And it was probably for the best that Oliver wasn’t available right now. It would give her some space and time to think about how she was going to tell him the news.
The afternoon was also filled with antenatal appointments; one mum in particular was really worried.
‘So this baby’s in the same position that her brother was in?’ Sara Reynolds asked.
‘Back to back—yes,’ Ella confirmed.
‘So that means another long labour followed by an emergency section?’ Sara grimaced. ‘I know I agreed to a trial of labour, but I’m so scared my scar might come open halfway through and I’ll have to be rushed into the operating theatre. And the idea of being in labour for two days again and then being stuck in bed for a week, feeling as bad as I did last time, when Jack’s so lively...’ She shook her head. ‘I can’t do it. I can’t, Ella.’
‘It’s not going to be like that,’ Ella reassured her. ‘We’ll keep a really close eye on you, and we’re not going to let you struggle. Though you’re right about a back-to-back labour taking longer, and this little one’s been very happily settled in that position for the last three appointments.’
‘You don’t think she’ll move round?’
‘At this stage, no. I’ll go and have a word with your consultant,’ Ella said, ‘but I’m pretty sure he’ll agree with me in the circumstances that we should be able to offer you an elective section.’
‘But if I have a section, doesn’t that mean I’ll be stuck in bed for a week and I won’t be able to drive for a month?’ Sara looked worried. ‘And I need the car to get Jack to nursery. It’s four miles away and there isn’t a bus.’
‘Last time,’ Ella said gently, ‘you’d had a two-day labour before the section. It’s not surprising that it took it out of you. This time round, you won’t have to go through that first, so it’ll be easier and you’ll be a lot more mobile. Nowadays we say you can drive when you feel ready, though if you can give it three weeks to let yourself heal that would be good. Maybe one of your family or friends nearby can help with the nursery run?’
Sara bit her lip. ‘My cousin said she’d come and help.’
‘Well, that’s great.’ Ella smiled at her and squeezed her hand. ‘Give me five minutes and I’ll have a chat with your consultant.’
Who would have to be Oliver, she saw with dismay as she looked at Sara’s notes on the computer screen.
Provided she didn’t let herself think about the situation she hadn’t had a chance to discuss with him, she should be able to deal with this. Her patient had to come first.
Thankfully, Oliver was out of his meeting. Ella could see him sitting at his computer, typing away and looking slightly grim. Working on notes following his meeting, maybe? Hopefully he wouldn’t mind the interruption. She rapped on his open door. ‘You look busy, but please can I interrupt you for three minutes on behalf of one of my mums, given that you’re her consultant and you need to be the one to sign off on the decisions?’
‘Sure.’
He didn’t smile at her, but that was OK. This was work. She ran through the brief. ‘The mum is Sara Reynolds, thirty-six weeks, second baby. Last time round, the baby was back-to-back and she had a two-day labour followed by an emergency section. This baby’s been in the same position for the last three appointments, and I don’t think she’s going to move now. Sara originally agreed to a trial of labour, but she’s really worried that she’ll end up with another long labour, and she’ll have to have another emergency section that’ll leave her unable to function for weeks. Given the baby’s position and that Sara’s got a really lively toddler to cope with as well, I really think she’d be better off having a planned section.’
‘Let me look at her notes so I can bring myself up to speed with exactly what happened last time,’ Oliver said.
‘OK.’ And please don’t let him be long, Ella thought. She was starting to pick up the smell from his coffee cup and it was making her stomach roil.
But clearly his computer system was on a go-slow when it came to retrieving the patient’s notes, and it got to the point where she couldn’t bear the smell of coffee any more.
‘Excuse me a moment,’ she said, and fled to the toilet. Thankfully it was queasiness again rather than actually being sick, and she splashed water onto her face until she felt able to cope again.
When she got back to Oliver’s office, he’d clearly had time to review Sara’s notes.
‘Are you all right?’ he asked.
‘Yes. I just felt a bit...’ No, now really wasn’t the time for her to tell him that it was morning sickness. She stopped. ‘I’m fine.’
‘If you’re going down with that sickness bug, I want you off the ward right now before you pass it on to anyone else,’ he said. ‘Go home, Ella.’
‘It’s not that.’ She didn’t want to tell him the real reason right now. It wasn’t the time or the place, and she still didn’t have the right words to explain the situation to him. ‘So do you have an answer for Sara?’
‘Yes. I agree with you, so I’ve marked on her notes that I’m happy for her to have an elective section. I’ll get it booked in with Theatre. Do you want me to come and have a word with her?’
‘No, it’s fine.’ Especially as that coffee was making her feel queasy again and she didn’t want to have to dash off to the toilets again and risk him working out what was really going on. ‘Thanks. I’d better get back to my patient. Catch you later.’
Ella was acting really oddly, Oliver thought. Rushing out of his office like that. Yet she’d been adamant that she wasn’t going down with the sickness bug that was sweeping through the hospital.
So what was the problem?
Things had been awkward between them ever since the night of the masked ball. The night when he’d taken her virginity. He still felt guilty about it; and as a result he’d probably been even more cool with her than she was being with him.
He really ought to have a chat with her and try to get things back on an even keel between them. Especially as he was the Assistant Head of Obstetrics now. There was absolutely no way they could get involved with each other; although he wasn’t directly her boss, he was her senior. Though it would be nice to salvage some kind of working relationship, so they were at least on semi-friendly terms in the department. He liked Ella. He missed the easiness between them.
As for anything more... Well, he’d told her the truth. He wasn’t a good bet when it came to relationships. Even though Ella was the one woman he thought might actually tempt him to try, it just couldn’t happen. It would all go wrong and wreck their working relationship for good.
He knew she’d be writing up her notes after her appointments, so he quickly typed out a message on the hospital’s internal email system.
We need to have a chat. Come and see me when you’re done today.
Before he hit ‘send’, he added ‘please’, so she’d know he wasn’t being cold and snooty with her. And hopefully they could sort things out.
We need to have a chat. Come and see me when you’re done today, please.
Oh, help. That sounded very formal and very ominous, Ella thought as she read the email at the end of her shift. Why did Oliver want to see her?
She hadn’t put a foot wrong