Read Midwife in the Family Way Online
Authors: Fiona McArthur
âNo problem. It's always easier with more hands,' Emma agreed, and let the cuff down. âBP's eighty-five on forty-five, but that should pick up now the other fluids are running in.' Elise smiled feebly and Emma glanced at the woman's husband. âYou okay, Trent?' Emma knew them both from antenatal classes.
He wiped his face shakily with his hand and glanced down at the baby snuggled into him. âI guess. I just won't look at the blood. And this little bloke seems happy. You guys are amazing. I'm glad we decided to have our baby here and not at home.'
Emma smiled. âThe midwife would have had the same gear in her kit, but it's easier to get help here, certainly.'
Trent nodded. âI could see Montana had it under control, but more hands do it quicker.'
âAnd that's enough excitement for today,' Montana said, âso we'll keep a good eye on Elise to make sure she doesn't do anything else interesting.' She and Emma tidied up around Elise and re-checked her observations before they unglued her new son from his father's chest and shifted him onto his mother.
Gianni stood back and watched the calm and unhurried arrangement of baby and mother and glanced around the now tidy room. This was such a different birth setting from those he had seen in Italy. Very quiet. Very understated with technology, yet prepared, in case help was needed. They'd obviously practised their emergency drills to work so seamlessly and swiftly. He would enjoy learning more about the way the centre,
and especially one midwife, worked. He hoped he'd have the chance.
He glanced at Emma as she watched the mother attach her baby to the breast and was surprised to see such a broken look on her face. His heart clenched at the raw pain he could see, and unconsciously he moved closer to her, but as soon as he shifted the spell was broken. She cast him a glance of pure panic and turned away.
Montana thanked them; it was time for them to go, and they left her and the new parents to enjoy their baby. Gianni regretted that the fragile truce between Emma and himself had somehow been severed. He had the impression she would run from his side if she could.
Once they reached the path outside the hospital grounds he lifted his hand to stay her and she flinched, a reaction that sent the pain from her aversion shooting through him. What was this? What had happened? âEmma?'
âI have to go,' she said hurriedly, and turned, and as he'd feared she would, she fled. Gianni watched the distance between them grow rapidly, and with increasing suspicion he allowed the wheels in his mind to begin to turn.
Her daughter was away and she would be alone. Perhaps tonight was a good time for Emma and him to talk.
Â
Emma knew Gianni would come. Would find her while she was by herself. She contemplated briefly visiting
Montana or Misty so that he wouldn't speak to her while her defences were down. Because that was what had happened today.
She bunched the hair on the back of her head into her fists and closed her eyes. It was all so complicated and tragic, and she was sick and tired of the endless circles that had been spinning in her head for a week.
Of the subterfuge of avoidance, which had been difficult enough while she'd had birthing women but would be impossible when she had to work in Emergency.
It was time to be open. She wasn't a coward and despite the complications he might prove to add, she felt she had no right to keep Gianni in the dark about his own child. She'd just needed time to get it straight in her own head first.
It might have been easier if she didn't like and admire Gianni. If like was all it was. She was so aware of him. So attuned to his thoughts and his moods and his intentions that she suspected there was more than like involved. But she couldn't love him. Had promised herself she wouldn't fall in love. Had been so sure little harm could come of letting down her guard once. Well, she knew better now.
Â
When Emma opened the door, Gianni couldn't help notice the skitter of panic in her blue eyes and wondered how he had caused such negative emotion in this woman, the last person he wished to hurt. It seemed there was a lot for them to discuss.
But he would go if she wished. âWill you speak with me, Emma?'
âCome in,' she said, though the words didn't echo her actions because she didn't step back immediately to allow entry. Perhaps it was too much to ask. He hesitated but then she did move away from the door and turned and walked from him into the house. Immeasurably relieved, he followed.
He'd been under the impression they'd agreed to think only good things of what had lain between the two of them but something was wrong. Something had changed.
