Of Human Bondage by William Somerset Maugham

At the beginning of the last week in August Philip entered upon his duties in the "district. " They were arduous, for he had to attend on an average three confinements a day. The patient had obtained a "card" from the hospital some time before; and when her time came it was taken to the porter by a messenger, generally a little girl, who was then sent across the road to the house in which Philip lodged. At night the porter, who had a latchkey, himself came over and awoke Philip. It was mysterious then to get up in the darkness and walk through the deserted streets of the South Side. At those hours it was generally the husband who brought the card. If there had been a number of babies before he took it for the most part with surly indifference, but if newly married he was nervous and then sometimes strove to allay his anxiety by getting drunk.

Often there was a mile or more to walk, during which Philip and the messenger discussed the conditions of labour and the cost of living; Philip learnt about the various trades which were practised on that side of the river. He inspired confidence in the people among whom he was thrown, and during the long hours that he waited in a stuffy room, the woman in labour lying on a large bed that took up half of it, her mother and the midwife talked to him as naturally as they talked to one another. The circumstances in which he had lived during the last two years had taught him several things about the life of the very poor, which it amused them to find he knew; and they were impressed because he was not deceived by their little subterfuges. He was kind, and he had gentle hands, and he did not lose his temper.