Buch lesen: «The Prince And The Midwife»

CHAPTER ONE

GABRIELLA CAIN ABSENTLY raked her fingers through her hair and stared at the messy room, fighting the deep fatigue that crept quietly into every aching muscle. Her second double shift of the week might be officially over, but as the labor suite department head she wasn’t about to leave the disarray for the next midwife to clean up.

Thinking about the twins she’d just delivered to a Hollywood actress and the new mother’s proud, beaming husband gave her an energy boost. The suite was a mess for a great reason—the birth of two healthy newborns. After all, just like a kitchen that was never cooked in stayed clean, a spic-and-span labor and delivery suite would mean no new little babies, and wouldn’t that be a sad thing?

Gabby finished putting new sheets on the bed, wishing her own at home were as nice as the luxurious Egyptian cotton sheets The Hollywood Hills Clinic provided for its demanding patients, then topped it off with a fresh down blanket. The room was strewn with the various supplies she’d just used, and she figured it made sense to clean that up last so she could note what inventory she might be running low on and get them ordered tomorrow.

She folded clean blankets and stacked them inside the toasty warming cupboard. Crouching down to finally gather the things on the floor, the sound of the double swinging doors banging open and a gurney being hurriedly wheeled into the room had her pausing in surprise. The other, even more alarming sounds? A woman’s moans and the receptionist shouting her name.

“Gabby? Gabby! Are you in here?” Stephanie called.

“I’m here.” She stood and stared in dismay when she saw it was Cameron Fontaine lying on the gurney being steered by the hospital’s uniformed EMTs, who had doubtless brought her here by helicopter. The famous A-list actress, who was one of Gabby’s most difficult patients, and whose baby wasn’t due for months. “Cameron? What’s wrong?”

“I don’t know. I think the baby’s coming. It’s way too soon, though, isn’t it? Oh, God, I’m so scared.” She jabbed her index finger toward Gabby, her blue eyes somehow wide with fear and imperiously demanding at the same time. “You’ve got to do something!”

Gabby’s stomach plunged. Yes. It was too soon, and she sent up a deep prayer that Cameron wasn’t in labor. That her baby would be fine. That her infant would be born healthy and alive. Her hands suddenly cold, she rushed over to wrap her fingers around Cameron’s. “All right. Try to relax. Let’s get you into the bed and see what’s going on, okay?”

“Just get it stopped! The baby has to cook in there a little longer, right?”

Somehow, Gabby forced a smile, wishing it were that easy. “I believe the proverbial bun in the oven actually bakes, not cooks,” she said lightly, proud that she’d managed to keep her tone joking and relaxed. “Let’s see what we can do to make sure she gets to rise a little longer, hmm? Try not to worry until we learn more. Maybe baby is just in a mood, wanting a little attention?” She hoped that was the case, and resisted adding that would mean the infant was a chip off the old block.

Cameron’s hand squeezed hers tightly, and Gabby frowned when she realized the woman’s breath seemed short and gasping as the EMTs carefully moved her to the bed. Thirty-two weeks along was definitely not the optimal time for a baby to decide to come into the world.

“Stephanie, get in touch with whichever OB’s on call and get them here, please.”

Stephanie gave a nod and ran out, and Gabby barely noticed the EMTs leaving too as she grabbed the blood-pressure cuff. “I’m going to get your vital signs, then do an internal exam, okay?”

“Will you be able to tell if the baby’s coming?”

“If you’re dilating, yes. Tell me why you think you might be in labor. Are you in pain?”

“Not...not exactly pain.” Cameron’s hands cupped her belly and her face scrunched up in an unflattering expression Gabby was sure hadn’t been seen on any movie screens by the actress’s many fans, which proved how distressed she was. “I felt a little crampy, kind of like the Braxton-Hicks contractions you talked to me about. And my belly got sort of hard, and when it didn’t go away I knew I had to do something right away and called the clinic.”

“You did exactly the right thing, calling for the helicopter to come get you.”

“Well, it seemed to take them forever!” She swiped her elegantly manicured hand across her frowning brow. “It was at least five minutes longer than when they came to get me after I hit my head, and every second that passed I got more worried. I called three times, and I think that made them finally hurry.”

