"Get it *out* of me!" Kathy screamed as she thrashed on the bed. The torture was such that she felt as if her whole stomach was being compressed and torn as the contractions hit, one after another.

"We can't do that Kathy," Dr. Baker exclaimed as he looked at the orderly that was trying to hold her down. "If you don't calm down you're only going to make things more difficult for yourself. The best thing you can do is work with me to get this baby born okay?"

"F**k the baby," she screamed. "F**k you all!"

"Kathy!" The strong, angry voice stilled her and she looked up at him, her eyes wide.

"John?" it was barely a whisper, but it conveyed all her dread.

"Kathy," he came to her bedside and she looked up at him.

"John," she said weakly, "This hurts...."

"I am sorry," he replied coldly. "But you have to go through this now."

"I only...." Kathy panted as the pain began to build again.

"Do as the doc says" John's lips twitched. "And make sure that this baby is born as quickly as you can manage."

"Ms. Leach is in consider-" Baker's words were drowned out by Kathy as she screamed again, the cramping agonizing. "Okay Kathy, you need to breathe. Come on, you know how to do it. You want to be holding this baby soon don't you?"

"*No*," Kathy sobbed as she seized a handful of the sheet that lay loosely across her belly. "Make it go away. I don't want it. I don't want to do it."

"I mean it Kathy," John's voice was threatening and Kathy blanched. "If you don't work with the doc...." He didn't voice the consequences, but Kathy had no doubt they would be unpleasant. And given the severity of the spasms that tore their way down her back and through her abdomen, she was going to have no choice anyway. This child was going to be born anyway, whether she liked it or not. She had no choice in that.

"For goodness sake, if you can't be helpful, then *please* leave!" Dr. Baker was getting increasingly irate at the treatment of his patient. He knew she wasn't exactly the most pleasant person in the world, but this was completely uncalled for.

"My pleasure," John was still glaring at Kathy as he answered the doctor. He glanced back at Kathy, who was groaning, and left. 

******

Kathy lay back against the pillows, gasping for breath. The contractions were strong and steady now and Dr. Baker had announced a moment ago that she was almost fully dilated. She was going to have a baby.

She stared at the ceiling, noting out of the corner of her eye that just about everyone was actually avoiding talking to her or encouraging her in any way. They were all working hard to help deliver the baby.

Kathy groaned, feeling the next contraction growing as the muscles began to bunch.

She grimaced as the pain took hold....

All other thoughts were forgotten as the contraction began to rack her again. With no thought to anything, she screamed her agony so that anyone within earshot was left in no doubt how much pain she was in.

"Okay Kathy," Dr. Baker dropped the sheet and looked up at her. "We're going to get you down to the delivery suite. This baby is about ready to be born."

"Just get it over with," she hissed as she dropped her head and met his kindly gaze.

******
 

In the delivery suite, Kathy was screaming as if her life depended on her ability to produce sounds of the highest decibels possible.

"That's it Kathy, another push," Dr. Baker encouraged. Kathy screamed again as her muscles bunched and she pushed as hard as she could. Even if she hadn't been told to push, she wouldn't have any choice anyway. The urge was unbelievable and she couldn't fight it even if she wanted to. And right now all she wanted was to get this child out of her body.

"That's it," the doctor nodded as the pain eased off and she leaned back against the bed, her vision swimming. She was gasping for breath and she felt someone place a mask over her face and tell her to breath deeply.

Retreating into herself as she let her body recuperate, she felt her eyes filling with tears. This should have been the happiest moment of her life. She should have been delivering her own adored child with John at her side urging her on. Instead she was here alone.

The tears rolled down her face and Dr. Baker looked up at the sound of her sobbing.

"It's okay Kathy," he said gently. "It'll be over soon."

His words were no consolation to Kathy.

As the next contraction tore through her, her whole body shuddered and she felt as though she was choking on her own tears. And through her own anguished cry, she heard the monitor beside her let out a warning wail.

"Dammit!" Dr. Baker looked up at the monitor.

"What?" Kathy glanced at the green and orange lights that were dancing arrythmically and then looked back at the doctor. "What is it?"

