One Last Push
One Last Push
A Valiantremnant original
Pre story notes: This is the last part of the story that I started with Deep Breath and Push. I'll get all three collected later to make reading all three easier. Aside from that, I don't really have a whole lot of notes on this particular chapter.
CW/Ingredients list: Birth denial, obstetric abuse, homophobia, near death experience, medical stuff, etc.
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Ava stretched as she woke up. Ever since her literal saviors, Alex and Jordan, had let her stay with them until she could get back on her feet, she'd taken to stretching as she woke up. Even the first night on the couch was better than sleeping on the passenger seat of her still ruined minivan. The morning after Jordan had found her begging for money on a median, Ava had woken up early as she had gotten used to and had been gathering her things to sneak out. The drive to the house they and Alex owned as a bit further than she had hoped it would be, and knew she had a long walk ahead of her to get back to her van, and from there, to get back to her street corner. At least she had been able to shower and had gotten a pair of decent meals. As she was by the door, pulling her shoes on, Alex had come down, yawning as she made her way to the kitchen. "Morning Ava," She'd said, then did a double take, "Are… Are you headed out?" Ava closed her eyes, wincing. She'd hoped to get out of there before anyone was awake. "Yeah. I need to get back to the other side of town, and it's a long walk," She said, keeping her voice low. Alex made a face, as if trying to figure out what to say, then said, "Why don't you stick around for breakfast? I know your situation is… well, top put it bluntly, it sucks. But at least have one more good meal, ok?" Ava considered refusing, but the promise of another meal where she could sit down somewhere other than a boiling hot broken down van was too good to pass up. "Ok, I'll stick around," She replied, and Alex smiled.
As Ava perched herself on one of the stools in the kitchen, Jordan came down, looking like they'd spent the night with their hair in a blender. Ava started, but managed to suppress the urge to laugh. Alex didn't though, going up to them and planting a kiss on their face, "Morning love." "Mleh," Jordan replied, and blindly reached out for the coffee mug that Alex held out, drinking. "Morning," Ava said when Jordan looked her way. While Jordan nursed their coffee, Alex began making breakfast, and soon, the smell of eggs, pancakes and sausages began filling the room. As they did, Ava turned to see Tilly stumbling to the table and sitting down, yawning. "Early day for you?" Ava asked. "Saturday," Jordan said, sounding a bit more human than earlier, "We do nice breakfast on Saturday." "And I am the one who cooks nice breakfast," Alex said, "So it's a bit earlier than normal."
Jordan and Tilly both woke up more as breakfast got closer to being done, and by the time Alex was piling things onto plates, Ava's stomach was growling. Alex nodded her over to the table as she began bringing plates over, and Ava dug in. After Jordan ate a bit, they heard the baby monitor going off, and they went to go get the baby as Ava was given a second round of food. Despite how hungry she was, she could barely get halfway through the eggs and sausages, let alone the pancakes. "Feeling better?" Alex asked as Ava sat back, sighing with how her belly seemed to be straining holding both the baby and her breakfast. "Feeling full," Ava said, "Thank you." Alex smiled and turned to Tilly, "Why don't you get dressed for the day." "I'm full too." Tilly said, mirroring Ava and sighing while leaning back, putting her hands on her own belly. "Tilly, go on" Alex said. Tilly sighed and got up from the table, forgetting about her complaint and running off to her room as soon as her feet hit the ground. Ava smiled as she watched the exchange, hoping that she would have similar ones in her future. The smile died as she remembered just how bleak that future was. "Ava, can I talk to you for a bit?" Alex asked, and Ava shook her head free of her thoughts. "Sure, sorry, I got lost for a moment there." Alex nodded, as if understanding where Ava had gone, "What is your, shall we say, current situation?" Ava choked out a strained laugh, "My situation? I'm living out of a van by a gas station because that's where it broke down. I don't have enough money to replace it, and I can't find a job that will hire me being eight months pregnant."
Ava went on for a while, feeling tears in her eyes by the end of her rant, and was surprised to see the amount of pain and pity on Alex's face as well. She remembered the last time she had met Alex, and how she had been fiercely defensive of her partner while everything had happened. "Ava, have you heard of the Sparrow's Flight?" "It sounds familiar?" Alex winced, "Yeah, we're still working on outreach. It's an, we're an advocacy group for helping pregnant women and young mothers get legal advocacy for whatever they need for things like divorces, custody battles, housing, things like that." "If this is a pitch for a shelter, I've been to the one here in town, and I'm not interested." "That's not what I'm doing," Alex said, looking down and trying to find the right words. "What my lovely wife is trying to do," Jordan said as they came back in, "Is that I feel somewhat responsible for you getting fired." Ava looked at Jordan as they re entered the kitchen and sat down. "And we'd like to offer you a place to stay for now." Ava looked from Jordan to Alex and back. "Just for now," Alex said, "Just until you can get back on your feet. Until then, you can stay here, rent free, no strings attached."
