Snowkissed!: The Midwife's Marriage Proposal. Fiona Harper
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back to her and took a deep breath. ‘Let’s talk about Caesarean sections,’ he said quietly. ‘There are a few things that I should explain. It’s a major operation, Angela, and it is not the ideal way to have a baby if there are alternatives. When you had your first child, clearly the doctors thought that a section was the safest mode of delivery, but this time I think you should deliver vaginally.’
Angela licked dry lips. ‘And what if I can’t?’
‘I’m very confident that you can or I wouldn’t be suggesting it,’ Tom said calmly, ‘but Sally and I will be with you every step of the way, and if anything about your labour suggests that a Caesarean would be safer then I’ll section you.’
Angela glanced nervously at her husband. ‘We’ve read about uterine rupture …’
Tom nodded. ‘All right, let’s talk about that.’ His voice was deep and confident. ‘Firstly you should know that it is a very rare occurrence.’
‘But it does happen.’
‘It can do,’ Tom admitted, ‘which is why we very carefully select the women who we think can deliver vaginally after a section. The chance of a successful delivery is lowered if labour is induced, but you’ve gone into spontaneous labour so that’s good. I’ve also taken into account the type of incision that your obstetrician used last time and the way that the uterus was repaired. All of that makes me confident that you can deliver vaginally.’
Angela shifted slightly on the bed. ‘So why did my last consultant want me to have another section?’
Tom hesitated and it was Angela’s husband who answered.
‘I suppose doctors have different opinions about what’s best,’ he said gruffly, ‘but it seems to me that Mr Hunter is talking sense. And you know how sad you were not to have the baby naturally last time. You said as much at the time.’
Angela nodded. ‘I know.’ She put her hand on her scar protectively. ‘But I don’t want anything to go wrong.’
Tom took her hand. ‘I know you’re anxious, Angela,’ he said softly, ‘but I’m asking you to trust me. And to trust Sally.’ He glanced at her with a warm smile, nothing in his gaze suggesting that they were anything other than the closest of colleagues. ‘Sally will be with you the whole time and I will be popping in and out during the day. If we’re remotely concerned, we’ll think again, but I want us to aim for a vaginal delivery.’
He was confident and totally in control and Sally saw Angela relax.
It was a shame he didn’t have the same effect on her, she reflected helplessly. The closer Tom was, the tenser she became.
Angela gave a gasp as another contraction tore through her body and Sally waited for Tom to move so that she could sit with the mother and help her through it.
But he didn’t move. Instead, he placed a hand on the top of the mother’s uterus and felt the contraction, talking to Angela softly as he did so, encouraging her to breathe properly, reminding her what her body was doing.
Angela screwed up her face and grabbed Tom’s arm, her fingers digging hard into his flesh, but he didn’t flinch.
Sally watched him helplessly, part of her wanting him to do something wrong just so that it would be easier to hate him. She knew he could be hard and insensitive. She’d been on the receiving end of his ruthless streak. She didn’t want to see his soft side. Didn’t want to see any single part of him that made him attractive.
‘Good girl.’ His voice was warm with approval as he spoke quietly to Angela. ‘That was a strong contraction. You’re coping very well.’
Flushed from his praise and encouragement, Angela let out a long breath. ‘But I haven’t dilated much. If I don’t hurry up, are you going to induce me?’
Tom shook his head and stood up. ‘In this hospital, Angela, we meddle with nature as little as possible and with as much subtlety as possible. If I induce you, your contractions will be even stronger and that will put more strain on the uterus. For the time being we’re leaving it all to nature, but obviously we’ll be watching closely to make sure she doesn’t have any surprises in mind. Have you considered pain relief?’
‘No.’ Angela shook her head and glanced anxiously at her husband. ‘Because I thought I was having a section. I suppose I should just have an epidural.’
‘You could do that,’ Tom agreed, ‘but epidurals are not without their drawbacks. Why don’t you start off by trying our pool?’
Angela looked at him. ‘You mean a water birth?’
‘I’d rather you didn’t actually deliver in the water,’ Tom said, ‘but it’s certainly an excellent way of relaxing. Would you like to give it a try? Many women find that being in the water really helps them cope with the pain.’
Angela glanced at her husband and then nodded. ‘All right. Yes, I think I’d like that. I always fancied the idea but with the first one I always knew I was having a section from the start and so I didn’t think it would ever be an option for me.’
Tom smiled. ‘Well, it’s an option now. I’ll get someone to get one of our pools ready.’ He turned to Sally. ‘Any problems, call me. I’ll have a word with Emma.’
With that he strode out of the room, leaving them all staring after him.
‘He’s nice,’ Angela said immediately, shifting on the bed to try and find a more comfortable position. ‘Very confident. The sort of person you feel you can depend on.’
Sally moved the CTG machine out of the way, careful to mask her own feelings. She’d certainly depended on Tom a great deal. In fact, he’d been her whole life, and when he’d ended their relationship …
She pushed the memories aside and settled herself next to Angela. She wasn’t going to think about Tom. She was going to do her job and settle back down at home.
‘Do you have any children?’ Angela looked at her and Sally shook her head.
‘No. I’m not married.’
Angela laughed and rubbed her swollen stomach. ‘As if that makes a difference these days. Do you want children of your own?’
Once she’d wanted that more than anything else in the world.
Sally smiled. ‘One day, maybe,’ she said quietly, glancing over her shoulder with relief as Emma stuck her head round the door.
‘The pool’s ready for you. I’ve brought you a wheelchair.’
‘Thanks, Emma.’ Sally slid a hand over Angela’s uterus. ‘We’ll wait until after the next contraction and then we’ll make a move.’
Four hours later Angela was progressing well.
‘I love the water,’ she moaned softly, closing her eyes and breathing carefully as another contraction hit her. ‘It feels so soothing. And I love being able to move around.’
Sally checked the baby’s heart with the underwater Doppler, satisfied that everything seemed to be going well.
‘Why do you keep listening after the contraction ends?’ Angela’s husband had been by her side the whole way through, asking questions constantly.
Respecting his concern, given their previous experience, Sally had been careful to give him detailed answers to everything.
‘During a contraction blood can’t flow through the placenta so easily. Some babies are fine with that, but others may not be and their heart rate may be affected. It’s a sign that the baby is stressed. If it happens in the middle of the contraction and the baby’s heart recovers quickly, we don’t worry too much, but if a baby’s heart rate is affected after the contraction is finished then we need to keep an eye on it.’
He stroked a hand over his wife’s head and offered her a glass of water. ‘But in