"The baby. It's in distress. We need to get it out which means we're going to have to work extra hard okay?" He used the back of his wrist to sweep across his forehead. He'd checked with the surgery team before they had gone into the delivery room and at the moment, the theatres were full, with urgent cases waiting. Which meant in the event they needed to do a Caesar, they were in trouble. He only prayed it didn't come to that. "I'm going to need you to push even between contractions."

"I don't...." she shook her head with fearful eyes. She was so exhausted she didn't think she could do this.

"Kathy, listen to me." The doctor's face was stern but held a modicum of encouragement. "It seems that the placenta is detaching and that means the baby isn't getting enough oxygen. We need to get this baby born as quickly as possible! The consequences... " He paused to it sink in and then smiled gently to reassure her. "Now that's not going to happen because we have a great team working with us here. But it's really important that you do everything you can to help me all right?"

Kathy looked at him with huge eyes as, without warning, she sank back into her delerium.

"Okay Kathy," Baker looked up and nodded, his eyes intense. "You need to push as *hard* as you can." The nurse beside her helped her into a semi-sitting position and she began to push.

"Ggggggg....aaaaaaaaahhhhh." The urge to push was unbelievable and she found herself almost unwilling in her participation in the labour. And then the need passed and she sagged against the pillows.

"C'mon Kathy, push!" She shook her head wearily at the desperate exhortation from the doctor.

"I can't," she croaked.

"You have to Kathy," he fixed her with stern eyes. "For your child's sake."

You want me to tear myself apart for the child?

"Kathy!" He seemed surprised at her lack of participation.

As the next contraction rolled into action, she found herself unable to fight the compulsion to push and she bore down on the small package inside her abdomen, trying to numb her mind to the searing pain. Behind her, the nurse supported her as she hunched over her bloated belly and she pushed again.

"That's it, good, that's great Kathy." The doctor nodded and looked up at her, encouraging her with a smile but behind the façade there was serious concern. "C'mon. Push again. You're going great!"

Setting her jaw resolutely, she tried to drag back on the contraction, fighting it as hard as she could. She was damned if they would beat her. She would have the last say in this triangle or her name was not Leach.

"Come on Kathy!" Baker was starting to get extremely edgy and he looked up at his patient with deep concern in his eyes. "This is serious. Your child could be in danger if you don't work as hard as you can."

"AAAAAAAAAHHHHHH!" Another contraction tore at her insides, squeezing and pulling. Even as she gave in and pushed, the muscles in her throat stood out in reddened cords and her face flooded crimson with the exertion as she felt muscles contracting that she wasn't even aware existed.

The tearing burning agony was getting worse but she didn't care any longer. She just wanted this child to be pushed out of her.

She flopped back against the pillows and closed her eyes and heart against the pleas from the doctor.

******

"John," he looked up to see a nurse standing in the doorway.

"What is it?" he asked.

"The baby is in distress. Dr. Baker is trying to deliver it as quickly as possible." She looked at the couple with sympathetic eyes. She didn't want to frighten him by telling them how badly it was going, but John had to be there. Especially if the worst happened. "I thought you might want to be there."

They neared the delivery suite at a brisk pace.

He knew Kathy was having a hard time with this labour and she needed someone to be with her.

"John, we have to hurry," Michelle entreated anxiously.

Quickly John followed the nurse through the swinging doors to the delivery room.
 

******

"AAAAAAHHHHHHHH!"

John could hear Kathy's screams of agony before he even made it into the delivery suite. Scrubbed and disinfected, he entered behind the nurse and looked around uneasily, not quite sure what to do.

"Mr. Leach." Dr. Baker looked up, his expression hard and unforgiving. This was a difficult situation and he didn't want it made any worse. "I trust you are going to be more helpful this time?"

"John?" Kathy looked over at him and John became aware of the agony she was suffering. He was unmoved and his expression remained stony as he turned back to the doctor.

"How is the baby?"

"Honestly Mr. Leach?" he glanced at Kathy, the furrows that marred his brow becoming more pronounced. "I'm running out of options here. Kathy, you *must* concentrate. I need you to push as *hard* as you can with the next contraction." He looked back at John, bushy ginger eyebrows bunched over grey-green eyes. "Perhaps you can give her some encouragement?"

