Midwives On-Call At Christmas. Tina Beckett

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СКАЧАТЬ It’s non-identical twins and both babies are around six pounds.’

      ‘Does she know what she’s having?’

      He shook his head. ‘She didn’t want to know.’

      Bonnie smiled. ‘Do you?’

      ‘I might do—’ he tapped his mouth ‘—but my lips are sealed. Let’s go and introduce Mum to these beautiful babies.’ He put his hand on Bonnie’s shoulder. ‘If it’s okay with you, I’d like to let you and Kerry take the lead. I’m only here if there are any issues. I’ll set up the epidural I know she wants. But Hayley is keen to have a normal delivery.’

      Bonnie gave a nod. ‘No problem. I’ll go and pick up the cots, be back with you in a minute.’

      She was glad that Jacob didn’t want to try and take over and respected the birthing plan his patient had decided on. Sometimes medics could be a bit overzealous. She hated when that happened.

      She collected the cots and baby warmers and headed back into the room. Kerry gave her a nod as she entered. ‘Hayley, this is Bonnie, our new ward sister. She’ll be helping with the delivery. Bonnie, this is Hayley and her husband, Jordan.’

      Bonnie walked straight to the sink to wash her hands. ‘Pleasure to meet you, Hayley. I’m really looking forward to meeting these two new babies.’ She nodded towards the cots. ‘As soon as the babies are out we’ll have one of our paediatricians check them over. After you’ve had a cuddle, of course.’

      Hayley gave a nervous smile, then grimaced as another contraction hit. ‘I didn’t expect these to be coming so quickly.’

      Kerry had already completed all the paperwork and hooked Hayley up to the monitors. One was monitoring her babies, the other checking her blood pressure.

      Jacob appeared at Bonnie’s back, pushing a trolley with the equipment for the epidural. He gave a nod to Kerry. ‘Have you done a check yet?’

      Kerry nodded. ‘Yes, we’re good to go. Hayley is five centimetres dilated and the first baby is head down and in a good position.’

      Jacob smiled. ‘Perfect.’ He sat next to Hayley to explain the procedure. It only took him a few minutes. ‘Once the catheter is in place it will only take twenty minutes for the full effect. We’ll keep an eye to make sure it doesn’t slow your labour, but I suspect everything will be fine.’ He gave Bonnie a little nod to help position Hayley on her side.

      He was an expert. He had the catheter safely slid into place easily and the medication started. Bonnie stayed in the room with Kerry and they monitored Hayley’s contractions.

      Things went smoothly. Around two hours later the first little baby delivered easily. Bonnie quickly checked over the baby’s mouth and breathing before setting the naked little baby on his mother’s chest. ‘You have a beautiful boy. Do you have a name yet?’

      Hayley’s husband couldn’t wipe the dopey new-dad smile from his face. ‘Dillon. We’re going to call him Dillon.’

      Sean came into the room with a smile. ‘Perfect. I’m just in time. I’m Dr Anderson. I’ll check your little man over in a few seconds, folks.’

      He spoke with Jacob for a few minutes, checked Dillon over and declared him well with perfect APGARs. He gave them a little nod. ‘I’ll be back again when your next baby arrives. Good luck, guys.’

      Kerry stayed with the new baby for another few minutes while Bonnie checked over Hayley again. The labour progressed quickly with the next baby’s head being delivered; however, within a few seconds Bonnie frowned as another contraction hit. She turned rapidly to Jacob, keeping her voice very calm.

      ‘I think we’ve got a shoulder dystocia.’ Jacob moved over to the bed immediately but Bonnie had things under control. ‘Hayley, your second baby has got a little stuck—their shoulder is stuck behind your pubic bone. Dr Layton and I are going to help you change position to try and get your baby out as soon as possible. I need you to stop pushing for a second until we help you into position.’

      Jacob didn’t interrupt at all. He just positioned himself at the side of the bed. Bonnie kept talking calmly and smoothly. ‘We’re going to do something called the McRoberts manoeuvre. I need you to lie on your back and pull up your legs as far as you can. Kerry will help on one side, and Dr Layton on the other. This will make it easier to get your baby out.’ Kerry handed the little boy back over to his dad.

      Bonnie gave a little nod to Jacob. ‘Dr Layton is going to push down on your tummy when you have the next contraction. This should free your baby’s shoulder. It might be a little uncomfortable.’ Bonnie glanced at the clock. She had to keep watch. A baby’s umbilical cord could become compressed with shoulder dystocia. If they didn’t get the baby out in the next few minutes, Hayley would need to go for an emergency Caesarean section.

      The contraction hit right on cue. Bonnie eased her hands in to give a gentle pull on the baby as Jacob attempted to press the pelvic bone and release the baby’s shoulder. After a few tense seconds, Hayley gave a yelp and the baby slid into Bonnie’s hands.

      Kerry had already sounded the alarm and Sean was waiting with outstretched arms to check over the baby. He only took a few minutes. It was important. Babies who had shoulder dystocia could have damage to the nerves in their shoulder, arm and hand. Some could have breathing difficulties if their cord had been compressed. But after a few minutes Sean pronounced the baby well. ‘Congratulations, Mum and Dad, here’s your new baby girl.’

      Hayley and Jordan beamed. Bonnie stayed in position. After a few minutes Hayley delivered her placenta and Bonnie did her further checks. ‘Have you got a name for your daughter?’

      Hayley nodded. ‘Carly. We’re going to call her Carly.’

      Kerry came over with the other baby. ‘Dillon and Carly. They’re beautiful names for your children. Congratulations.’ She handed Dillon back over to his dad. ‘Dillon was six pounds twelve, and Carly six pounds four. Good weights. Sean said he’d be back to check them again later but there’s no reason for them to go to Special Care.’

      Hayley and Jordan smiled at each other. They were clearly in the new parenthood haze. Bonnie remembered it well.

      Her heart sank a little—just as it always did at this stage. Robert, her ex, had never looked at her the way Jordan was looking at his wife. Robert had just looked permanently stunned. The same expression he’d had on his face when she’d found him in bed with her best friend. He hadn’t been ready for marriage. With hindsight, they both hadn’t.

      Robert had been her boyfriend for barely a year when she’d fallen unexpectedly pregnant. His parents were traditionalists and had wanted them to get married. And now, Bonnie realised she’d been more swept away with the idea of being in love, rather than actually being in love. Maybe, at heart, she’d always known that Robert wasn’t marriage material.

      But what hurt most of all, despite her best efforts, was the fact he hadn’t made any attempt at all to see Freya since they’d separated. It turned out Robert hadn’t been father material either.

      Cambridge was the chance of a new start. She didn’t want to make the same mistakes again. She was determined not to get swept away in some ill-fated romance. Not when she had Freya to think about.

      She loved her job. She always had. But sometimes, СКАЧАТЬ