Emma stopped in the family room and turned to face him but didn't sit down as she hovered indecisively in the middle of the room. âWhy are you here, Gianni?'
âWhy?' He tried to understand her mood. The mixed signals she sent and the emotions in her blue eyes. He realised that reading unspoken sentiment from women was not something he was skilled at. âBecause something is wrong. Why are you afraid of seeing me? Talking to me? Afraid of me?'
She sighed and he heard the weight of exhaustion in her voice. She sounded so tired. What was wrong with Emma? Was there some other medical condition he knew nothing of?
She lifted her hand and held her throat. âI'm not afraid of you, Gianni. At times when I'm with you I feel the safest I've ever felt.'
His breath eased out. He'd been unaware he'd been holding it as he'd waited. It was amazing how good
that admission made him feel. Perhaps dangerously so. âThen what is the matter between us?'
He could read the struggle in her eyes and the indecision that crossed her face but not the cause. Then she said it. Baldly, and it was the last thing he expected. âI'm pregnant. We're pregnant. Despite the precautions we both took.'
He could feel the shock reverberate through him like a seismic wave inside his chest. Something he'd never expected to be faced with because he'd prided himself on his care. Pregnant. A baby. It couldn't be.
He shook his head at the idea. âWe took good precautions.'
She sighed. âThat's what I thought.'
âThere has been no one else?' He regretted the words as soon as they left his mouth but they needed to be said. He'd been duped in the past. Couldn't help the knee jerk of disbelief that Maria's final truth had left him with, but he regretted the spasm of pain that crossed Emma's face. It seemed the answer was no.
Her voice was barely audible but the words were clear. âI'm not going to have a slanging match with you, Gianni. But don'tâ¦' She paused as if to control herself. âEver doubt me again.'
âMy apologies.' He could hear the stiffness in his own voice but his mind was reeling. He did not dispute that he'd enjoyed their brief affair, and since then what little time he'd spent with Emma, but for life? To share a child? With a woman he barely knew if perhaps not barely in the biblical sense. Speaking of which, he
didn't even know her religionâand now his child was involved. If they moved to Italy, perhaps she would convert.
Now was not the time for choices or decisions or paths to choose. The path was there and he would take it. And so would she. It was the correct thing to do.
âWe must be married.' His voice was resolute.
âSpare me,' she muttered, and in shock he realised that the answer was no foregone conclusion. The unthinkable slapped him in the face. She was going to refuse. And did.
âA proposal? No, thanks.'
He straightened. âIt is the only thing to do.'
âIt's not that simple.' Now she did sink down onto the couch, as if her legs no longer supported her, and he sank down next to her.
âI have a daughter who doesn't know you.' She gestured to the simple room. âA family, a place I love.' She looked at him with narrow eyes. âAnd work I love and spent my teenage years making possible. I can manage here with another child. I've already proved that.'
She threw her hand out toward him. âYou? You are passing through, have come from another continent.' She drew a deep breath as if to steel herself. âAnd I have a disease that made me promise myself I would never marry. You need a woman who can provide your family with a bloodline.' She shook her head. âThat woman isn't me.'
So she had tested positive. The blow landed and he barely absorbed it. He waved his hand. All that could
not matter. He was the father of this child. And then the ramifications of her statement sank in. âDo you know that for sure? Have you really tested positive for the gene?'
He saw the moment when she realised he knew her secret. The shock, the idea of his acceptance, the disbelief that he understood. All reasons she'd put the barrier between them.
Now he understood. Poor Emma. Dear, sweet, Emma. âStill, I would be there for you and our child.' He paused as he remembered that not only Emma was involved. âChildren.'
It was worse than she'd imagined. He'd be there. He'd sacrifice his life because he had a stake in the child she was carrying. He wasn't in love with her and, please, God, she wasn't in love with him. They were pregnant but it didn't mean he had to be doomed. It didn't have to be.