Ava had sat on the chair and cried until she felt sick when she heard that. Afterwards, Jordan and Alex had led her to the room that Jordan explained was initially going to be a nursery for Melody, but after the nightmare of a birth they'd gone through, neither Alex nor Jordan could go through a night without her being in the same room as the two of them. They'd spent the rest of that Saturday rearranging the room in a way that would be easier for Ava to use, and returning to the gas station where Ava's broken down van was still parked. Between Alex and Ava, Jordan had stayed at the house to mind Tilly and Melody, everything was moved over quickly, and Ava had thanked Michael, the owner of the gas station, for letting her leave her van there. "I hope things work out for you," he said, "Although I will say, it'll be nice to have your van gone." Ava nodded, "It should be picked up later today. I hope it's okay that I said if they have any questions, they can ask you?" Michael nodded, "Sure thing." They exchanged numbers in case he needed to contact her, and then Alex had driven Ava back to the house and they had worked out what to do with her things. "Was this all you had?" Alex asked as they moved the last pair of boxes upstairs. Ava nodded, "I didn't have much when I got evicted. I'd just moved out here, and had left pretty much everything else behind." Alex looked at Ava with eyes that saw through the statement, "How bad?" Ava shook her head, "I don't want to talk about it. I left it behind, and that's where it's staying." Alex looked like she wanted to say something else, but decided against it.
Two weeks later, Ava hadn't had much luck with her job search, but she was in better spirits. "Any luck?" Jordan asked as Ava balanced her way down the stairs to the kitchen to get some water. Ava shook her head, "I think the problem is that no one want to hire someone who'll just hop onto maternity leave a week or so after getting hired." Jordan shook their head, "How'd they phrase it? If they said it's because you're pregnant-" Ava sighed, "They said they wanted someone with 'more immediate long term availability.' Read that how you want, it's them saying they don't want to hire someone nine months pregnant." Jordan huffed, "Damn. I'm sorry, I know you were excited about that one." Ava shrugged, "Yeah. I'm just sorry I'm having such a hard time getting back on my feet." Jordan waved off the apology, "Don't apologize. You are not a burden, we love having you here." Ava smiled ruefully, "If you say so. I'll still keep hunting." Jordan opened their mouth to say something, but Tilly ran in, shouting, ripping off a sweat drenched face mask as she did. "Aunty Ava, look at this!" Alex walked in behind Tilly, both of them looking like they had some out of a swimming pool. They had gone out to pick up mail from the post office, a short five minute walk, and both of them were drenched from sweat. Ava thought back to the time she had spent living out of her van, and silently thanked Alex and Jordan for letting her stay. As a nurse, she'd seen people come in from being overheated while doing a rotation in the emergency room, and knew that she could have been one of them. Ava mentally shook the thoughts out of her head and looked at the bird nest in Tilly's hands. "Wow, that's so pretty," Ava said, genuinely fascinated by the find, "Where did you find it?" "It was by the sidewalk," Tilly said. "Make sure you wash your hands," Alex said, "I'll put it somewhere safe." Tilly handed the nest to her mother and bolted for the bathroom. "I don't know how she can run in this heat," Alex groaned as she put the nest on a shelf in the living room, then returned to the kitchen to wash her hands. Jordan, for their part, looked at Ava, "I'm not the only one who says so, Aunty Ava." Ava smiled, and nodded as she took a drink from her glass and accepted the kind words.
Ava sat at her laptop later that night, mindlessly scrolling through job listings. She'd gone through most of the ones she could realistically do, and had gotten rejections from all of them. the rest of those jobs, she had gone in person for interviews, only to be served with a rejection the next day or so over email. Alex had offered her a job with her advocacy group, but had regretfully explained that they didn't really have the budget for a full time position at the time. Ava had told her she would accept if she couldn't find anything at all, and had continued hunting. She knew Alex didn't mind her turning it down, and had seemed almost relieved at the time. "At least the investigation is over," Ava muttered to herself. When Jordan had given birth, their nurse had been a horrid monster of a woman who had abused them, both physically, emotionally and mentally. Ava had gotten dragged into the story in such a way that when the investigation into Karen Lowe, the nurse, had started, Ava was right in the middle of it. She'd gotten fired for punching Karen later that day in what was legally called a moment of passion. No charges were filed against Ava, but she'd been let go of her position at the hospital. Not that it was a very high position, but it had paid the bills. "No regrets," Ava said, clearing her mind and digging back into the want ads. Now that the investigation was over, she could search for jobs in the medical field, or at least adjacent to it. There were a few she could look into, assistant at a nursing home, personal home caretaker, and a few others, but she was getting tired. "I'll look into it tomorrow," Ava said, closing her computer and stretching. Her back had been acting up all day, and sitting in front of a computer trying to find a job hadn't helped it any. As she stood up, she reached her arms overhead, leaning from side to side and stripping her shirt of as she did so. Despite the air conditioning, it was still almost too hot to wear even the thin tank top she had been all day, and she'd be damned if she was going to wear it to bed.