A smile touched Gabby’s lips, as it was pretty easy to imagine how those conversations had gone. “Let’s see how baby is doing, all right?”

Gabby pressed her stethoscope to Cameron’s belly, and the sound of the baby’s steady heartbeat sent the breath she was holding right out of her lungs. Thank God, baby was still alive and moving. She snapped on exam gloves and what she found during the examination was a mixed blessing. “The good news is that your membranes are still intact, so no rupture there. Which means your labor’s not advanced, which is also good news. But your cervix is dilated two centimeters, so we’re going to have to do something about that.”

“Like what? And what do you mean, labor’s not advancing? Dilating means labor, right?”

Cameron’s voice had gone a little shrill, and who could blame her? Gabby knew she had to help her stay calm—the situation was scary, yes, but with luck it could be managed. “Dilation means early labor, yes, but it can be slowed or sometimes completely stopped with medication. I’m going to get an IV set up to give you a mag sulfate drip right away, and also keep you hydrated with saline and lots of water to drink. We’ll do a urinalysis to make sure there’s no infection, just to be safe. Then we’ll give you steroid injections to help baby’s lungs develop in case she decides she just can’t wait to get here. Please, try not to worry, okay? We’ll be doing all we can to keep her healthy.”

“I want to see Dr. Crane. When is she coming?”

Gabby had learned long ago to not be insulted by that demand, which she got from a lot of patients and their husbands. And when it came right down to it, she wanted the obstetrician to get there, too, in case the situation got worse instead of better. “I’ll find out.” She patted Cameron’s shoulder and smiled. “Try to relax. Easy to say, I know, but you don’t want your blood pressure all out of whack and make things tougher for baby, do you?”

“Could you get me something to drink before you leave? My breath’s been so short for what seems like hours, and I’m beyond parched.” She wrapped her fingers around her throat, little gasping sounds coming from her mouth that this time sounded a little forced. “I’d love some artesian sparkling water with a squeeze of lime. You have that, of course, don’t you?”

Gabby wanted to say it was more important to get going on the medications she needed first, before wetting her whistle, but figured it would be just as fast to get what Cameron wanted as to point that out.

The small stainless-steel refrigerator in every room was kept well stocked, and Gabby ran the lime wedge around the rim of the crystal glass like a Hollywood Hills nurse who’d been a former bartender had taught her to. Cameron grabbed it like she’d been walking miles through the desert, and Gabby was glad after all that she’d taken a moment to get it for her.

“I’ll be right back, okay?” Gabby hurried out to find Stephanie, passing through the halls and out past the beautiful fountain in the center of the glass atrium that made the place feel like a luxury hotel, and breathed in the calming scents of lavender and sandalwood. Except at that moment it didn’t do much to slow the current surge of adrenaline that had replaced all her prior fatigue.

“Is the doc on the way to see Cameron, Stephanie? Who is it?”

“Well, as I was about to see who’s on call, James phoned. He told me Cameron contacted him while she was on the helicopter to tell him to send her own doctor, because she’s convinced Dr. Crane is our best. But she’s out of town, so James asked a good friend of his who’s in L.A. visiting to come see her. A Dr. Rafael Moreno.”

“What?” Gabby stared at her, not comprehending. “Some friend of his? What do you mean?”

“I guess he’s some world-renowned OB, and not only that but the prince of some Mediterranean principality, if you can imagine. Isn’t that exciting?” Stephanie’s eyes were shining, which seemed ridiculous to Gabby since the woman saw superstars in this hospital all the time. “Said he has privileges in hospitals all over the world, including here in California, and thinks Cameron would appreciate the status of having a prince taking care of her.”

Gabby gaped. What in the world? A prince OB? Just visiting the U.S.? That was who James thought was the best person to care for this very demanding and famous patient?

She loved working at The Hollywood Hills Clinic but just might have to point out to James Rothsberg that, exclusive and prestigious or not, the number one focus at this hospital still had to be on premier medical care and not the royalty status of some doctor from another country he happened to be besties with. And, yes, she knew James had founded this hospital with that philosophy, demanding every patient receive the best medical care available, but had to wonder about this particular decision.

