“It’s a…mixed blessing, I guess.” Joelle ran her fingertips over the smooth edge of Rebecca’s desk. “It wasn’t planned. I’m not married, of course, and I have no plans to be. But still—” she looked at Rebecca “—you know how much I wanted a baby.”
“When was the first day of your last period?” Rebecca asked.
“My periods are so irregular,” Joelle said. “I couldn’t begin to tell you. But I do know that I’m exactly twelve weeks pregnant as of today.”
“You know the moment of conception, then, huh?” Rebecca smiled, almost warmly.
“Yes.”
Leaning forward, Rebecca rested her elbows on her desk. “If
“
“We count from the first day of your last period. Usually, that’s a couple of weeks prior to the actual date of conception.”
“I never knew that,” Joelle said, bewildered to suddenly find herself two weeks further along than she’d thought she was. “I’ve worked in the maternity unit all these years and never knew that.”
“Well, it’s the ultrasound that will give us the most accurate reading on how far along you are.” Rebecca cocked her head to one side. “I just need to make sure you know you can still have an abortion at fourteen weeks.”
Joelle shook her head. “How could I do that after trying for so long to get pregnant?”
“Yes, of course,” Rebecca said. “I just want to be sure you know your options.”
“I do,” Joelle said. She glanced at the wall of framed diplomas near the window of the office. “I wanted to ask if you would be my obstetrician,” she said.
Rebecca nodded. “Of course.” She looked at her watch and stood up. “How about we start right now. Do you have time for your first prenatal exam?”
Joelle was relieved. That was the invitation she’d been hoping for. She needed to know the baby she’d been neglecting, at least from the perspective of prenatal care, was healthy. “I haven’t felt any movement,” she said, getting to her feet. “If I’m fourteen weeks, shouldn’t I be feeling something?”
“Not yet, but you will soon enough.” Rebecca guided Joelle toward one of the small examination rooms. “Let’s see what the sonogram tells us.”
Rebecca left her alone in the room, where Joelle undressed, put on a blue gown and climbed onto the table.
In a moment, Rebecca returned to the room. After a gentle examination, she began to squeeze warm gel on her stomach.
“I’ve been having some pain down here.” Joelle moved her hands along either side of her groin. “A pulling sort of feeling.”
Rebecca nodded. “Ligament pain,” she said. “That’s normal.” She began sliding the transducer back and forth over Joelle’s belly as an image formed on the monitor.
Joelle had never been able to make out those blurry fetal pictures, but Rebecca was an excellent interpreter.
“This is the head,” she said, pointing to the image in the center of the screen. “These little buds will become his or her arms and legs. Look, you can see one of the hands already. And most importantly, here’s the heart.”
“Oh!” Joelle lifted her head to get a better look at the pulsing speck of life on the monitor. “How beautiful! How big is it?” she asked. “The baby? The fetus?”
“About three and a half inches long,” Rebecca said. “And you are most definitely fourteen weeks, Joelle.”
“Oh, God.” She closed her eyes and let her head fall back on the small, flat pillow. “I feel so guilty for waiting this long to see you. To get prenatal care. Fourteen weeks!”
“Would you like a due date?” Rebecca did not seem to be listening to her ruminations. Instead, she was fiddling with a chart on the counter.
“I figured it would be in mid-January,” Joelle said.
“How about January first?” Rebecca said. “A New Year’s baby.”
A New Year’s baby. It would be just her luck to make the papers as having the first baby of the new year.
“You won’t be able to keep this a secret too much longer,” Rebecca said.
Joelle looked at her. “I plan to move before it becomes that apparent,” she said, then added quickly, “Please keep that between you and me, Rebecca. No one knows. I haven’t turned in my resignation or mentioned it to anyone yet.”
Rebecca frowned as she slipped the transducer back in its holder. “What are you talking about?” she asked. “You can’t leave. You’re an institution in the Women’s Wing.”
“Thanks,” Joelle said, staring at the ceiling, “but I want to go.”
Rebecca wiped the gel from her stomach with a towel. “You don’t need to name names,” she said, “but could you please tell me if the baby’s father will be involved during this pregnancy? Will you have support from him? Does he live somewhere else? Is that why you’ll be moving, to be closer to him?”
Joelle shook her head. “No,” she said. “The father won’t be involved.”