Ava woke up what felt like only a few minutes later. She glanced at her clock, and sighed as she saw she had slept for a few hours, but it was nowhere near time to get up. Ava always had trouble falling back asleep once she had woken up. The problem hadn't been helped by her homelessness stint, where she had to be up and out before the gas station opened up for business. She felt like if she could just lie down for a minute, she would be able to go back to sleep. Ava adjusted her pillow, and was just about to close her eyes when the baby kicked, and she groaned. Right onto her bladder. Grunting as she pulled herself upright, she staggered to her feet and gasped. Her belly felt much, much lower than it had earlier that evening. She knew that birth had been just around the corner for days now, but this was the first sign of her body really getting ready. The baby kicked at her bladder again, and Ava started walking to the bathroom. Or at least she tried to. Her legs didn't want to cooperate, spreading wide and wider with each step until she felt like she was almost crab walking. She looked at the full length mirror that Jordan and Alex had put in when the room was going to be a nursery, and was amazed to see that her legs were remarkably close together despite how they felt. But when she widened her stance, she groaned in discomfort as she felt the pressure. It felt like she was riding on a bike, and each step felt like hitting a speed bump.
Ava didn't like using the upstairs bathroom at night, as it was right between Alex and Jordan's room and Tilly's room. Despite their reassurances that it was fine, Ava always used the downstairs bathroom to keep the flushing from waking up her hosts. As she clutched the railing to go downstairs, she was beginning to wish she'd just started using the upstairs bathroom. Ava turned sideways, and moved down one step at a time. "Hooffffff….. hoooffffff," She huffed every time she brought her legs together, feeling the pressure grow more intense each time, feeling like a spike was being driven into her cervix. Finally reaching the ground floor, Ava took a second to breath, widening her legs again and panting from the pain. "What the fuuuuck," She groaned under her breath and started walking again. Every single motion she made towards the bathroom felt worse and worse, the pressure getting more intense with each step until she was at the bathroom door, gasping and gritting her teeth from the pain. She pushed the door open and closed it behind her widening her legs even more and slowly squatting down to sit on the toilet. "Oh my goooood," She groaned as going down made the pressure so much worse, wanting nothing more than to get back up, but finding that she simply didn't have the strength to do so, feeling tears sting her eyes, "What's happening?" Pressing one hand to the wall and burying another under her belly, Ava tried to stand up, managing an awkward stance that kept her above the toilet. She was just wondering if she could pee in that position when she heard a gush of water splashing into the toilet and gasped as the pressure vanished, shuddering at the almost euphoric feeling left in it's wake. "Ohhhhh my god," She groaned, sitting back down and sighing in relief, closing her eyes. Then her eyes snapped open as she realized what had happened. "Oh my god!" She panted, getting back up off of the toilet and seeing the faint pink fluid in the toilet. Her water had broken.
Ava slowly made her way back upstairs, holding one of her washcloths to her vagina to stop herself from leaking all over Alex and Jordan's house. Returning to her room, Ava found a leftover gift from Jordan, one of her adult diapers, and pulled it on. She knew that Alex and Jordan would be out of bed and driving her to the hospital in a heartbeat if she told them about her water breaking, but she still felt guilty. They had done so much for her, and she couldn't even pay rent. The least she could do is let them get a full nights sleep. Ava settled back into bed, putting her bath towels underneath her hips to keep the guest bed safe from leaking, and tried to get to sleep. Unfortunately, Ava kept rolling side to side as best as she could, feeling tired, but unable to get to sleep. She knew that with her water broken, she would be seeing her baby, one way or another in less than a day. She was just wondering when she'd start feeling contractions when she gasped, feeling her belly seize up and spasm, feeling like a massive hand was gripping her entire womb and squeezing as hard as it could. "Poooooffffffff," She huffed, rolling to her left and placing a hand over her belly and digging her fingers in as best as she could. The skin of her belly was a soft as it ever was, but the muscle underneath it felt solid and unyielding, and hurt to the touch, but she couldn't stop pressing into her belly until the contraction let up, and she relaxed her muscles, panting with the effort of surviving that one contraction.
Ava didn't get a single moment of sleep for the rest of the night, timing contractions as the room grew brighter and brighter around her. The sheets were soaked from her sweat and the amniotic fluid soaking through the towels, which she replaced more than once. She'd gotten up to pace once in the night, but had laid back down shortly after, feeling too light headed to stay on her feet during a contraction. "God, this sucks," She groaned as she flopped around in bed, rubbing her belly, trying to soothe it with her hands. Ever since getting pregnant, Ava had been obsessed with rubbing her belly, even before there was anything visible. Just the idea of something growing inside her fascinated her, and that fascination grew as her belly did. For the last couple of months, she'd been practically unable to keep both of her hands off of her belly for more than a few moments. It had been a source of comfort to her. And now even the light pressure of her hands hurt, making her instinctive reaction to every contraction an agony. "Come on, come onnnn," Ava whimpered, looking at the clock. Tilly had finished in her kindergarten class the same week Ava had come to the house, and she had loved getting to wake up Aunty Ava, but patiently waited for her mama and nibi to say she could get her. Ava didn't want to shout for help, but felt like she could hardly hold on. As soon as Tilly came to get her, she'd tell her to go get either Alex or Jordan.