“Well, send him in as soon as he gets here, please.” She headed back to the room, pondering if she should call James right then to talk to him about the seriousness of Cameron’s situation and ask about this doctor and his qualifications—if he was really “world renowned,” or just famous for being royal.

“The doctor’s on the way, Cameron,” she said as she got the items she needed. “I’m going to start your IV now.” For the moment, she had to ignore the last of the mess in the room she hadn’t finished cleaning up yet until the doctor arrived and she was certain Cameron had been stabilized.

“It’d better be Dr. Crane,” Cameron said, looking away at the wall with a dramatic wince and yelp as Gabby got the IV needle placed in her arm. “She already knows all about me and my past health scares and situation and I only want to see her.”

“I know you do.” Gabby tried to find reassurance in the fact that Cameron’s voice had become the petulant one she often used when she felt normal. At least she wasn’t getting real contractions yet or freaking out. Gabby conjured her own acting skills and infused her voice with enthusiasm, bracing herself for the woman to get upset at the news her doctor was unavailable. “Unfortunately Dr. Crane is out of town. But this doctor is a personal friend of James Rothsberg and is not only an excellent OB but apparently a prince too.”

“A prince?” Surprise lit Cameron’s face before it relaxed into a pleased smile, thank heavens, instead of outrage. “Well, how nice. If Dr. Crane can’t be here, at least a prince will understand how important my baby is to the world.”

Because a prince and a self-absorbed actress’s baby were more important to the world than most other human beings? Emotions crowded Gabby’s chest—disbelief that Cameron obviously genuinely believed that. Annoyance with that attitude. And deeply buried pain. Because every person’s baby was the most important child on earth to them.

She swallowed before she spoke. “I’m not sure when Dr. Moreno is going to get here, and we shouldn’t wait to get your mag sulfate drip started. Is your belly still hard and tight? Still feeling crampy?”

“Well, yes. But not too bad. I think we should wait for this prince-doctor.” She picked up the television remote, clicked to a movie channel, and beamed the famous megawatt smile she normally reserved for the cameras. “Oh, look, it’s one of mine! I loved this one!”

“Cameron.” Gabby worked to keep her patience. “Giving you the sulfate drip certainly isn’t going to hurt, regardless of what Dr. Moreno has to say, and timing can be critical. Up to three courses of steroids are recommended for the baby’s lung health, but have to be given at least twenty-four hours apart, and the sooner we give the first one, the sooner we can give the second one.”

“I admit I’m still nervous. I know you’re good at what you do. If you think you need to start it now, then let’s do it.” Cameron’s smile disappeared, and Gabby’s frustration with her patient evaporated when she saw the tension etched on her face. Probably her wanting to wait and watch the movie, all smiles, was some coping mechanism, telling herself everything was fine now that she was here at the clinic. Deluding oneself was all too easy to do, as Gabby knew firsthand.

She patted Cameron’s arm, then gave it a gentle squeeze. “I’ll get it started right now. And I bet the doctor will be here any moment.” As though her words had willed it, a brisk knock on the door sounded, and she turned as it opened.

To reveal the most physically beautiful man she’d ever seen.

His dark hair was cut fairly short and impeccably groomed, and his olive skin was tanned a golden brown which looked even more swarthy in contrast to his white doctor’s coat. The blue dress shirt he wore was crisply starched but left open at the collar without a tie, and it was obvious that beneath it lay a very well-built physique. But the most riveting thing about him was the startling color of his eyes, nearly the same hue as springtime in Seattle after rains had turned the landscape a vivid green.

She felt a little as though all the oxygen had been sucked from the room as those eyes met hers. Though the contact was brief, his gaze seemed to both assess her and dismiss her at the same time. Then his attention moved around the room in a careful scan of the space before finally focusing on their patient.

A smile transformed the aloof expression on his handsome face. “Buenos días.” He stepped to the bed, reached for their patient’s hand and, to Gabby’s astonishment, lifted it to his lips. Since when did doctors kiss their patients, even if it was just on the hand? “I do not have to ask if you are the famous Cameron Fontaine. I would recognize your stunning face anywhere. I am Dr. Rafael Moreno.”

“It’s wonderful to meet you, Doctor,” Cameron practically cooed.

