The Midwife's Marriage Proposal (Lakeside Mountain Rescue 3)

His eyes narrowed slightly but his arm dropped and he stood to one side.

Feeling totally shaken but determined not to show it, Sally walked into the room and smiled at the woman now comfortably settled on the bed.

‘How are you doing, Angela? I’ve brought Mr Hunter to have a word with you.’ Desperate for a few moments to collect her thoughts and calm her frantic pulse rate, she checked the CTG trace carefully. Then she glanced at Tom, her expression neutral, as if he were a consultant she’d only just met and not a man who had been the love of her life. ‘Do you want her to be continuously monitored?’

Tom shook his head. ‘Not for the time being. There’s no reason for it, providing we keep a close eye on everything.’ He smiled at Angela and settled himself on the edge of the bed. ‘It seems as though I owe you an apology.’ His voice was soft and his eyes shone with warmth as he looked at the anxious woman. ‘When I saw you a few weeks ago I told you that I wanted you to try and deliver this baby yourself. I obviously didn’t notice how worried you were.’

Angela shifted awkwardly. ‘It doesn’t matter …’

‘It matters,’ Tom said firmly, ‘and from now on I need you to promise that you’ll ask me about anything that worries you and we’ll talk about it together. Do you promise?’

Angela looked at him and a smile wobbled on her face. ‘All right.’

‘Good.’ Tom nodded and took the CTG trace that Sally handed him, his gaze flickering over the paper, interpreting the results. Then he handed the paper 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?’