"Aunty Ava?" Tilly called as she opened the door and snuck in, "Are you awake?" "Mhmmm," Ava grunted out, "Owwwww…" "Are you ok?" "Tilly, I need you to go get-Augh! Ow…." "Moooom!" Tilly shouted, looking worried and backing up, running out of the room, "Mooooom!" Ava winced and panted as the contraction let up, wiping her hand over her face and groaning in disgust as the sheer amount of sweat. She heard larger feet approaching the door and Alex came in. "Oh god, Ava, are you alright?" Ava shook her head, "No. My water broke around midnight, and I think I need to get to the hospitalllll." shot her hand out and gripped Alex's hand with bone crushing strength as she had another contraction. Ava heard Ava turn and speak to someone, "No, I need you not in here right now, and can you get nibi and have them come to help?" The thumps of footsteps bolted out of the room and Ava closed her eyes as she clutched Alex's hand. "What's happening?" Jordan asked as they entered, holding the baby in a sling. "Ava's in labor, she said her water broke around midnight." "Oh my god," Jordan replied, "Ok, are we taking her in?" Alex turned to Ava, "Do you want to go in to the hospital?" Ava nodded, "Y-yeah."
Ava was surprised at how quickly and efficiently Jordan and Alex leapt into helping her. As soon as Ava said that she wanted to go to the hospital, Jordan had left the room, going to wrangle Tilly and prep the backseat of their van, turning on the engine and getting the AC running to cool it down. Alex found a loose, light t-shirt that protected Ava's modesty, but wasn't too much in the way for what she was going through. "H-hospital bag," Ava panted, and pointed at her bag that she had kept safe this whole time, right by her purse. Alex nodded and carried both to the door and called for Tilly, who arrived to take the bags. "Ok, Ava, I'm gonna get you up, and we'll go down to the van and get to the hospital, that sound ok?" Ava nodded, feeling to miserable to speak. Alex got an arm under both of Ava's, and helped her get up. "OW! Owowowowowwwww," Ava moaned as she felt the full weight of her belly shifting down as she was helped up. "Do you need me to stop?" Alex asked. "No, just… AH! Let's go please," Ava moaned, trying her best to get her feet to cooperate. The stairs were worse than they had been earlier. Ava had to stop on each one, crying as the pressure shifted and drilled down with each step. "What's the plan?" Jordan asked as Alex steadied Ava on the landing. "I think I'll take Ava in if you can wrangle the kids, yeah? Is that ok with you Ava?" "Fine, yes, I-AUGH!" Ava jerked and screamed as she had a contraction right as she stepped down to the last stair, her legs trembling as they tried to hold her up and close together all at once. Jordan moved to help, but the baby in the sling started fussing, and they looked between the baby and Ava. "Go, I got this," Alex said, "I'll help her." Jordan looked their wife in the eye and nodded, "I'll drop Tilly off with the Phams, and I'll be there as soon as I can. Good luck Ava!"
It only took a minute in the car before Ava wished she was back climbing down the stairs. "Oh my god! OW! I WANNA DIE!" Ava screamed as she had a contraction. She wanted to writhe, to shift and move with the contraction, but belted into the seat, the best she could do was arch her back, the seat belt digging into her chest and shoulder, pulling tight under her belly in a way that felt like it was cutting her in half. She wanted to lie down, but the seat only reclined so far, and the half slumped position it dumped her in when she tried felt worse than just sitting up. "No, you'll get through this Ava, ok, I won't let you die." "Shut upppp!" Ava cried, trying to calm her mind enough to get through the next contraction. Out of the corner of her eye, she saw Alex nod, but otherwise she didn't react to the comment at all. After the contraction passed, Ava was able to breath a bit easier. "Sorry," She murmured, "I'm sorry…" Alex shook her head, and gave Ava a quick glance of reassurance, "Don't worry, I know, I've been there myself. There isn't really anything you can shout at me while giving birth that I'll take personally." Ava chuckled at the statement, the laugh breaking off into a strangled groan. "OW! Laughing hurts…. AAAUUUUGGHHH! Please hurry!"
Ava had told Alex and Jordan her birth plan in case she needed help, and was grateful that she had. The hospital they were going to was the one she had just been fired from, and Alex already had the smoothest ride there down perfectly. "Bump," Alex warned as she slowed down for a speed bump just before the hospital entrance. "Thank you," Ava moaned as she lurched with the car, pressing a hand to her belly to support it's weight. Alex pulled the car into a parking spot, shaking her head with the small bout of déjà vu as she realized that it was the exact same stall she had parked in when brining Jordan when they were in labor. "Right, uh, wait here, I'll grab a wheelchair." Ava nodded, unbuckling and pulling herself up. Alex ran for a wheelchair and brought it to Ava, who had pulled herself out of the car and was leaning over it as she hissed her way through a contraction. "Getting… close," She grunted out through clenched teeth, "So much pressure!" She slowly backed up, finding the wheelchair and sitting down, yelping as the pressure stabbed at her as soon as she collapsed into the chair. "Ok, let's get inside," Alex muttered, grabbing Ava's hospital bag, closing and locking the car, and turning them towards the building.