"Sure," John's voice was gravelly as he moved to Kathy's side. She took a breath, suddenly torn between hating him for doing this to her and wanting to please him.

She dropped her head to her chest, feeling the contraction growing inside her.

The vicious tearing pain inside her strengthened and she groaned weakly. It was becoming hard to think, to fight, to know what she wanted any more. She wanted... She wanted John to feel this pain. Wanted to see his tears.
The contraction ripped through her and she pushed again, the effort accompanied by a guttural scream that seemed to tear from the very centre of her pain and misery. Dimly she heard a woman's voice telling the doctor something about her blood pressure. Everything was hazy and she was shivering as though the room was freezing. She didn't understand what was going on, she only knew she wasn't going to let John have the satisfaction of seeing her suffer.

"C'mon Kathy," the doctor's voice sounded distant and fog-bound as she found herself pushing, even as she felt as though her body was being torn apart. "You're not leaving me any options here Kathy. You *have* to work with me now okay?"

She tried to shake her head, tried to shake the numbing exhaustion, but her body was betraying her. Her muscles bunched and moved even against her will, rippling downward to expel the tiny life from her body

C'mon Kathy." It was John's voice, breaching the haze of her pain. "Push will you? For G*d's sake, PUSH! *Please*."

Her mouth twisted into an agonized grin as the pain escalated inside her once again.

The monitor above her became more agitated and Baker wiped his brow anxiously. Looking to one of his nurses, he pointed towards the phone. It wasn't desperate yet, but it was going to get that way soon if he didn't do something.

"Theatre. See if there's one free yet. We *have* to get her up there."

"Yet?" John looked confused.

"We've been waiting for a free theatre in order to do a caesarean section. Unfortunately there was a pile up on the interstate and all the doctors and the theatres are being worked overtime." Baker looked weary and as the nurse turned to him with a shake of her head, he cursed softly.

"*Kathy*!" He tried to gain the mother-to-be's attention, but she either purposefully wasn't listening or she wasn't capable of hearing him. Judging by what he'd just heard, either option was likely. "Kathy. Please, I need your co-operation." His only answer was a small moan from the bed and he took a deep birth. Looking at his nurses, he took a deep breath.

"Get me Holbrook. He's still on standby for this right?"

"Uh-huh," the blonde nurse bobbed her head. "But there's no theatre...."

"We're not going to do it in the theatre," Baker snapped. "We're doing it here. We have to do something."

"Dammit Kathy," John crouched down by the bed. "Don't you get it? They're going to cut you open. You might not care about the baby, but for G*d's sake, you could die if you don't help us out here. *Please*."

"NOOOO!" Her voice was pained as another contraction began to claw at her insides. She groaned as the contraction tightened and she began to push again. "I... want this... to stop!" She closed her eyes and groaned in agony. Dr. Baker nodded at John as the nurse informed him that the anaesthetist was on the way. "John... please. I... can do... this no... more... make it... stop!"

"I can't..." John looked disgusted.

"I don't.... Uuuughhhh..." Kathy pushed as hard as she could.

An almighty scream rent the air as she drove down on the baby inside her.

"I can see the baby's head," Baker's words coincided with the entrance of the anaesthetist. Hopefully Dr. Hale wouldn't be needed after all. With the baby this far down the birth canal, forceps should be all that was needed. "C'mon Kathy. Another good push and we won't need to do a C-section after all. Do you think you can do it?"

Kathy nodded weakly and a nurse took a place behind her, helping her up. The pain was almost unbearable as she tried to push again. Darkness alternated with the searing light that flashed behind her closed eyelids as she focused all of her energy on expelling the child from her body.

She dimly heard the doctor's harsh voice as he instructed her to push. And then she felt the cold intrusion of the forceps as they closed around the baby's head and the doctor guided the tiny life out of her body and into the world that wanted it so very badly. But she didn't see John's eyes shine with joy and gratitude as the doctor started to pull out his tiny son.

Instead, she fell back against the nurse with a cry of utter torture as the pain inside her, instead of abating, simply gathered in intensity, the tearing, burning feeling flooding her senses until she was practically numb.

Screamingly she felt the baby sliding out of her uterus.
 
 
 
 
 

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