Shadows of the Workhouse

pregnancy and childbirth, and the death rate was high.
    Midwifery as a profession did not exist. In each community local women, in a tradition passed on from mother to daughter, went around delivering babies. Such a woman was called ‘the handy woman’ and her practice usually consisted of ‘lying-in and laying-out’ (i.e. lying-in after childbirth and laying-out of the dead). Some of these women were good at their trade, and were caring and conscientious, but they were untrained and unregistered.
    Against relentless parliamentary ridicule and opposition, many inspired women, including the Sisters of St Raymund Nonnatus, fought to have midwifery recognised as a profession, and for midwives to be trained and registered. Eventually, after a series of bills were defeated in the House, the women won, and the first Midwives Act became law in 1902. The Royal College of Midwives was born, and from that moment maternal and infant deaths began to fall.
    The Sisters were true heroines. They had entered slum areas of the London Docks at a time when no one else would go near them, except perhaps the police. They had worked through epidemics of cholera, typhoid, tuberculosis, scarlet fever and smallpox, careless of being infected themselves. They had worked through two world wars and endured the intensive bombing of the Blitz. They were inspired and sustained by their dual vocation: service to God and service to mankind.
    But do not imagine for one moment that the Sisters were trapped by their bells and their rosaries, and that life had passed them by. The nuns, collectively and individually, had experienced more of the world and its ways, more of heroism and degradation, of sin and salvation, than most people will experience in a lifetime. No indeed, the nuns were not remote goody-goodies. They were a bunch of feisty women who had seen it all, lived and loved and suffered throughout, and remained true to their vocation.
    Nonnatus House was situated just off the East India Dock Road, near Poplar High Street and the Blackwall Tunnel. It was a large Victorian building and sat next to a bomb site. A third of all Dockland dwellings had been destroyed by the Blitz, and most of the derelict buildings and rubble had not been cleared away. Bomb sites became children’s playgrounds during the day and dormitories for meths-drinkers overnight.
    Overcrowding had always been chronic in Poplar, and it was said that Poplar housed 50,000 people per square mile. After the Second World War the situation was even worse, because houses and flats had been destroyed and rebuilding had not yet commenced, so people just moved in with each other. It was not unusual to find three or four generations of one family living in a small house, or fifteen people living in two or three small rooms in the tenements – the Canada Buildings or the Peabody Buildings or the notorious Blackwall Tenements. These were Victorian buildings constructed on four sides around a central courtyard, with inward-facing balconies which were the arteries of the tenement. There was no privacy. Everyone knew everyone else’s business, and terrible fights would occur when the tensions of overcrowded family life erupted into violence. The tenements were bug-infested and insanitary. Some of the better ones had an indoor lavatory and running water, but most of the buildings had neither and infections spread like wildfire.
    Most of the men worked in the docks. Thousands poured through the gates when they opened each day. Hours were long, the work was heavy, and life was hard, but the Cockney men knew nothing else, and they were tough. The Thames was the backdrop of Poplar, and the boats, the cranes, the sound of the sirens, the whisper of the water all formed part of the tapestry that had been woven into its cloth for generations. The river had been the people’s constant companion, their friend and enemy, their employer, their playground and frequently, for the destitute, their grave.
    Cockney life, for all its poverty and deprivation, was rich – rich in humanity and humour, rich in drama and melodrama, rich in pathos and, unhappily, rich in tragedy. The Sisters of St Raymund Nonnatus had served the people of Poplar for several generations. The Cockneys did not forget, and the nuns were loved, respected, even revered by the whole community.

    During the time of which I write, an incident occurred that shook the very foundations of Nonnatus House. In fact, it shook the whole of