"At least you have a negative covid test," Alex said, adjusting her mask, "Jordan said the C ward is a sort of hell." "Everyone who works in there thinks to too," Ava panted out between contractions, hating how hew own face mask clogged with her sweat and heavy breathing, "God, I want this stupid fucking thing offfffffAAAAAAGH!" Ava clutched at both her belly and at one of the armrests as she tried to twist with the contraction, desperately trying to find a position that didn't feel like she was going to burst. With a familiar 'ding' the elevator doors opened, and Alex started wheeling Ava down to the nurses station. "Ava! How are you doing?" One of the nurses asked. "Shut uuupppp!" Ava groaned. "Fair enough," The nurse said, and gestured towards Alex, "Bring her this way." As they walked, Ava kept squirming in the wheelchair, "Owwww, pressure, pressure, pressure, make it stop, please!" "Right in here," The nurse said, leading them into a room and flipping the lights on, "My shift is over in a minute here, so let's get you settled and someone will be in shortly." Getting out of the chair made Ava feel like everything wanted to drop out of her at once. "Oooofffffffffff…. hhaaaaaaaaggggghhhhh!" She was grateful that she had accepted the loose t-shirt from Jordan as well as the wrap around skirt. The two pieces of clothing were easy to remove to get into a hospital gown, and soon, she was laying on a bed, waiting for a nurse to come check her. She knew that with the amount of pressure she was feeling, she had to be almost fully dilated. At least she hoped she would be. her breath hitched and she started crying. "Hey, hey, what's wrong," Alex asked, coming to Ava's side, "What is it?" "I don't know," Ava sobbed, "What if I'm not dilated enough? What if they send me home, I can't do the car again…" "Hey, don't worry," Alex said, keeping her voice calm, "Your water broke hours ago, right? They won't send you home. And I'm sure you're getting close, ok?" Ava nodded, and tried to steady her breathing, only for a knock at the door and a familiar voice greeting her and Alex to start her panicking again. "Hey there Ava, how are we feeling today?"
Alex couldn't believe her eyes. As she looked, she could feel her heartrate rising, and her stomach felt like she had just drunk a cup full of molten metal. "What are you doing here?" Alex asked Karen as she entered the room. "My job of course," Karen said, a brief flicker of recognition flashing across her face as she looked at Alex, but seemed to struggle to place her memory. Karen seemed to remember Alex, "Ah, yes, you tried to get me fired. Fortunately, the investigation cleared my name." "After what you did to my partner and I?" Alex demanded. Ava felt another contraction building, and had to tune out the conversation while Alex started acting like the guard dog Ava remembered her being when she had first met her and Jordan. "…The fact of the matter is, we're short staffed, and if you don't want my help, you might as well go home." "No!" Ava shouted, "I can't, please, nooooAAAAHHH!" Karen nodded, "Alright then. Let's get you checked and see where you're at, ok?" Ava nodded, feeling trapped between going home and letting Karen put her fingers inside her. She knew that on one hand, Karen had worked as a competant, professional nurse for years before Ava had worked with her for the few weeks that she had. On the other, she had hit Karen not too long ago, and all over some of the most heinous things a nurse in her position could do. "OW! Owowowowowow," Ava gasped out as Karen's fingers gently probed deep inside and found her cervix. "Ok… I'd say you're probably at about five centimeters."
Ava shuddered and rolled over as Karen pulled her hand out. "I'll be back later to check on you," Karen said, writing notes down into Ava's chart, and leaving the room. After the door closed, Alex started pacing. "This is un believable. Ava, tell me right now, are you ok with her being your nurse?" Ava closed her eyes, trying her best to keep her breathing calm, "I… I don't know. I know there's a staff shortage, so there probably isn't anyone else right nOW!" Ava cried out as she felt another contraction coming on. "They're coming pretty fast," Alex said, looking at the monitor that displayed the contractions, "How are you holding up?" Ava couldn't answer, concentrating on keeping her breathing as even as she could, whimpers of pain breaking through every now and then. When she could breathe, she opened her eyes and looked at Alex, "Can you… just keep an eye on her? Don't make a fuss…just keep an eye on her." Alex nodded, and seemd to settle down once she had something to do, "Yeah, I can do that. I'll just um, I'm gonna make a call. Just get a friend looped into what's going on." "Your lawyer friend?" Ava asked. Alex nodded, and Ava felt a bit relieved knowing that she had someone like Alex there to help her.
