people of Ireland, in Dr. Lynn’s opinion. She thinks that the British are misgoverning and mistreating the Irish people.
Poverty is another major issue that the novel addresses. Julia and the other nurses often see malnourished patients come in and try to give them enough tea and food during their stay in the hospital to help them regain their strength. Dr. Lynn considers the widespread poverty and poor living conditions a result of misgovernment under British rule. She comments that Mary’s baby, despite being born healthy, will “have less chance of surviving her first year than a man in the trenches” (208) and explains, “Infant mortality in Dublin stands at fifteen percent—that’s what living in the dampest, most crowded housing in Europe will do” (208). Dr. Lynn says that the death rate is even higher for illegitimate children. Later, when Sister Luke arrives to take over in the ward during the night and hears about Honor’s new baby, she comments, “Often don’t last long, poor things, as if they know they’re not wanted” (231). At first, Sister Luke’s judgmental tone bothers Julia, but then she thinks, “[H]adn’t Dr. Lynn quoted a similar statistic about the mortality of children born out of wedlock?” (231). Childhood mortality is a major problem in Ireland due to widespread poverty, and the risk is even higher for children of unwed mothers with limited resources. This is just one example of the effects of poverty in 1918 Ireland.
By Emma Donoghue
9th-12th Grade Historical Fiction
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