âDon't you see? Either I have the gene, and Grace and this child are at risk as well, or I haven't got the gene and my life is still to be here for the people I love who have not escaped. My life is here and yours is elsewhere.'
So it was not set in stone. âThen take the test.' He shook his head, bewildered. âOf course, take the test. I do not understand how you have not already. But now there is more reason.'
She shook her head vehemently. âThere is more reason not to.' She put her head in her hands. âYou have no conception.' She looked up. âIronic word choice.' Then she shook her head. âThe fear that if I test positive,
Grace also has that chance. It would destroy me. I couldn't live with that. And now a new child. Perhaps Grace is free but then this, our child, could prove positive. How would I cope with that?'
âI would deal with that as it comes. As your husband. I would be there for you. All of you.'
âNo, you won't.' The cry came from her heart. Just like her father. Anguished. Devastated. âYou can't.'
He shrugged in the old way. âToo late.'
She shook her head, almost wildly. âI will not do to you what my mother unwittingly has done to my father.'
He said slowly, âYou are so sure you have the Huntington's geneâand this is why you haven't confirmed it?'
She looked away. âYes. Every day. Every time I forget something. Every shake of my hand. And I wonder if this is the start. I don't want to share my life with someone who has to watch that. I've chosen to do this alone, and I don't want to change that.'
Was that the first lie she'd told him? He didn't know why he doubted her. Perhaps it was his own wishful thinking but something told him she wasn't sure. But she was in no state to argue with.
âIt does not change things.' He shook his head. âHow do you know your father would not refuse to exchange the bad years because of the good years he enjoyed with your mother? The ones that came before?'
âNobody could.'
He tried to hold her hands but she wouldn't let him.
Twisted away from him. He lowered his voice but his intensity did not lessen. âPerhaps you should ask him.'
She looked at him, bitterly. âI don't have to. I know I wouldn't.'
âI don't believe you.' He caught her fingers finally. And held them. âMarry me, Emma. Let me be a part of our child's life. A part of your life and Grace's.'
âNo.' She shook her head. âBut I owed you the truth about my pregnancy.'
It was his pregnancy, too. He tried to make her look at him but she kept turning away. âYou are having my child.'
She spoke to the floor. âDon't make me wish I'd never told you.'
Why was she like this? âIt is too late for that. And I would have discovered.' He caught her eyes and raised stern brows. âYou would not have liked the consequences of that.'
She tossed her hair. âYou are not the lord of your little village here, Gianni. You don't frighten me.'
He raised his brows. âThen why have you waited to tell me this? You must have known for days. A week?'
She put her head in her hands. âWhy do you think? What if we have created another sufferer to live the life and lies that I have lived? Like my poor baby, Grace, could be.'
He understood. Gianni felt the weight fly from his shoulders. The lifting of a stone the size of a statue, and suddenly breathing was much easier. He would see
that she took the test. It would change everything. Not that it would change his proposal. He would make her understand.
To a plan, then. âIt is time I became acquainted with your daughter.'
He saw her arrested attention and the way her eyes narrowed. âI don't think so.'
âI beg to differ.' He stood up. âBut I will give you time to get used to the idea.'
E
MMA
didn't see Gianni over the weekend as she spent most of her time between her brothers at the hospital and two picnics with Grace in difficult-to-access places. All designed to give her space to think of Gianni's unexpected suggestion.
When she was out of his influence she could think more logically, and the more she thought of Gianni's proposal the less sensible the idea seemed.
Monday, Tuesday and Wednesday conspired without Emma's help to keep them both busy in separate wards, and suddenly it was Thursday and almost the end of her first shift in Emergency since she'd brought her brothers in.
Emma mused out loud as she glanced at the clock. âOnly an hour to go?' Gianni didn't answer and Emma smiled to herself wryly. He was giving her the silent treatment because she wouldn't invite him to tea with her and Grace.
She guessed that was the reason but she wasn't asking. Apart from his request early in the shift and her refusal, it had been quite peaceful that morning. The
opposite from what she'd thought it would be like when Montana had asked her to do the shift with Gianni.