An hour later, Ava barely had a break between contractions. Jordan had texted, letting her and Alex know that she had arrived, but wasn't allowed into the labor room due to the one visitor policies. Ava felt that it might have bothered her earlier, but now, all she could care about was the pressure and pain. "It hurts," She cried, unable to stop the hitching sobs no matter how hard she tried to steady her breathing, "Make it stop! Please!" "I know it hurts, I know, but you got this Ava," Alex reassured her, holding her hand. Another contraction swept over Ava, and she groaned, gripping Alex's hand even tighter, wailing as she tried to cope with the pressure. It hadn't stopped building since getting into the wheelchair earlier, and now it was the only thing she could think about. "There's so much…UNGH… so much pressure!" Ava whined as the contraction slacked off. "I know, but that must mean your close," Alex said kindly, "I'm sure of it." "I want the epidural," Ava said, "I want it, I want it." Alex hesitated. She had gone over Ava's birth plan, and she had stated that she wanted to do it naturally. That no matter how much she begged, she wanted to go all natural. "Ava, you said-" "I don't CARE what I said, I need aaaAAAAAGUH!" She broke off as the next contraction drove into her, and she curled up before arching her back, as if trying to escape the pain by moving away from it. But as she writhed, she felt something new. "Oh, OH! OHMYGOD! I need to push!" Ava shouted, reaching a hand around her belly and pressing hard against her vagina, desperately trying to provide counterpressure. "Ok, let me call the nurse," Alex said, grabbing the button, and pressing call.
Karen sighed as she looked up and saw the call light on over Ava's room. "Great, here we go again," Karen said, getting up and walking calmly to the room. It was a slow day, with only two other patients on the floor at the moment, and one other nurse who was checking in on them. She couldn't believe what had happened. Two of the three women who had been responsible for her getting grilled over her actions were in the room, and she was supposed to help one of them deliver a baby. At least her brother in law was a major benefactor to the hospital, and had gotten to keep her job, despite the actions those two lesbians had tried to take to get her fired. Karen felt her face screw up in disgust. That baby should be raised in a good, God fearing household, not whatever heathen lifestyle those two were undoubtedly forcing on the sweet angel. She cleared her throat and made sure she had a pleasant expression on her face as she approached the door and entered the room. "How are we doing?" Karen asked. "I feel… HNNNNNGGGGGGG!" Ava groaned out, and Karen looked to the other one, Alex she thought her name was. "She feels pushy," She said for Ava, "And depending on where she is, she wants an epidural." Karen nodded, and pulled on a glove, "Ok, let me just check, and I'll see where we're at." She knew that she was supposed to put three of four pumps of lube on her fingers to check, but decided the bottle was looking a bit low, and wanted to make sure there was plenty for the doctor to use. She put a half pump on her fingers when Alex was busy reassuring Ava. "Going in," Karen warned a split second after she had already touched Ava and began wiggling her finger in. "OW! OW OWOWOWOWWOWWWWWWWWW! AUGH! OH MY GOD!" Ava shrieked as Karen felt the glove pulling unevenly into the vagina. "Ok, let me see…" Karen said as she assessed Ava.
She was surprised to find her already at nine centimeters dilated. And the cervix was so thin at the edges, she was probably only a sneeze away from full dilation and pushing. She almost said as such, before she remembered how sore her mouth had been for days after Ava had punched her. 'Do unto others,' Karen thought to herself while pulling her hand out, somehow managing to make it rough while looking like a smooth gesture, then saying out loud, "You're at about six centimeters Ava." "Only six!?!" Ava shouted, before falling back and screaming as she clearly tried not to push through another contraction. "If you're feeling pushy, we should recline you back slightly to help keep you from giving into that urge. If you push too soon, you'll hurt yourself," Karen said, grabbing the remote for the bed and laying it slightly tilted back to do just that. Ava shouted in pain and alarm as the bed shifted underneath her. Karen did her best to hide a self satisfied smile as she wrote six centimeters into Ava's chart and replaced it. "Epidural?" Alex asked Ava, and she nodded. Alex looked pointedly at Karen, who nodded, "I'll give them a call." As Karen left the room, she figured she'd just head back to the nurse's station and sit for a while before reporting that it would be a while before the anesthesiologist would be available.
"I wanna die," Ava sobbed, clutching at the sheets as she did her best not to give into the urge, "I'm gonna diiIIIEEEEEEE!" "You're not going to die," Alex said, "You can do this." "I, no something feels wrong, I want to push!" "You can't yet, it's too soon," Alex said, trying her best to help Ava, but not knowing what to do. If it was Jordan on the bed, she would be holding them, caressing them, peppering them with kisses, but she couldn't really do that with Ava. As it was, she felt about as useless as she had when Jordan was giving birth, forced to sit in a waiting room. "Something…. OW! It doesn't feel right," Ava yelped as she felt another contraction, and she stiffened her legs, almost trying to bring them closer together and dug her hands into the bottom of her belly as if trying to physically hold the baby up and away from her birth canal. "I need to push, I have to PUUUUSSSHHHH!" Ava shouted, trying to hard to keep her legs together they were trembling. Alex jabbed at the call button again, but when no one came in after only waiting a few seconds, she looked at Ava. "I'll be right back, I'm going to get someone, ok?" "Hurry, please hurry," Ava whimpered, letting go of Alex's hand and rolling around in the bed. Alex bolted out of the door.
