Caroline Anderson - The Baby Bonding

‘Later—we’ll talk some more. Perhaps over dinner.’

She smiled and gave a noncommittal nod. ‘Perhaps,’ she said silently to his retreating back, and wondered what hand fate, with her twisted sense of humour, would deal them this time.

It wasn’t too late to run…

So many memories.

Crystal, determined and focused, her gimlet mind fastened on this one idea to the exclusion of all others, one last attempt to rescue the tatters of their marriage.

‘I want a child,’ she’d said. ‘What about a surrogate mother? You’re in the business—can’t you find one?’

And then he had, by a miracle, by sheer coincidence, because a patient of his had had a baby for someone else, and he’d talked to her, told her about Crystal’s idea.

‘You need to talk to my friend Molly,’ she’d said, and then Molly had been there, coming through the door behind him, warm and generous and full of life and laughter, filling the room with sunshine and making him glad to be alive. His first impression of her had been that he’d could trust her with his life and with that of his child, and nothing she’d ever done had taken that away.

They’d become friends over the next few weeks and months, and she’d been a rock during the endless procedures, the meetings, the conversations, the dealings with the solicitors. He remembered how calm she’d been, how in control, how understanding and gentle with Crystal.

The pregnancy had seemed to last for ever, such a long wait until the phone call came to say she was in labour, and he could remember every moment of the drive to the hospital, the waiting again, and then being there, holding Molly, supporting her while she’d given birth to Jack—the son he and Crystal had thought they’d never have.

Their son, carried for them by Molly, who’d generously agreed to act as a host mother to their embryo. A tummy mummy, she’d called herself, and their son had been loved and nurtured and protected by her body until the time had been right to hand him over to them.

And then Jack—tiny, screaming, enraged by the insult of birth, only calming when the midwife had taken him from the panic-striken Crystal and given him to Sam.

Then Molly had let out a long, ragged breath and smiled tearfully at him and nodded, and it had been all right.

Or so he’d thought, for the last three years.

And now he’d seen her again, and she’d admitted she’d had problems, and the doubts had come back to plague him. Had it been the right thing to do, to ask another woman to make such stupendous sacrifices for them, so Crystal could have what she wanted?

He nearly laughed out loud. What she’d thought she wanted, anyway. What was that saying? Be careful what you wish for, you might get it?

‘So—is it possible?’

Matt Jordan, the A and E consultant, stood beside Sam with his hands thrust into the pockets of his white coat, watching as he examined their patient. It was the first time he’d met the big Canadian, and he liked him instinctively—not least for calling him so quickly on this somewhat puzzling case.

‘She could be pregnant, yes. Certainly looks possible.’ Sam gently palpated the distended abdomen of the unconscious woman in Resus and shook his head thoughtfully. ‘I think you’re right, I think she is pregnant, but I can’t be sure without a scan or a pregnancy test. It could be all sorts of things—a tumour, an ovarian cyst, fibroids—without a heartbeat it’s anybody’s guess, and I can’t pick one up on the foetal stethoscope. It could just be fluid, but it doesn’t really feel right for that. What do you know about her?’ he asked Matt.

‘Very little,’ he was told. ‘She was brought in a few minutes ago after collapsing at the wheel of her car. The police are working on it, but it doesn’t seem to be registered to a woman, so they don’t know who she is. They’re checking with the car’s owner.’

He nodded.

‘Well, the first thing we need is an ultrasound to check if there’s a live baby, and we’ll go from there. In the meantime do nothing that would compromise the baby if you can avoid it. Once we know if she’s carrying a live foetus, we can get a proper scan to work out its gestational age and decide if it’s viable if we need to do an emergency section for any reason. I don’t suppose you can hazard a guess as to what’s wrong with her?’

‘No. Not diabetes, we’ve checked that, and her heart seems fine. Pupils are a bit iffy, so it could be drugs or a bang on the head. Could it be anything obstetric?’

Sam frowned and shook his head. ‘Don’t think so. It’s hard to tell without more information. I want that scan, fast. If she’s twenty-eight weeks or more and remains stable and unconscious, we can remove the baby to give her more chance, if necessary, but the baby’s chances will decrease with every week less than that. And, of course, there are other complications. She’s a smoker, for a start, so it might be small for dates, and starting from a disadvantage. Still, there’s no point in speculating till we get the scan and know if she is pregnant and the baby’s still alive. If she is pregnant, we’ll take her down to the big scanner and have a better look if you think she’s stable enough.’

The young nurse beside him frowned in puzzlement. ‘How do you know she’s a smoker?’

He shrugged. ‘She smells of smoke—and her teeth are stained.’

His eyes met Matt’s. ‘She’s a heavy smoker, I’d say, so watch her lungs, too, with the added stress of pregnancy. She might have breathing difficulties—and if she shows signs of respiratory distress or hypovolaemia, call me. She might get an amniotic fluid embolus or an antepartum haemorrhage as a result of the impact.’

‘We’ll watch for that. She’s got a wedge under her left hip to take the pressure off her aorta and vena cava. Anything else specific we should be doing?’

He shook his head. ‘Not really. Some answers would be good. Bleep me again if you need me, and when you get the results of the ultrasound. I’ll be in my office.’

Sam walked back up there, unable to do any more without further information, and at the moment at least she seemed stable. He’d worry about her once he knew a little more but, in the meantime, other thoughts were clamouring for his attention.

With each step, the young woman faded further from his mind, crowded out by an image of Molly that blanked his thoughts to anything else.

She hadn’t changed at all—well, not enough to notice. She’d got her pre-pregnancy figure back, of course, but apart from that she seemed no different. Her eyes were still that same warm, gentle shade of brown, her hair a few tones darker and shot through with gold, and her smile…

He felt choked, just thinking about her smile. She smiled with her whole face, not just that gorgeous, mobile mouth that was so amazingly expressive.

He growled under his breath. So she was an attractive woman. So what? So were lots of women. Hell, he worked with young, attractive women all day, both staff and patients, and he managed to cope. So why had he picked on Molly, of all people, to be so acutely aware of? She was the last woman in the world he could entertain those sorts of thoughts about.

His relationship with her was hugely complex because of Jack, and absolutely the last thing it needed was any further layers added to it!

‘Keep breathing, nice light breaths—that’s it, that’s lovely. You’re doing really well.’

Liz, her young patient, sobbed and shook her head. ‘I can’t do this…’

‘Yes, you can,’ Molly told her calmly, recognising her panic for what it was, a sign that she was moving into the transitional phase between the first and second stages of labour. ‘You’ll be fine.’