He was too quiet. She wasn't sure what he was up to but he'd been nowhere near her, not easy in a small ward, and Emma had found her own glances drifting towards him at the other end of the room.
Maybe he was having second thoughts about pursuing her and had realised it wasn't going to do him any good. That would make her life easier. Or maybe he'd just changed tactics.
Emma wasn't sure she liked the uncertainty but she guessed that was the ideaâto annoy her.
The tension had risen a little as their shift was drawing to a close, and she hoped the afternoon staff arrived on time and she could slip away.
Today it was noticeable that the flow of dengue fever sufferers had finally lessened because the shift had progressed at a more leisurely rate, though with each new patient suspicious symptoms were still checked.
When a plump woman, Juliette, arrived with abdominal cramps and a swollen belly, she was examined with the fever in mind. But she didn't have a temperature or a headache.
âThe pain's in my belly, bad pain, and it gets excruciating in my back.'
âIs it constant?' Gianni palpated the lumpy abdomen.
âIt comes and goes,' Juliette whispered as another pain began to grab her.
Emma frowned at the familiar words. She looked at
Gianni as he spoke to Juliette, and moved closer, but before she could say anything Juliette turned suddenly wild eyes to Gianni and grabbed his shirt collar. âI have to go to the bathroom, quick.'
She'd heard that before. That was when suspicion crystallised for Emma and Gianni wasn't far behind her.
He looked down at Juliette's belly and his hand followed. âHer abdomen's as tight as a drum now,' he said, and glanced at Emma with raised eyebrows before he edged the stethoscope down from Juliette's umbilicus to her pelvic bone. Suddenly he stopped.
âThere it is! Distinct and unmistakable.' His eyes met Emma's and for the first time that morning he smiled.
He offered her the stethoscope and Emma bent down to listen. The unmistakable sound of a foetal heart beat could be heard galloping along merrily inside his mother.
âIt seems this lady's for you.' He turned to Juliette.
âIt appears your baby has decided to arrive.'
Juliette turned hysterical eyes to Emma as she tried to edge her way out of the bed. âWhat's he talking about?'
Emma moved in closer so she could speak quietly. âYou're having labour pains. Did you realise you were pregnant? I think you might want to push.'
Juliette shook her head and bit her lip. A spasm of pain not related to her physical symptoms crossed her face. âHow could I be pregnant?' She looked from
Emma to Gianni. âThat's cruel. We can't fall. Both of us are sterile.'
âIt seems you're not. We both heard the baby's heartbeat,' Emma said gently but with feeling. âYou poor thing. It's a shock you'll have to get used to because I'd say it's all going to happen quickly.' She glanced around. âDid anyone come in with you?'
Juliette's eyes widened. âMy husband. Ron.'
âI'll get him,' Gianni said, and she and Emma glanced at each other.
âHow's that going to go?' Emma asked.
âDisbelief. It's a miracle. But he'll be in shock. Like I am.' The woman screwed up her face and held her breath. âYou sure I can push?'
Emma lifted the sheet and the sudden pop of the bag of waters flooded the bed with clear liquid. âI'd say yes.' She reached for a pair of gloves and helped the woman out of her underclothes. None too soon.
As Gianni and the new father arrived, Juliette let out a scream that would no doubt raise the hair on the back of her husband's neck and a little dark head appeared between the woman's legs.
Swiftly the baby's shoulders slid out, then the belly and finally feet all tumbled into Emma's hands in a gush of warm amniotic fluid and three coils of cord.
âGood grief.' Emma smiled at the woman. âFor someone who can't have babies, you're darned good at it.'
âOh, my.' Juliette blinked down at her baby and blushed bright red as she remembered how noisy she'd been. âI'm sorry I yelled.'