"Thank god," She said, spotting a nurse, not Karen, halfway down the hallway, and running up to her, "Can you help? My friend is in there, and she just got checked, and she really wants to push!" "How far dilated is she?" the nurse said, genuine concern washing over her face. "The other nurse said she was at six a minute ago, and left to get the epidural work started, but-" Alex broke off as Ava let out a horrific shriek of pain, the sound echoing down the hallway from the open door. "AVA!" Alex shouted, running back down the hall, hearing the nurse running right behind her. Rounding the corner, Alex froze, not sure what she was seeing. Ava's legs were splayed open, and her hands wouldn't stay still, gripping the rails of the bed, the sheets, her legs, anything that was in reach. "I'M SORRY, I CAN'T HELP IT!" She shrieked, her head thrashing as her whole body convulsed. And between her legs, Alex could see the baby's head halfway out. "MOVE!" The nurse shouted at Alex, pulling gloves on with a practiced ease, "Hold her leg!" Alex moved, running on autopilot, getting behind Ava's nearest leg and pulling. "Pull the blue cord on the wall, hurry!" The nurse shouted, "Ok, Ava? I need you to breathe deep now, in and out!"
"I CAN'T I CAN'T I CAN'T….HNNNNNNGGGGGGHHHHH… I CAN'T STOP IT!" Ava wailed, "HHHHHHNNNNNGGGGGGGAAAAAUUUGH!" The head pulsed in and out as Ava fought the urge to push, but it was a fight she was loosing, the head coming out a little bit more with each movement. The sensation was torture, going out stretching everything more, and going back making the pressure worse. She didn't know what was going on between her legs other than that it hurt. All she knew was that she wasn't fully dilated yet, so she needed to stop pushing. She screamed as she felt a surge of burning between her legs, and slapped a hand down to give herself counterpressure again, freezing as she felt. "Is-AUGH! Is that the head?" She asked, her breath burning in her lungs. "Yes, that's the head! Go ahead and push Ava, you can push!" Alex shouted, doing her best to help her friend. Almost as if a part of her had been waiting for permission, Ava curled up, her teeth bared and growling and roaring as the head moved down with a speed that exposed her desperate energy, shrieking as she felt the massive head stretching and burning her, feeling like she was about to split in two. "HNNNNNNNNNNHHHHAAAAAAAAAAAAAAAAAAAAUGH!" Ava screamed as the head burst out in a gush of fluid. The contraction didn't stop, and neither did Ava. She kept pushing, feeling the shoulders pressing down as she did until she had to stop to catch her breath. "That's the head!" The new nurse shouted, "Let me check for a cord… ok, you can push whenever you feel ready."
The pauses between contractions had only been seconds for a while now, so Ava was pushing before the permission was given. She pushed as hard as she could, feeling the shoulders press harder and harder, but not moving. Letting her breath go in an explosive burst, she took another deep breath and pushed again. "TsssssssssssssssssssssssAAAAAAAAAAAAAAAAAAAUUUUUUUUUGHHHH!" She roared as she let the push go, feeling frustrated that now that she could push, her pushing wasn't getting anywhere. "Shit, ok," The nurse said, and Ava's blood ran cold. She knew that nurses were supposed to keep those kind of comments in, but if it slipped out, it must have been bad. "What is it? Why isn't it coming?" Ava panted, wiggling her hips as she felt a new, horrible grinding sensation. "I think we have a shoulder dystocia," The nurse said, "I need you to pull her leg back! Come on Ava, PUSH!" Ava squealed as Alex pulled harder on the leg she was on, and began screaming as the nurse stood up and began pressing just below her belly, slamming down like she was doing CPR. "HHHHnnnnggggggHHHHNNNNGGGGgggggggHHHHHHHnnnggggggggHHHUUUAAAAGH!" She screamed as she pushed through the nurses actions. Through the fog of pain and a strange lightheadedness that was starting to blanket her thoughts, she faintly remembered that it was called suprapubic pressure. But the thought vanished as she felt a wet burst between her legs and a strange sensation as the baby wiggled free and practically fell out of her onto the bed.
"What is, oh my god!" Alex looked up to see Karen at the door, her face white as a sheet. She backed up, turned and ran back for the nurses station as soon as she saw Alex make eye contact with her. "Is… is the baby ok?" Ava asked, and Alex looked back to her friend, and froze as she saw how pale Ava had gotten. The nurse was looking back and forth between the baby and Ava, who was bleeding heavily. "Is…baby…" Was all Ava could get out before her eyes rolled back and her head lolled onto the bed. "You, take the baby!" The nurse said, "By the warming station, there are bulbs and blankets, suction his mouth and nose and rub him!" The nurse darted over to another area and started ripping open cabinets and drawers before returning to the foot of the bed, and looking out the door, "HELP IN ROOM 4141!" Alex took the baby, looking far too gray and did what she was told, finding a bulb wrapped in it's sterile packaging and ripping it open. She's used one to clear snot before, and figured it was a similar process. Her hands shook as she worked, not hearing anything over the ringing in her ears. All she could see was the baby as she rubbed, gently but firmly until she felt someone pushing on her shoulder. "GET OFF!" Alex shouted, the ringing vanishing. "Ma'am, step aside!" Another new nurse said loudly as she was pushed away from the warming station. Alex jolted with surprise as she noticed how many people were in the room. She moved back and sat down on the couch in the corner, trying to stay out of everyone's way.
