Summary of “Birth” by A.J. Cronin

In the excerpt “Birth” from A.J. Cronin’s novel “The Citadel,” we follow the young Dr. Andrew Manson as he faces a pivotal moment in his medical career. Having just started his practice in a small Welsh mining town, Andrew is called to assist Joe Morgan and his wife, Susan, who is about to give birth to their first child after nearly twenty years of marriage.

Late at night, Andrew finds Joe anxiously waiting outside. Inside, Susan’s elderly mother and a midwife are by her side. Despite his own emotional turmoil and exhaustion from a disappointing evening with Christine, the girl he loves, Andrew remains focused on his task. He decides to stay through the night, sensing the gravity of the situation.

The delivery is complicated, and when the baby is born, it shows no signs of life. Andrew is struck with horror and despair. He is torn between attending to the nearly unconscious mother and trying to revive the seemingly lifeless infant. Acting on instinct and a memory of a technique he once observed, Andrew begins a desperate attempt to resuscitate the baby. He alternates between immersing the baby in hot and cold water and performing chest compressions.

The effort is exhausting, and for a long, grueling half-hour, it seems futile. However, Andrew’s persistence pays off. The baby’s chest finally heaves, it starts breathing, and then it cries. The once lifeless child now shows signs of life, turning pink and healthy. The midwife and Susan’s mother are overwhelmed with relief and joy. Andrew, though exhausted, feels a profound sense of accomplishment.

As he leaves the Morgan household, Andrew informs Joe that both his wife and newborn child are fine. Walking back in the early morning light, Andrew feels a deep satisfaction and pride. He realizes that for the first time in his career, he has made a significant, real difference in someone’s life, providing him with a renewed sense of purpose and fulfillment.

Analysis of “Birth” by A.J. Cronin

The excerpt “Birth” from A.J. Cronin’s novel “The Citadel” presents a powerful narrative that delves into the emotional and professional development of a young doctor, Andrew Manson. This analysis explores key themes, character development, and the broader implications of the story within the context of medical practice and human experience.

Key Themes

1. Transition from Theory to Practice: One of the central themes in “Birth” is the shift from theoretical knowledge to practical application. Andrew Manson, fresh out of medical school, faces a real-world challenge that tests his skills and instincts. This transition is crucial for any professional, especially in medicine, where the stakes are incredibly high. The story underscores the idea that true expertise is gained through experience and the ability to adapt knowledge to unpredictable situations.

2. Professional Fulfillment: Andrew’s journey in this narrative is one of personal and professional fulfillment. The successful resuscitation of the newborn marks a significant milestone in his career. Despite his initial self-doubt and the grueling nature of the task, Andrew’s determination and quick thinking result in saving a life. This moment of triumph brings him a deep sense of accomplishment, highlighting the intrinsic rewards of the medical profession.

3. Human Emotions and Relationships: Throughout the night, Andrew grapples with his thoughts on love, marriage, and his own life. His reflections on the unhappy marriages of his colleagues contrast with his idealized view of love with Christine. These personal contemplations add depth to his character, showing how professional duties can intertwine with personal emotions. The emotional weight of the situation is amplified by the presence of Susan’s mother and the midwife, whose anxiety and hope reflect the high emotional stakes of childbirth.

Character Development

Andrew Manson: Andrew’s character evolves significantly throughout the story. Initially, he is portrayed as a young, somewhat inexperienced doctor burdened by his own personal issues. However, the crisis with Joe Morgan’s baby catalyzes a transformation. Andrew’s quick decision-making, perseverance, and emotional resilience showcase his growth from a novice to a capable and confident physician. His final reflection on having done something “real” at last encapsulates his newfound sense of purpose and fulfillment.

Supporting Characters:

• Joe Morgan: Joe’s anxious waiting and deep concern for his wife and unborn child highlight the universal fears and hopes associated with childbirth.
• Susan’s Mother: Her presence and her quiet support provide a backdrop of familial love and concern, emphasizing the communal nature of the event.
• The Midwife: Her initial hesitation and eventual relief mirror the tension and emotional release experienced by everyone involved.

Broader Implications

Medical Practice: The story illustrates the unpredictable and demanding nature of medical practice. Andrew’s success is not just a testament to his knowledge but also to his ability to innovate and persist under pressure. This reflects a broader truth in medicine: while textbooks provide a foundation, real-life situations require adaptability, creativity, and emotional strength.

Human Experience: “Birth” captures the intense emotional landscape of a life-and-death situation. The narrative emphasizes the profound impact that healthcare professionals can have on individual lives and families. It also highlights the emotional and psychological challenges faced by doctors, who must navigate their own feelings while providing critical care.

Conclusion

A.J. Cronin’s “Birth” is a compelling narrative that explores the journey of a young doctor as he transitions from theoretical knowledge to practical expertise. Through Andrew Manson’s character, the story delves into themes of professional fulfillment, human emotions, and the complexities of medical practice. It underscores the profound impact that dedication and compassion in healthcare can have, both on the patients and on the professionals themselves.