"What's going on?" Addison asked her first year resident, as she walked into the labour room.

"The baby's having decelerations, so I paged you," the resident replied, who looked like he didn't know what was supposed to happen next.

"Right, they are lasting longer this time. Katie, I'm going to examine you okay?" Addison said as she sat down on her stool in front of her patient, with her knees up on stirrups.

"What's wrong?" Katie asked her doctor, almost in tears.

"I'm afraid we're going to have to do a section," Addison said as she took her gloves off and stood up, "The baby is in distress. She is not recovering in between contractions and you're only 5cm. It can be a long way before you're fully dilated and we can't risk anything happening to the baby now,"

"Fine just do what you think is best," the dad jumped in.

"Yeah go ahead," the mom-to-be added.

"Dr Jones, prep her for surgery while I'll go book an OR, okay?" Addison asked her young male resident.

Addison walked out of the room and approached the desk, while feeling what felt like a tightening across her lower abdomen. She took a deep breath in and dialed the phone.

Meredith was looking at the board, confused at the sight, when she looked around to see Derek walking down the corridor.

"Dr Shepherd!" she called out to him as she followed him while he completely ignored her and headed to the stairs. Meredith didn't give up.

"Derek!" she yelled as she took hold of his arm and turned him around, across the banister, "you kicked me off your surgery! Why?!"

"You are no longer on my service, sorry," Derek said coldly as he turned to descend the stairs.

"Excuse me?! You know I'm good at neuro! Oh wait a minute, I know what this is about! If you have a problem with me sleeping with Mark, I don't care! Just don't drag it into work!" Meredith yelled, standing at the top of the staircase, causing Derek to turn again.

"Last time I checked, I'm the attending. You're my intern. You obey the rules, got it?" Derek said as he started walking down the stairs.

"Don't you get all bossy with me!" Meredith said as she walked quickly down the stairs enough to surpass him and stop him from doing any more movement.

"You have no right over my private life! I didn't judge you when you chose Addison. I repeat, you chose Addison, not giving a damn about me. So you do NOT get to judge what I do to get over you!" Meredith yelled before storming off.

"Your husband is with your daughter, okay Katie? She's in good hands," Addison told her patient through the mask, as she sutured her patient's belly closed, after the baby was rushed to NICU.

As soon as Addison was done and she stepped away from the table, she took off her surgical gown and mask and was about to walk into the scrub room to scrub out when the OR room opened. Dr Bailey appeared through the door, holding a mask across her mouth.

"Hey Addison, are you done? Because I have a scheduled bowel resection and the other OR's are full. There was a major trauma and everything's backed up… Are you okay?" Miranda asked Addison, as she saw her holding her belly.

"Yeah, yeah… I'm fine. I'm done here… um, be careful-" Addison told the scrub nurse before she wheeled out the patient into the recovery room, "that on the floor, is not saline…. That's um… my… amniotic fluid, my waters just broke 3 minutes ago," Addison said calmly, as she entered the scrub room.

"What?!" Miranda said as she followed her, "You're in labour?"

"No I am not. I would know if I am, I do this for a living Miranda," Addison said as she turned on the tap.

"Oh really," Miranda said as she crossed her arms across her chest, "when was your last contraction?"

Addison stopped washing her hands, "about two minutes ago," she uttered.

"Right you need to get to a delivery room. Have you called Derek?" Miranda asked her.

"No!" Addison snapped, "I'm not calling him. I don't want him anywhere near me!" she added, "will you come with me?"

"What? Honey I can't do that. I have my bowel resection in 10 minutes," Miranda told Addison.

"Please Miranda. I'm scared… oh God…" Addison said before she clutched her belly again.

"Okay I'll help you get there, come on," Miranda said as she held Addison by her waist and led her out of the room.

Addison was immediately given a room, given her status in the hospital, while Miranda accompanied her.

"Addison are you alright in there?" Miranda asked through the bathroom door.

The door soon opened, while Addison walked out of the room wearing a patient gown, "Yeah I'm…. damn it…"she uttered as she held her belly again while holding onto Miranda.

"I really need to go soon honey, why don't you want to call Derek?" Miranda asked as she led Addison to the bed.

"Because we had a fight and I can't stand the sight of his face right now!" Addison said as she climbed into bed.

At that moment, the door opened by the first-year resident that was assigned to Addison that morning.

"So Dr Addison Montgomery-Shepherd, you're presenting at 39 weeks and 5 days, with spontaneous rupture of membranes and regular contractions every 5 minutes-" the resident started, before Addison cut him off.

"Excuse me! You are not on my service anymore! Go get me another attending… get Sofia, tell her its me," Addison snapped at him.

"Right okay, before I do that, let me just attach you to the monitor to make sure everything is fine," the resident played a know-it-all as he tried to attach the probes to her belly.

"Here!" Addison told him as she attached the probe in the right place, "her head is engaged down here, her butt is up here and this is her back! Do you even know how to do an abdo exam?!" she ranted on as she pointed to places on her huge belly.

Miranda Bailey just stood there and watched, trying not to laugh.

"well of course," the resident uttered.

"Listen to me!" Addison yelled as she held her resident from his v-neck and pulled his face towards her, "I have conducted countless vaginal deliveries and c-sections before you were even born! There is no way in hell you are going anywhere near my vagina! Now go get an attending!" Addison yelled at his face. She may have been exaggerating a little but he got the point.

"Yes Ma'am," the resident rushed out of the room immediately.

"Addison I really need to go," Miranda said as she held her hand.

"Please Miranda just a bit more, at least until I get examined," Addison pleaded.

The attending soon walked in.

"Hi Addison, sorry I was with another patient. Let's see what's going on, shall we?" Addison's colleague said as she gloved herself and examined her.

"Wow you're full of surprises, you're about 6cm," the doctor added as she took her gloves off.

"oh... so no intramuscular pethidine for me, oh my god, here comes another one…" Addison yelled, bending over in bed.

"Are you sure you don't want an epidural or something?" Bailey jumped in as she held her hand.

"No… no… less intervention is better… I know that's ridiculous coming from a surgeon but I'm gonna try," Addison said between breaths, when her pager went off.

"But what about the baby? Surely a second surgery is too risky for a baby at 20 weeks right?" the husband told Derek worried as they prepped his wife for surgery.

"Someone page Addison please," Derek told one of the nurses.

"Yes it is, I'm not going to lie to you. But your wife has a bleed in her brain. I have to open her up again to stop it. If we don't do this, you could lose both of them," Derek explained in a hurry.

One of the nurses came back in, "Dr Shepherd, we paged Dr Montgomery Shepherd, and Dr Bailey replied, she told us, she's in labour,"

"She's what?!" Derek asked stunned, confused as to what to do about his wife in labour and his patient bleeding in her brain.

To be continued...