Partials

Madison gritted her teeth in pain, clutching Haru’s hand in a white-knuckled death grip. He urged her forward gently but firmly, almost in the hospital parking lot by the time Kira reached them.

“She’s bleeding,” he said quickly, “and the pain is like nothing she’s felt before.”

Kira looked back at the hospital, taking Madison’s other arm and helping her forward as gingerly as she could. “You shouldn’t have brought her here,” she said tersely. “You should have had her driven, or come for a wheelchair and an EMT so we could pick her up ourselves.”

“I’m not going to leave her home alone!”

“She shouldn’t have walked here, no matter how close you live.”

“Just…” He hesitated. “Just help her.”

“Come with me,” said Kira. “There’s always a full staff in maternity, even at night.” She prayed silently as they brought Madison in through the doors, begging anyone who was listening to please, please spare Madison’s baby. It was too early; it might die of poor development or breathing before it even had a chance to die of RM. She helped Madison around the corner toward maternity and stopped short, nearly colliding with a nurse running desperately down the hall.

“Sandy!” shouted Kira, recognizing the woman from her time as an intern. “She needs attention!”

“The Barnes baby is flatlining,” said Sandy, shouting over her shoulder as she ran. “Tell her to hang on!”

“They’re not going to help?” asked Haru.

“Everyone’s busy,” said Kira. “Come with me.” She led them to an open door and flicked on the light, helping Madison settle into a large, soft chair.

“There goes another one,” said Madison, clenching her jaw and whistling. “Oh please no.”

Kira pointed Haru at a medicomp cart in the corner of the room. “Fire up the ultrasound machine,” she said. “The outlets marked in red have power.” She crouched down by Madison’s side, brushing her hair from her face. “Hey, Mads, you want to tell me what’s going on?”

“I think it’s contractions.”

“You’re still two months early,” said Kira. “Your pregnancy has been perfectly healthy so far, there’s no reason for you to be having contractions.”

“These aren’t just cramps, Kira.” Madison winced again, squeezing her eyes closed and clutching Kira’s arm so tightly Kira had to bite her tongue to keep from screaming. The pain subsided and Madison collapsed back into the chair, panting.

“Is the pain rhythmic?” asked Kira. Madison shook her head. “Can you point to it?” Madison traced an area across her belly and side, and Kira nodded. “I don’t think that’s your uterus, Mads, that’s your stomach. I’m going to do an ultrasound.”

“She’s bleeding,” said Haru again. “Aren’t you going to do something about the bleeding?”

“I’m doing everything I can, Haru, just bring the machine.”

He dragged the cart over, parking it next to Madison’s chair with a terrified expression. Kira pulled on a pair of sterilized gloves and pulled up Madison’s shirt to expose her belly. “Hold still,” she said, placing the ultrasound probe against Madison’s skin. “Screen up.” The screen flickered on, a black-and-white grid with a wedge-shaped image in the center. The image flashed and moved: a sonographic re-creation of the organs in Madison’s abdomen. Kira had been completely lost the first several times she’d seen an ultrasound, but after weeks of practice the fuzzy pictures seemed crystal clear. “That’s your bladder,” she said, moving the probe with one hand and touching the screen with her other, defining labels and boundaries that the computer then remembered and kept track of in real time. “That’s your stomach, that’s the baby’s foot. There we go, the baby’s body.” She worked quickly, her fingers scurrying over the screen, lighting up measurements and calling up archived statistics from Madison’s previous visits. “Head development good, chest development good, inner organs all look good. Heartbeat strong. Bladder filling and emptying. Spine looks good.”

Madison grimaced again, gritting her teeth and clutching the arms of her chair. Two nurses rushed in behind them, Sandy and Nurse Hardy. “We’re here, Walker, thanks for getting her started.” Hardy pulled on a pair of gloves and took the probe; Kira gave it up nervously, stepping back as Nurse Hardy’s more practiced hands took over the ultrasound. “Describe the pain,” asked Hardy.

“Strong but inconsistent,” said Kira, “localized toward the side with the stomach. She’s also bleeding—I think it’s an abruption.”

“What’s that?” asked Haru. “Is it bad? Is she okay?”

“We’re doing our best, sir,” said Hardy. “We just need room to work.”

“What about the baby, is the baby okay?”

The image on the screen flopped in and out of view as her abdomen flexed, and Kira pointed at the screen.

“There was a shadow.”