First, I got myself born. A decent crowd was on hand to watch, and they’ve always given me that much: the worst of the job was up to me, my mother being let’s just say out of it. On any other day they’d have seen her outside on the deck of her trailer home, good neighbors taking notice, pestering the tit of trouble as they will. (Barbara Kingsolver, Demon Copperhead)
Does the author mean tits as boobs? (Considering that she is a new mom.) But why would it be described as tit of trouble? What is the author trying to deliver here?