Um, this is the chapter when Lita gives birth. I don't write everything that happens, just a description. You'll see what I mean. I don't know how comfortable you may be with reading about it so yea, keep that in mind.
"Good afternoon." Dr. Moretti smiled as she entered the room later that afternoon. "How are you feeling?" she asked Lita.
"Tired," Lita replied. "And in pain. It's been ten hours, is this even working?"
"It's not. Your cervix has only dilated two centimeters. We need to deliver these babies soon, so we're going to do a C-section."
"Can't you wait longer to see if it works?" John asked.
Dr. Moretti shook her head. "No we can't because the babies heart rate have dropped so it's better if we just deliver them through C-section."
"So when are you gonna do it?"
"In an hour. I just came here to check how you were doing and tell you the plan."
"So how does this happen? What are you going to do?" Lita wanted to know.
"Because you're going to be awake during the C-section, I'm going to give you an epidural so it will numb your lower half, your abdomen to below the waist. You'll most likely still have feeling but you shouldn't feel it too much. And then sterile drapes will be placed over your belly. A short screen will be placed on your abdomen so the area remains sterile and so you don't have to watch yourself getting cut, unless you want to, in which case you can ask for a mirror to watch."
Lita scrunched her nose in disgust. "I rather not. I mean, apparently childbirth is supposed to be beautiful but I rather not see myself cut open."
Dr. Moretti nodded. "Once you're fully numb, I will make a horizontal incision in your lower abdomen. Then I'll make a low-transverse incision across the lower part of the uterus. Next, the amniotic fluid will be suctioned out. Finally, one of your babies will be delivered, you might feel a bit of a tugging but that's okay. The baby will then be taken to the warming table to get cleaned and examined. In about a minute after that, the other baby will be delivered and will also be cleaned and examined."
"How long is this gonna take?" John asked once Dr. Moretti was done explaining the first part of the procedure.
"That can take anywhere between ten and fifteen minutes. But then after that we're going to remove the placenta and then stitch her back up which will take around thirty or more minutes. You both can meet the babies after all of that is done unless the babies need extra attention."
"Why would they need extra attention?" Lita asked a little worried.
"There are some problems they could experience because they are born about four weeks early, but I have dealt with this before. You just need to stay calm and relax, let me and the nurses take care of the rest." Lita nodded. "You'll have to stay in the hospital for a few days because of the operation and we have to wait for your blood pressure to get back to normal."
"Okay. I have heard that C-sections cause more pain afterwards than regular labor."
"You heard correct. You'll have to stay at least four to six weeks at home before you feel back to normal. The site of your incision may be sore at first but the pain will lessen in a week or so, but it may start to feel twitchy as well as itchy but that will pass too."
"Maybe the pain won't be too bad."
"Shut it Cena. You're not going through this so you don't get to make a comment." John merely rolled his eyes.
"So you'll be taken to operating room in about another thirty minutes. You'll be given the epidural and then we'll start. Any questions?"
"Not really."
"Oh," Dr. Moretti said before she left, turning her attention to John, "I almost forgot. You are allowed to be in the room, but you have to wear a sterile garb and can only sit near her head." And with that, Dr. Moretti left.
"You okay with me bein' in the room? We never really talked about that did we?"
Lita shrugged. "Doesn't matter. You're going to stay up at the head, that's fine. Did you call your parents?"
"Yea, I called them a couple of hours ago. They should be here around four or five." Lita nodded. "Your parents are around here somewhere. I guess we should tell them what's going on when they get back here."
"Yea."
"You ready?"
"I guess."
"You're about to be a mom."
"And you're about to be a dad."
"Wow."
"Yea. Wow."
"What's going on?" Lita asked as Dr. Moretti was closing her back up.
"They're just cleaning and examining the babies," John answered from besides her.
"Are they okay?"
"The nurses are with them, you just need to relax."
"We have to get them to NICU," one of the nurses said.
"Why?" Dr. Moretti called to the nurse, "Tell me what's going on. How's their Apgar Score?" She asked the nurse about an assessment which is done after the baby is born to see how the baby is doing at birth by examining and rating the appearance, pulse, responsiveness, muscle activity, and breathing.
"Both of them are having breathing problems. The baby boy is six and the baby girl is four," the nurse responded.
"Okay, you need to take them up to NICU now and hook them up to a ventilator and then we'll do the other tests to see what's going on."