"Ok, prep an O.R., we're moving!" One of the doctors tending to Ava said, and Alex watched as the started running, pushing the bed with them. "NICU!" One of the doctors working on the baby shouted, and they too began moving out of the room. Alex sat, her eyes wide and unseeing for a moment until the original nurse came back after what felt like both hours and a few minutes. "Ava is still in surgery. I don't know how long it will take, but she'll be headed to a different recovery ward when she's done. If you want to head for the waiting room, someone will let you know where to go when we have more information for you." Alex didn't answer, her mind still swirling as she got up and stumbled out of the room, not even noticing that her hands had left bloody prints on the couch. She shuffled to the waiting room, her eyes flashing around, looking for the one person she needed right then and there. "Jordan?" She asked, her voice feeling smaller than it had in years. "Alex? ALEX!" Jordan yelped, getting up, "What happened? Are Ava and the baby ok?" I…I don't know!" Alex burst out, feeling something inside her break as she began crying while Jordan held her.
"Alex?" The nurse asked a few hours later. "Yes!" Alex blurted out, jumping to her feet. She had gone home and washed the blood off of her while Jordan waited at the hospital. Once she had gotten clean, Alex had called Adam, the lawyer who worked with Sparrow's Flight, and filled him in on what had happened. Looking back she knew that Karen had done something. People didn't go from six centimeters to a head halfway out in the span of a minute. He met Alex when she had arrived back at the hospital and had been going over details, his recent time in that same hospital giving him a roadmap to the bureaucracy. Jordan had gone to pick Tilly back up from their friend's house and was at home with her and Melody, Alex promising to keep them updated on anything she heard. "Ava is out of surgery, but she lost a lot of blood. She's in a coma right now, but she's stable." Alex nodded, feeling numb and like her chest was filled with glass all at the same time, "And the baby?" "The baby is fine, he's in the NICU for observation for a day or two. Now, Ava doesn't have any next of kin listed on her paperwork, and she doesn't have a living will. So if you are her friend, you should use those two days to make sure you can take care of him if she's not awake by then." "Ok. And my lawyer gave me this to give to you," Alex handed the nurse a business card, "He wants to hear your statement." The nurse looked angry as she took the card, "Gladly." She looked around and nodded Alex to a corner of the waiting room, "I'm not really supposed to tell you this, but Karen broke some major rules. It looks like she lied on Ava's chart, ran out of a critical situation, and she didn't start any of the epidural paperwork she claimed to have. A lot of us heard about what she did a few weeks back, and are pretty pissed that she's still working here. Trust me, I'll talk to your lawyer."
In the end, Karen was fired, and arrested. The shock value of the story gave a lot of high profile advertisement to Sparrow's Flight, which Alex felt guilty about thinking of as a good thing. When the baby was cleared, Alex and Jordan submitted the paperwork to take care of him until Ava woke up. Each day that passed made it seem less and less likely. Until a week later. "Phonezrining," Jordan mumbled in their sleep. "Gotit," Alex mumbled back. She got out of bed and began zombie walking downstairs. Taking care of one newborn and her older sister had been tiring enough, but adding a second newborn? Alex didn't know how twin parents did it. "Mello," Alex muttered into the phone. "Is this Alex or Jordan Garcia?" "Izthe middle oftha night," She replied. "This is Sunhead hospital, letting you know that Ava is awake." Alex felt like several cups of espresso had just been injected straight into her brain as she shot wide awake in an instant. "She's awake!" She shouted, wincing as she heard her voice echo around the quiet room, "Sorry, she's awake?" "She started coming around an hour ago, and she's awake and alert now. She's been asking for her baby." "Yeah, we'll be there as soon as we can." "Alright, see you when you get here." Alex hung up the phone, and ran up the stairs to give Jordan the good news. Getting the baby into the car seat while not waking him was a challenge, but they managed it, and Alex began the drive to the hospital. Once she got there and was directed to Ava's room, she practically ran the whole way, stopping to catch her breath right before going in.
"Hi Ava," She said quietly so she didn't wake the baby. Ava, looking thin and pale looked over her eyebrows close together as she concentrated, "Hi, you're Alex, right?" Alex felt a pang of pain as she realized how hard Ava was trying to remember, "Yeah. That's me. I… I brought someone to meet you." Ava looked at the car seat, and Alex could see her features morphing into an expression of pure longing, "Oh my god, is that… is that my baby?" Alex nodded and brought the car seat to the bed and began unbuckling the baby. "Careful," She said, handing the baby to his mother. Ava began cooing at her baby, tears beginning to pour out as everything began to hit her at once. "Hi baby, I missed you." Alex stayed, letting Jordan know that she was crashing and would sleep on the couch in the hospital. "Is… Alex is it a boy or a girl?" Alex blinked, "It's a boy," She said. Ava sobbed in happiness as she cuddled and fed her son. "Thank you," She said more memories coming back, "Thank you for everything you and Jordan did for me. Thank you so much."