“I understand your very special baby is demanding some unexpectedly early attention. I’m told your little one is a girl—what a lucky child. She’ll no doubt be as beautiful as you are.” Lord. Gabby had to wonder if he’d intentionally ratcheted up the charm, or if it just oozed naturally from the man. “Let us see what she has in mind, shall we?”

“Yes. I’m so anxious to hear what you think is going on and what to do about it.”

Cameron’s expression could only be described as coy and flirtatious, and Gabby caught herself about to shake her head at the whole scene. Dr. Moreno had instantly sized the woman up, that was for sure, and Gabby was torn between admiration and disgust at how quickly and easily he’d had her eating out of his hand. While not even bothering to introduce himself to Gabby or ask who she was. The man was royal, all right. Royally rude.

“Tell me what’s been happening.” He sat and directed his attention solely to Cameron, as though Gabby wasn’t even there, and the actress told him all about her symptoms as he looked at the vital signs Gabby had recorded. He took his time speaking with her, acting more like they were at a cocktail party than in a hospital room. But of course Cameron, who was always more than happy to talk at length about herself, basked in the attention as he asked all kinds of questions about her life and career in addition to the ones related to her health.

As the minutes stretched on, Gabby fidgeted, wondering when in the world he was going to get on with what needed to be done and have her administer the meds Cameron needed. At the same time, she had to grudgingly give him credit for completely relaxing their patient.

Then that credit evaporated when he reached for gloves, obviously planning to give her an internal exam.

“Excuse me, Dr. Moreno, but did you see in the chart that I just gave her an exam about thirty minutes ago? That she was already dilated to two centimeters?” Gabby asked.

He turned to her with one eyebrow quirked. “And you are...?”

“I’m Gabriella Cain, head midwife here at The Hollywood Hills Clinic.”

“Now that I am here to care for Ms. Fontaine, I will take care of future internal exams. I’m sure you know they need to be limited in cases of early onset labor.”

What the...? Anger began to burn in Gabby’s chest. “Yes, I am aware of that, Dr. Moreno. Which is why I feel you should wait to do another. I was about to get the mag sulfate drip started, followed by the steroids, then do an ultrasound.”

“I prefer to not rely on others’ examinations and opinions, as that normally isn’t in the best interests of my patient. However, if you’ve done an internal exam, I won’t do another at the moment.” He turned away from Gabby again, and she stared at the back of his silky dark head, hardly able to believe his arrogantly dismissive attitude. His patient? She’d worked with some doctors with domineering attitudes before, but this guy got first place for jerk of the year.

“It’s good that you’re dilated to no more than two centimeters,” he said to Cameron as he looked at Gabby’s notes. “Although that is clearly an indication of pre-term labor, there are things we can do to try to make that cease, and at the same time give baby a chance to grow more.”

“So it is preterm labor. I was so hoping it wasn’t.” Cameron’s white teeth worried her lip, her eyes wide. “Do you think whatever you do to try to stop it will work?”

“It often does, so we will hope for the best.” He lifted his tall frame from the stool he’d been perched on, moving to stand beside the bed and hold Cameron’s hand between both of his, a smile on his face some people might think was charming. “And if baby says, Oh, no, Mama, I’m coming anyway, we will at least have time to give you steroids to help her little lungs function better when she arrives. So we will do that without delay. Okay?”

“All right. Whatever you think,” Cameron said, all grateful smiles. “Thank you so, so much, Doctor.”

“Please, call me Rafael.”

Whatever you think. Thank you so, so much... Gabby gritted her teeth and told herself she couldn’t feel bothered by Cameron’s immediate agreement to the same treatment she’d initially refused to agree to when Gabby had told her exactly the same thing. It was no secret doctors got more respect than midwives from many patients, and an über-handsome doctor who, by the way, happened to be a prince too? Jerk or not, it was no surprise that status-conscious Cameron was all too happy to go along with whatever he suggested.

“Bien.” He stood and turned to Gabby, and his warm expression cooled to one of professionalism. “I’d assume you have the mag sulfate and steroid ready?” Those startling green eyes slowly scanned the area again before pinning hers again with one dark eyebrow raised. “Except perhaps I should not assume that. When I first walked in I was shocked to see the state of this room, which is, well, I must say, terribly disorganized. I’m frankly very surprised by this, considering the stellar reputation of The Hollywood Hills Clinic and knowing James Rothsberg’s perfectionism.”