Emma wiped his face with the sheet. The little boy screwed his nose up, coughed, scowled in the general direction of his mother and father then threw back his matted head and roared. Emma exchanged glances with Juliette and smiled. âA scream like that is a “let's move this baby” noise, and did the job beautifully,'
Emma reassured her. âAnd now it's his turn. You're both amazing.'
Emma met Gianni's eyes and the amusement there made her own lips compress as she tried not to laugh. Gianni passed Emma a towel to dry the baby's head and chest before she handed him to his mother, and within moments her son was snuggled against her skin with a blanket over both of them.
âAfterbirth now,' Emma murmured as she bent down, completed the job and then straightened.
It was over. A very low-key birth, except for that one scream of fear, incredibly short and wonderful, and if not for Juliette's cry even the people in other cubicles would have been unaware of the drama.
âA baby was born,' Emma said, and smiled. That was when the new father fainted into Gianni's arms.
Gianni was watching Emma, admiring her calm acceptance of the natural order of birth and enjoying her delight. He hadn't noticed the pre-sway of the fainting man. But instinctively his arms closed around Ron and lowered him gently to the floor. Ron stirred and groaned.
Emma slid a pillow off one of the other beds and
under Ron's head and handed him a damp washer to wipe his face. âStay there for a minute, Ron.'
Fifteen minutes later both parents had been wheeled over to Maternity with their son and Gianni and Emma were writing up notes.
Gianni grinned down at his notes and shook his head. He looked at Emma as she concentrated on her transfer sheet. To witness such a birth was auspicious. âThere must be something in your water around here. Such a fertile place.'
Emma swung her head around but no one was close enough to hear. âDon't start.'
âBut that couple were delightful. We have to celebrate their son's birth. One must celebrate miracles.' Gianni attempted a helpless shrug. âLouisa is out for dinner tonight at Montana's. That is also a sign you should come out with me.'
She did not look convinced. âNo, it isn't.'
âOh, yes. Though perhaps it is a divine sign you need to invite me to dinner at your house.'
Emma shook her head but he knew she was trying not to smile. This was better.
The morning had been fraught with silences. Silences he'd made as he'd racked his brain on ways to get her to allow him into her life. Silences when he had begun to despair of penetrating the barriers she'd erected since he'd last seen her. And barriers he feared would become even more insurmountable as time went on.
âThat wasn't the sign I read,' she said, and slid the chart across to him.
He signed the medication order she'd written up for after the birth. âPerhaps you did not see the sign that said I would
bring
dinner?'
She narrowed her eyes at him. She was tempted. He knew it. She pursed her lips. âI may have seen that one.' Grudgingly.
His heart lightened. âDo I need to bring enough for your daughter?'
âAbsolutely. And she's fussy. I won't have to cook at all.'
Good. But he wasn't crowing in case she changed her mind. âNo problem.'
Â
Gianni arrived at six as instructed. It seem very early to him but he did not eat with an eight-year-old usually so that must be why. He knocked again on the door.
âHello, Dr Bon-mar-ito,' Grace said. She opened the door and stood back. âMummy is in the kitchen.'
âPlease call me Gianni. If I may call you Grace?' He handed her the foil-wrapped garlic bread and kept the wine swinging on his arm in a bag.
He'd brought a casserole dish with the main course in it and a bottle of non-alcoholic Lambrusco that he'd found for Emma. The aroma of the pasta had been teasing him since he'd put it in the car. Good choice, his stomach said.
âWhat's in the dish?'
âMy special spaghetti Bolognese recipe that I am famous for.' And he'd never met a child that didn't like Bolognese. He mentally crossed his fingers.
âYum. Though usually Mummy makes it.'
âThis time we will give your mother a rest.'
Grace looked at him gravely. âGood. She's been tired this week.'
Gianni looked at this serious little girl in front of him and nodded. His fault. âShe is lucky to have a daughter who can see this.'
Grace considered his words and then shrugged. âThis way.'
