It's been four days since Meredith began her bed rest. She spends the days in bed reading books and watching tv, much to her chagrin. The nanny drops Bailey and Zola off at 5 so Meredith spends the evenings with them before Derek gets home and puts them to bed.

Zola is sitting on the floor of the living room playing with her toys while Bailey is sleeping. Meredith has just gotten off the phone with Derek; he called to say he got stuck in a surgery and won't be home till much later. "Okay Zozo here's your snack" she says putting the plate down on the coffee table next to Zola. "Cheese, bananas and a little….hmmm" Meredith says. Her face twists in pain and she hunches over, one hand reaching down to support her belly. "Damn it" she says as the pain continues. She hisses in pain and repeats "damn it." A little blood starts to appear on the dress she is wearing. "Actually, you know Zo I think maybe we'll take that, huh, put it in a baggie and we'll…aahhhh..ahhhh!" Meredith puts one hand on the counter for support as she hunches over in pain, while Zola is just standing and looking at her in fear. "Ow ow ow" she yells as she lowers herself to the floor, the pain being too much to handle. "Mommy!" Zola yells as she runs over to her. There's a puddle of blood underneath Meredith. She looks up to see Zola standing in front of her and says "it's okay Zola, it's okay." "You're bleeding, there's blood" she says in a very scared voice. Meredith sees the blood dripping onto the floor and flashes back to when her own mother was bleeding in their kitchen. "Mommy should I call 911?" Zola asks. Meredith sees the blood dripping down her mother's arm and hears "not yet wait," before she says to Zola "yes, call." She hears her mother saying "Meredith, don't be afraid" as she herself collapses onto the floor and passes out. Zola turns around and picks up Meredith's cell phone from the couch. She dials 911 and when the operator says "911, what's your emergency" she replies "my mommy needs help."

The ER is swarming with activity and April is standing in the center of it all controlling the ER board with her tablet when the phone rings. "This is Dr. Kepner" she says when she picks it up. "April it's Nicole. I'm with Dr. Grey. She's having what looks like a placental abruption. We're 4 minutes out and we've got her kids with us." April's mouth hangs open for a second before her trauma training takes over. "Thanks Nicole" she says before turning to the nurse behind her. "Page Robbins, Hunt, Montgomery, and Karev we've got an incoming emergency c-section." Two minutes later they all run through the ER doors and head to the ambulance bay where April is waiting. "Kepner what's going on why did you page all of us" Alex asks. "It's Meredith" she says. "Paramedics think she's having a placental abruption, Zola and Bailey are in the ambulance with her." No one says anything as they all let the reality of what she just said sink it. "Did you page Derek" Addison asks. "No he's in surgery and I didn't kn…" "Page him now! He needs to know what's going on" Alex yells at April interrupting her. She pulls out her phone and sends a quick page. "I'll see if Nelson or Amelia can replace him" she says as she turns to walk inside. A minute later an ambulance pulls up and Meredith is brought out on the gurney. She's covered in a sheet but the blood is already covering most of her lower half. Owen, Alex, Arizona, and Addison all run over to the gurney and grab the rails. "This is a full placental abruption we need to get her to an OR now and do a C-section or she's not going to make it" Addison says. Arizona nods but Alex doesn't say anything. He just grabs Meredith's hand and with fear in his eyes whispers "hold on Mer we've got you." They rush her through the ER and start setting her up in an OR. As they're wheeling her into OR 3 Amelia sees them as she runs into OR 4. "Derek" she says as she walks through the door. "Have you checked your pager" she asks. "No I'm in the middle of this Amy. Now's not a good time." "Derek I'm here to take over for you" she says. "I know you want to act like the boss all the time but I've got this, now get out of my OR." Amelia doesn't say anything and that's when Derek knows somethings wrong. He turns to look at her and before he can even ask she says "It's Meredith. She's in OR 3." He rips off his head lamp and sprints out of the room, still wearing his gloves. As the nurses start prepping her for the c-section Meredith wakes up. "Hey Mer we're just about ready to start everything's going to be okay" Alex says. "We've got you Meredith" Arizona says encouragingly. "My kids, where are my kids" she asks frantically. "Meredith you need to calm down everything's going to be fine" Addison says. She nods to the nurse who then puts the gas mask over Meredith's mouth and puts her to sleep. Just then Derek runs through the door. "What's going on is she okay" he yells frantically. Addison starts the C-section while Arizona goes over to Derek. "She had a placental abruption at home and we rushed her up here as soon as she arrived. She's lost a lot of blood but we should be able to do a C-section in time to save the baby and then we can give her a blood transfusion." Derek just stares at Meredith in fear and shock until Arizona grabs his arm and says "Derek! She and the baby are going to be fine, everything is going to be okay." He just nods, still in shock and fear, and walks over to stand by Meredith's head. He strokes her cheek and just stands by her head. About halfway through the procedure he looks up at Alex and asks "where are Zola and Bailey? They were at the house and…" "They rode with her. I think Kepner took them" Alex answers. "Okay" Derek says, and sighs in relief. Just then a loud cry fills the OR and Addison pulls the baby up. "Would you like to cut the cord" she asks Derek. Arizona hands him a pair of scissors and he cuts the cord, all while keeping one hand on Meredith. Alex and Arizona take the baby over to an exam table. "Everything looks good!" Alex calls excitedly over his shoulder. "Congratulations Derek" Addison says smiling as she starts to close Meredith up. He gives her a little smile and just looks back down at Meredith. "Here you go" Alex says as he hands Derek the baby. Everyone in the room smiles as Derek looks down at his new daughter with pure love and adoration.

