An explosion in my flesh. I writhe in pain, splashing in an inflatable tub in my living room. “Shit!” My husband ducks to avoid flying elbows, arms, my scratching fingers. Midwife eyes — six in all — look over the edge of the tub, cheering, but I cannot hear their words. I do not care what they are saying. Is it over yet? I push with all my might and split in two, and then blood and a cough: my husband holds in his hands a naked, slippery, breathing child.