The irritation that had been simmering in her chest burst into a full conflagration of anger that surged through her blood and made her brain burn. Who did this guy think he was? Friend or no friend of James, prince or no prince, he had no right to waltz in like he owned the place, give it his version of the white-glove test, then criticize her without knowing a thing about the patients and medical situations she’d been taking care of for the past ten hours.

“I was in the process of cleaning and reorganizing it from an earlier, lengthy delivery when Cameron arrived in what might have been an emergency situation. I deemed taking care of her and her baby was a lot more important than tidying and prepping a room that could be tidied and prepped later. And the meds are ready.”

She stalked to the counter, gathering the items together and wishing she could throw them at his arrogant, judgmental face. He reached for them, his hand briefly touching hers, and it ticked her off even more that the feel of his skin brushing hers sent some kind of weird electric shimmer up her arm. The sensation could have been mistaken for attraction, if there had been anything attractive about the man.

Well, there were all those superficially attractive things, but she wasn’t a woman interested in slick, glossy men. Or any kind of man anymore, really.

With grudging respect, though, Gabby did have to admire how quickly and efficiently his long fingers administered the drugs, all the while keeping up a smoothly distracting conversation with their patient.

“All set,” he said to Cameron, giving her a warm and reassuring smile. “Now we wait, keep you comfortable, and check baby periodically through ultrasound and monitoring.”

“Thank you, Rafael. I’m so glad you and Gabby are the ones taking care of me.”

And Gabby was glad the next shift midwife would be arriving soon to deal with Cameron and Dr. Moreno. Not to mention that she was way overdue for a major nap.

“How about deciding what you’d like to have for dinner?” Gabby said as she brought her another sparkling water, along with a menu of options for her meal. The onsite Michelin-starred chef was amazing, and even the pickiest patients loved the elegant and trendy foods he prepared. “The midwife on the next shift will be checking on you throughout the night to make sure you’re comfortable. Then tomorrow morning I’ll be back to take care of you. In the afternoon it’ll be time to administer another steroid dose.”

“But I don’t want another midwife,” Cameron said, a twisting pout on her lips that had Gabby wondering how in the world she managed to still look so pretty doing it. “I want you to stay here with me tonight, Gabby.”

The fatigue Gabby had felt earlier was back in spades. She had a feeling if she closed her eyes she might fall asleep on her feet like a horse, and the vision of curling up in her own comfy bed and getting a solid night’s sleep nearly had her moaning, but she knew Cameron. And Cameron’s expectations. The Hollywood Hills Clinic was known for its exceptional medical care, and that included going above and beyond in every way.

Which meant she’d be spending the night here again.

“I appreciate you wanting me with you, Cameron. I—”

“Your staying here is important, since you are familiar with our special patient and her physical condition and worries,” Rafael interrupted smoothly. “Here is my contact information. Please don’t hesitate to get in touch with me for any reason.”

Did the man think he was boss of the world? Gabby felt like smacking that seemingly sincere smile from his handsome face as he handed her an elegantly embossed card, then turned to give one to their patient. When Cameron reached for hers, she clasped his hand along with it for a lingering moment, practically batting her long lashes at him as she smiled back.

“Thank you so much, Rafael. I can’t tell you how much I appreciate your help and expertise during this terrifying time.”

“It’s beyond my pleasure. It is my calling to help mamas and their babies, whether a pregnancy is smooth and uneventful or high risk and worrying. I promise to take care of you and bebé to the best of my ability.”

Whereas Gabby and most other nurses and doctors didn’t? The guy was pure egotistical arrogance in a white coat, absolutely no doubt about that. And Gabby intended to tell him so, though somehow she’d have to tone down the strength of the language she’d really like to use when she did.

“As I started to say a moment ago, Cameron, I’m more than happy to stay,” she said, giving Dr. Moreno a pointed look she hoped he interpreted correctly—which was to tell him to keep his guest-in-this-hospital nose in his own business. “I’ll sleep better knowing I can check regularly on how you’re doing, and hopefully me being here will help you sleep better too.”