Gianni followed her and when he found Emma setting the table in the big open kitchen he searched for the tiredness her daughter had noticed. Emma's cheeks were flushed and she didn't quite meet his eyes. Not too tired at this moment.
âHello,' Emma said to the wall behind his head before she bent down to help Grace. âThat smells good.'
âBisgetti Bolonose,' Grace said and handed her mother the bread. Emma smiled as she took the loaf.
âAnd garlic bread and wine.' Emma didn't correct her as she looked at Gianni. âWow. A party.'
Grace looked up at Gianni. âDid you know it was Mummy's birthday?'
Gianni blinked. He looked at Emma? âIt is?'
âTwenty-five today.'
âWell, you can have the non-alcoholic wine and Grace and I will wash up afterwards.'
She laughed and he was glad to see it. No. She didn't look tired at the moment. And when he had a chance he would order a cake to be delivered. No doubt the Lakeside could handle that.
âI'll get the good glasses from the den,' Emma said, and as soon as she left Gianni bent down to Grace. The child he had no idea how to connect with. Though they had one thing in common. âHave you any balloons? And some ribbons?'
Grace nodded and dashed off, returning within seconds with three balloons and two red ribbons in her hands. âGrace is going to show me the yard,' he called out to Emma, and the two of them slipped out the back and around the corner.
âIf I blow them up, we can tie them to the ribbons and hang them above the table.'
Grace nodded and her eyes were shining. âI made a card. At school. I forgot.'
âThat is good. A cake will come after our dinner.'
Three quick balloons later, Grace and a slightly red-cheeked Gianni returned to the kitchen with their gaily ribboned balloons and Gianni tied them to the fan on the ceiling so that they hung down over the table.
âWhat's this?' Emma smiled at the balloons as she came back into the room. Grace produced the card she'd left in her satchel. âThank you, darling.' Emma kissed her daughter for her effort.
âI blew up the balloons.' Gianni tilted his cheek and to his relief Emma deigned to give him a peck, too. It was a good start to the evening. He could only go forward.
âWould you like to see my Barbie dolls, Gianni?' Grace had turned serious again. âI could bring the house.'
Barbie dolls? Gianni looked at Emma, who tried to hide her smile. âCertainly. I have never seen a house with Barbie dolls.'
âI'll bet you haven't. Barbie dolls,' Emma clarified while her daughter was out of the room. She gestured with her hands. âDress-up figurines,' Emma said as Grace ran to find her plastic friends. Emma put the casserole dish and the garlic bread in the oven to reheat and tried not to see the wicked glint in his eyes.
âAh. Perhaps you have something you wish to show me, too?'
Emma raised her brows and refused to be drawn. âNo. I'm fine, thanks.' Gianni smiled slowly but didn't move any closer and the heat came from somewhere other than the oven.
Grace returned with her box of Barbie dolls, who all seemed to be either mothers or midwives as they were introduced, and Gianni laughed and asked if there were any boy dolls or, heaven forbid, doctors among the housemates.
âOf course. We need doctors, too. If you're sick, silly. Sara-Jane is a doctor.' She held up a scantily clad brunette. âShe's on her days off at the moment, though.' Grace sat down beside the house and drifted into Barbie land as she rearranged and fell into conversation with one of the dolls.
Gianni looked at Emma with amusement. âI see your daughter understands the concept of a shift-working family.'
âAnd the concept of finding her own amusement.
She's had to learn and I don't think it's a bad skill to have.' Emma turned to Grace. âWe're going to sit on the veranda and have a glass of wine. Would you like to bring your house outside to play?'
âNo, thanks.' Grace was immersed.
She returned her attention to Gianni. âCould you do that as a child? Amuse yourself?' She gathered the glasses and he brought the wine and held the door for her. They smiled at each other at the expected courtesy. â
Si.
My brother and I had many possessions but not the advantage of extra company,' he said as he followed her out. âWe both had good imaginations.' There were two wooden chairs side by side with a table between them and the view across the road and over the lake was framed in green leaves from the overhanging trees.