A few hours later Meredith slowly starts to wake up. As her eyes flutter open she sees a nurse coming towards her. "Dr. Grey" she says, "your husband is here to see you." Meredith opens her eyes all the way and sees Derek walking towards her, holding a little bundle swaddled in a pink blanket. "She's absolutely perfect" he says as he hands her their daughter. Meredith takes her baby in her arms and holds her tightly. She smiles down at her and tears form in her eyes as her daughter starts moving her fists. "That's right I'm your mama" she says quietly to the baby. "You're right she's absolutely perfect." Derek smiles down at them and sits down by her feet. "How are you feeling" he asks. "A little sore, but not as bad as last time" she says with a smile. They sit in silence for a minute, just looking at their new baby girl before Meredith looks very concerned. "Where are Zola and Bailey" she asks frantically. "They are sitting with Maggie and Amelia in the waiting room" he says. "Is she traumatized? Totally terrified that I'm dead" she asks seriously. "She was a little shaken up earlier but she seems okay now. I think she just needs to see you." "Okay well bring her in." Derek cocks his head to the side a little; "You just woke up I think you should wait before" "No Derek, she needs to see me. She needs to know that I'm okay and that she did the right thing by calling." "She already knows that and understands that you need to recover a little first." "Ugh, you don't get it. Can you just go get her please or I will." Derek opens his mouth to argue but decides against it. He can tell there's something Meredith isn't telling him but knows after years with her that she'll tell him when she's ready. A few minutes later he walks back in with Zola and the little girl runs over to Meredith's bed. Meredith puts the baby in her little crib before motioning for Zola to climb into the bed. "Shhh sweetie we have to be quiet okay?" "Mommy I was so scared" Zola whispers. "I know sweetie, but you were so brave. I love you so much Zozo. Everything's going to be fine" she whispers back as she strokes Zola's hair. They sit in their tight embrace for a minute before Zola looks over at the baby. "Is that my sister" she asks. "Yes it is Zo. Would you like to hold her?" Zola nods and Derek walks over to the crib and picks up his daughter. Meredith positions Zola and shows her how to hold the baby to support her neck. Once the baby is settled in Zola's arms Derek pulls out his phone and takes a picture. A few minutes later a nurse walks in to help Meredith feed the baby so Derek takes Zola and Bailey up to dare care so they can go back to bed. When he comes back Meredith is in the middle of feeding the baby so he sits in the chair next to her bed. "So who are we naming her after" Meredith asks with a smile. Derek leans back in the chair and rubs his hands through his hair. "We are not naming our daughter Addison" he says. Meredith widens her eyes and opens and closes her mouth a few times before saying "oh." "It's okay we can come up with a name, we have time" she adds. Derek just looks at her without saying anything because he can tell by the look on her face that she preparing to tell him something important. She takes a deep breath but continues to look at the baby. "My mother slit her wrists in our kitchen right after Richard left her. I had to watch her bleed out before I called 911 because she asked me not to do anything. That's all I could think about when I saw the blood on the floor. That I was doing to my daughter what my mother did to me. And it took a lot of therapy to get over that." Derek leans back into the chair and rubs his face with his hand in shock. He's heard stories about Ellis from Meredith but never this one. "What if I traumatized her for life Derek and she grows up thinking I almost died?" "What happened is completely different than what Ellis did. Zola knows that you couldn't control what was happening and you let her call 911." Meredith doesn't say anything, she just continues to rub her daughter's face. "The carousel never stops turning" she says quietly. Derek just gives her a look and she says "it's something my mother used to say." He nods in understanding and she finally looks up at him. "She's still influencing my life. I thought when she died that would be it, but it's not. I know I keep saying that I don't want to be my mother, but maybe I should try to just be a better version of her since the universe is hell-bent on making me re-live her life." Derek smiles softly and says "I love you" before giving her a kiss on the cheek. He slides into bed next to Meredith and they both look down at their baby. "Ellis Carolyn Shepherd" he whispers. "What?" "She can be your reminder to be a better version of your mother" he replies. Meredith looks down at the baby and thinks for a moment. "Ellie for short?" she asks. "Ellie. I love it" he replies. She leans her head on his shoulder and he puts a finger out for his daughter to grab. "Hi Ellie" he whispers, and Meredith laughs when she grabs her dad's finger and pulls on it.