‘You don’t do an Apgar score straight away?’ Carlos asked, and, still smiling about the successful delivery, she turned towards him.
‘He cried—that’s enough for me. As far as I’m concerned, it’s more important for his mother to hold him—to see for herself that he’s OK. We’ll still get the first Apgar done within a minute—or pretty close to it. Then another at five minutes, but, really, with healthy babies that’s stuff to put on charts.’
Their patient was wheeled into one of the trauma rooms in A and E to await the third stage of her labour, and for her new son to be checked out and his birth documented for posterity. But first things first. Marty clamped the cord in two places then handed a pair of surgical scissors to the father so he could cut the cord.
‘A son!’ the man said, touching the cheek of the baby who was held to his wife’s breast.
‘A son!’ Marty heard Carlos echo, and, turning, saw a look of wonder in his eyes, and although she experienced this same sense of miracle each and every time a new child was born, she had to wonder if he would have felt differently towards Emmaline if he’d been present at her birth.
Or if she’d been a boy?
‘Please, no drugs,’ the woman said, as Marty gently massaged her abdomen to encourage expulsion of the placenta.
‘Providing everything is OK, I’ll go along with that,’ Marty assured her. ‘But you’ve had a difficult labour and there could be damage to the uterine wall. I won’t make any promises at this stage.’
The woman seemed satisfied with this, though it was with reluctance she gave up the baby to be checked, weighed, cleaned and dressed.
‘A fine little boy,’ Carlos said, when the woman had been admitted—for observation only, Marty had assured her—and the two of them were having a cup of coffee in the staffroom.
The remark reminded Marty of his earlier exclamation and suspicion made her ask, ‘Would that have made a difference? To you, I mean? Would it have been different if Emmaline had been a boy?’
He looked genuinely puzzled.
‘Why would you think that?’
Marty shrugged.
‘Preconceived ideas of Latin men, I suppose. Where are you from? Italy?’
‘Spain,’ he snapped. ‘And on behalf of all so-called Latin men I find your assumption offensive.’
‘Do you?’ Marty said, challenging him with her eyes. ‘I’ll retract the Latin bit, if you like, but don’t tell me that most men wouldn’t prefer at least their firstborn to be a son.’
‘Nonsense!’ Carlos exploded, so genuinely upset she knew she’d been wrong. So wrong that she held up her hands in surrender.
‘OK, I apologise, but from where I sit it was an easy assumption to make. Do you know what Marty’s short for? Martina! And, no, I’m not named after a tennis star, but after my father, Martin, who’d wanted a son and when I arrived, the firstborn, named me after himself anyway. I’d like to think that some malign fate is working on the situation but I know it’s something to do with his chromosomes. Three marriages and five half-sisters later, he’s still without a son. His attitude has skewed things for me.’
She was talking too much again, but the man made her nervous in a way she’d never felt before. She drained her coffee and stood up. She wasn’t due on duty for another three-quarters of an hour and it felt like the day was already half-over.
‘I have patients to see on the ward then a list of out-patient appointments. Have you met whoever you’ll be working under in A and E?’
‘Anxious to be rid of me?’ Carlos asked.
‘Anxious to get to work,’ Marty retorted, although her habit of getting to work an hour or two early had only begun with Natalie’s admission. Since Emmaline’s birth, she’d been coming to work earlier and earlier, checking the baby first, then tackling paperwork, so she could free up small pockets of time later in the day to spend with the newborn infant.
‘Not up to the NICU?’ Carlos said, as Marty stood up and moved towards the sink with her coffee mug.
Marty spun towards him.
‘What’s that supposed to mean?’
‘Exactly what I said! If you were not in the habit of visiting Emmaline before you started work each morning, I have seriously misjudged you.’
‘And is that good or bad—this misjudgement thing?’
He held up his hands as she had earlier.
‘It is neither. I have spoken clumsily. I am trying to say that I appreciate what you have done, and realise you have grown attached to the baby. I have nothing against you continuing to visit her. In fact, I would appreciate it.’
‘Why?’ Marty demanded. ‘Because you have no intention of providing involvement yourself? Because working here is more important to you than getting to know your own baby? A few dozen scalpels, some old autoclave machines and a clutch of crutches for some people in Sudan are more important than your own flesh and blood?’
She took a deep breath, hoping it might calm her down, then added, ‘You’re right, I have been coming early and, yes, my first visit was usually to either the ICU or latterly the NICU, but the baby’s father is here now, so she doesn’t need me.’
‘You called her “the baby”,’ Carlos said, the accusation in his voice mirrored in his eyes. ‘So, having provided her with a bond, you’ll now drop her—even drop the name you gave her? Well, I won’t. I’ll call her Emmaline and tell the nurses and doctors to do the same, and your friends will use the name and you will be the loser.’
He stood up and followed her path, carrying his cup to the sink.
‘But Emmaline will also lose,’ he continued. ‘She will miss your company, your touch, your voice, and maybe have a setback—develop one of the complications so prevalent in low birth weight babies.’
He put down his cup and stood looking down at her.
‘Is this fair to Emmaline? You may not like me, Martina Cox, but would you jeopardise that baby’s health because of personal antagonism?’
It was a great exit line, Marty had to admit. She was still staring at the empty doorway minutes later. All she’d wanted to do was give him a clear field to get to know his child, and the wretch had twisted things around so she was the bad guy in this scenario.
Could Emmaline suffer a setback if she no longer visited the NICU? Right on cue, her mind conveniently produced a list of all the things that could beset such infants—hypoglycaemia, pulmonary insufficiency, apnoea and bradycardia—not to mention SIDS.
She’d have to work out a programme so she could visit Emmaline at unexpected times when Carlos was unlikely to be there, and though this would eventually make it harder for her to separate from Emmaline, at least she’d be sending home a well and contented infant.
She’d worry about her own contentment at a later date.
This would have worked if Carlos hadn’t also chosen one of Marty’s unexpected times to visit his daughter. Or maybe someone had contacted him to tell him it was feeding time, for he was holding Emmaline in his arms, peering down into her crinkled face, a look of bemusement on his usually impassive features.
Marty backed down the corridor, right into Sophie, who was heading for the unit.
‘He looks as if he’s holding an unexploded bomb,’ Sophie remarked, nodding towards the tall man with the little pink bundle clutched gingerly to his chest.
‘I think he might see her in those terms,’ Marty replied. ‘He feels she’s already wreaked havoc in his life, he’s just not sure