Meredith and Derek are in an exam room in their OB-GYN's office. It is their 8 week appointment and once again Derek is more excited than Meredith. She isn't as cold as she was last time but as usual she is being more pessimistic than Derek. Derek got his cast taken off two weeks ago and he got the all clear to come back to work officially. He has to do physical therapy until his hand is strong enough again but Torres is confident he'll make a full recovery.

"So I was thinking we could have Amy and Maggie over for dinner tonight and we could tell them." "Ughh it's still a little early Derek." "Meredith, we have Bailey and I know you think of him as the miracle baby but your uterus clearly isn't that hostile anymore." "I know, I would just feel more comfortable if we waited just in case something goes wrong because it still can. And if you want someone to talk to about it Alex and Christina already know." "Oh so you can people but I can't?" Derek looks down at Meredith with a clearly frustrated face on. "I didn't plan on telling them Alex just figured it out before I even knew for sure I was pregnant and then I had to tell Christina otherwise she would never forgive me that Alex knew before she did." Derek just looks at Meredith disapprovingly but the doctor walks in before he can chastise her. "Okay Meredith move down a little. This is going to be a little cold." The doctor fiddles with the ultrasound and Derek grabs hold of Meredith's hand, giving her an encouraging squeeze. "Are there still things we should be doing to support this pregnancy even after the success of the last one?" Derek asks. "Yes, even though you had Bailey your uterus still isn't a great place for a baby but it looks to me like this baby is doing fine!" The sound of the baby's heartbeat fills the exam room and Derek and Meredith both smile at the grainy image this time. Meredith looks away after a second because she knows she shouldn't get her hopes up but she keeps smiling anyways.

They are driving back to the hospital after their ultrasound appointment. Meredith has one hand on Derek's thigh and whenever they reach a red light Derek turns and smiles at her. "Okay fine we can tell Amelia and Maggie. But you have to wait until my first trimester is over and we're not doing some big production." Derek turns to look at Meredith and smiles even wider than before. "We can do a small dinner at the house, I promise." Meredith just looks at him slyly and says "you're going to have to make this up to me with a lot of sex. Hot shower sex." "Yes dear" Derek replies. "When are we going to tell Zola and Bailey?" "I'm not sure" Derek answers. "Last time Zola was too young to understand but this time she might figure it out" he finishes. "Maybe it might be better to not make a big deal out of it so she won't think we're replacing her." "I don't think she'll think that do you?" Derek asks. Zola is his little princess and he constantly worries about her. "I read that you have to be really sensitive to adopted kids when having biological children so I think we should tell her first. It might make her feel special" Meredith says. "That's true" Derek replies, looking concerned. "Don't worry we'll figure it out" Meredith says to him. She can tell what he's thinking and feels the same way. They don't want Zola to feel like she's being replaced or forgotten especially since she is the only black child. "I think we're going to have to plan a lot more princess tea parties!" Derek says laughing.

The following morning is Derek's first day back in surgery. He did extensive physical therapy for two weeks before getting the all clear from Torres. Meredith, Maggie, and Alex are watching him in the gallery. The room is packed with interns and other surgeons who are all very excited to see the Derek Shepherd back in surgery.

"Look Bailey there's your daddy! He's about to take off the skull flap. Can you say skull flap?" Meredith holds Bailey up in front of her and bounces him up and down while he babbles and says something that sounds more like "full fap". Alex walks in and sits down next to Meredith who has Maggie on her other side. "How's it going" he asks before taking a bite of his sandwich. "Great" Meredith says with a smile. "He just took off the skull flap and now he is going to start resecting the tumor, isn't that right Bailey" she says. Bailey claps his hands and smiles at Meredith and Alex. Alex smiles and tickles Bailey's arm which makes him laugh the cutest little baby laugh. "Uh Meredith he is just so precious! Do you think you and Derek are going to have another extremely adorable baby or did you decide to stop at 2" Maggie asks. Alex and Meredith exchange a look before Meredith puts Bailey back down into her lap and says "we've been talking about a third but I'm not sure. If it happens it happens." Meredith has a weird look on her face which Maggie notices and she says "what aren't you telling me?" 'Nothing!" Meredith replies. Alex cuts in before Meredith can embarrass herself which he knows she always does when she starts rambling. "She's just scared because last time she almost died having a c-section during a power outage." Meredith turns and glares at Alex. "You what?" Maggie asks sounding very concerned. "It was nothing" Meredith replies. "I had to have an emergency c during a super storm that caused the power outage but because I had fallen down the stairs earlier that day I also needed a splenectomy" Meredith says shrugging her shoulders as if it was no big deal. "What she isn't telling you is that her intern had to do the splenectomy while she was awake on the table and she almost bled out" Alex says in his smart-ass voice. "Oh my god Mer I am so sorry that must have been so scary" Maggie says with obvious sympathy in her voice. "It was nothing" Meredith says with a tight smile before turning to glare at Alex again. "I'm going to take him back up to day-care now, Maggie will you page me when you get the labs back on Mrs. Williams?" "Of course" she replies. After Meredith leaves the gallery Maggie turns to Alex. "Did she really almost die giving birth" she asks. "Yeah" Alex says matter of factly. "Oh and a couple other times too." Maggie looks horrified while Alex just smiles his idiot smile and gets up, leaving Maggie yelling after him saying "what other times?"

"You were amazing in there" Meredith says to Derek as she comes up behind him and wraps her arms around his waist. He turns around and kisses her before saying "is there a possibility you want to reward me for my amazing tumor resection?" Meredith laughs and then grabs his arm, dragging him into an on-call room. She pushes him up against the door and passionately kisses him. He starts kissing her on the cheek and moves down her neck causing her to moan. "Dr. Shepherd" Meredith says in a seductive voice. "What talented hands you have!" Derek laughs at her comment and moves his hands up her shirt and takes her scrub top off. He then takes his shirt off while she starts kissing the top of his chest and his neck. He picks her up and carries her to a bed and kisses her deeply before moving down her body. Just as he's about to take her pants off he notices her stomach looks a tiny bit bigger than it normally does. He looks up at her and stares into her eyes lovingly for a moment, keeping his hands over where their baby is. "I love you Meredith Grey" he says. His voice is so calm and sure that it makes her feel like she's falling in love with him all over again. She pulls him up so she can kiss him and says back "and I love you Derek Shepherd." He kisses her passionately before moving his hands down her body again.

An hour later they're lying in bed together while Derek rubs his hand up and down Meredith's stomach. Meredith snuggles into him, pushing her back up against his stomach. "Earlier today I almost got Bailey to say skull flap" Meredith says proudly. "Really" Derek responds in an amused voice. "I think we can start teaching him how to suture" Meredith says laughing. Derek kisses her neck and she rolls onto her back so she can look at him. She looks thoughtful so Derek doesn't say anything, knowing that she'll talk when she's ready. "I was reminded today that I almost died when Bailey was born. And I'm just being realistic because bad things happen to us and we have two kids now and" "And nothing is going to happen this time because you won't be taking the stairs." Derek runs is hand over Meredith's cheek to try and calm her down. He gives her a little smile with the faint hope that it will cheer her up but it doesn't work and she says "Derek I'm serious I don't want it to be just you and the kids because something is bound to happen to me again." He looks down at her sadly for a moment before kissing her and saying "lets worry about that when the time comes. For now, just enjoy being pregnant."