"What's going on? What's wrong? Why are they having trouble breathing?" Lita asked.
"It's normal in premature babies. They're lungs are most likely not fully developed."
"So what are they going to do?" John asked before Lita could.
"The babies are being taken to the NICU to be hooked up to a ventilator. We're going to run a few tests to see what exactly the problem is."
"When can I see them? I want to see them."
"I'm not done closing you up yet. But you might have to wait a bit. Just try to calm down for right now."
"Li, she's right, you need to try to calm down. They'll be okay. They're getting the help they need right now."
"Do you really believe they'll be okay?" Lita asked looking up at John.
I don't know. "Yes."
"It's been two hours since I've been back in the room," Lita started to say, "Why can't we see the babies yet. I want to see them."
"Sweety, they're getting some tests done right now. Try to relax, you need your rest. You need your time to heal," Olivia said trying to calm down her daughter.
"No. What I need is to see my babies. I need to know if they're okay."
"Which is why they're undergoing some tests right now," Carol said trying to calm the new mother down.
"I want to see them too," John started to say, "but you have to understand they're getting the help they need right now."
"I know. I just want to know if they're okay."
"I'll ask someone if we can see them soon and what's going on now. Is that okay?"
"No need," Dr. Moretti said as she entered the room, "We're done with the tests. Your daughter weighs three pounds and seven ounces while your son weighs three pounds and twelve ounces."
"Why do they weigh so little?" John asked.
"They're preemies and they're twins. Twins usually will weigh less than a single baby even if they aren't preemies. It's because they have to share the mother's nutrients for nine months instead of one baby who gets it all. That's not too much to worry about."
Lita nodded. "Okay. So how were the tests?"
"The babies are still in the NICU hooked up to the ventilator. That should help them with their breathing. The tests confirmed the both of them are diagnosed with Respiratory Distress Syndrome (RDS) which is common in premature babies. Their lungs aren't fully developed and they lack surfactant, which is a liquid substance that allows the lungs to remain expanded which is why they are also given an artificial surfactant which will help them with their breathing as well."
"They'll get better right?"
Dr. Moretti nodded. "Yes, but there is something else I need to tell you about."
"What? What is it?" Lita asked panicky.
"Well, we ran other tests as well-" Dr. Moretti was about to continue until the red-head interrupted her.
"Oh my God. It's bad isn't it?"
"Li, let her talk first. It might not be as bad as you think," John said.
"Okay," Dr. Moretti continued after the interruption, "We ran a Ehocardiography which is a test that uses sound waves to create a moving picture of the baby's heart. It allows me to see if there are any problems with the way the heart is formed or the way it's working." She paused before she continued again. "Your son's heart is fine but, your daughter's heart showed some problem."
"Oh my God," Lita whispered while John was trying to comfort her. He was just as worried as she was but he was going to be strong for her.
"She's experiencing Patent Ductus Arteriosus (PDA) which is the persistent opening between two major blood vessels leading from the heart. It's supposed to close once the baby is born but it hasn't yet. It can close on it's own without it being treated, but we rather not do that because it can cause too much blood to flow through the heart and cause heart failure as well as other complications. We're going to give her an Indomethacin injection which is medicine that helps close PDAs in premature infants. It will prompt the PDA to tighten, which closes the opening."
"And if that doesn't help?" John asked.
"We can talk about that if it comes to it but it should help close the opening."
"Can we see them?" Lita asked.
"Yes, but don't be frighten when you see them. They are in an incubator and connected to a ventilator. It protects them from cold temperature as well as infection, noise, drafts and excess handling." She then turned her attention solely to Lita. "Since, they aren't breathing well, you can't feed them yourself. They can receive breast milk or formula through a small tube which will be inserted through their nose. Did you decide what you want to do with that?"
"Well, breast milk is supposed to be better for them right?"
"Correct."
"Then, I'll do that."
"Okay. And because of everything I just told you, you can't hold them just yet."
"What? Are... That's... What? We can't hold them? But we can still see them right?"
"Yes, only two at a time. So you two can see them first, if anyone else wants to see them, then one of you two have to go in with them. When we get up there, we will have to sign in your names and you will be given a hospital bracelet that will identify the two of you as their parents, it's for safety precautions, so you have to wear it at all times. Until you officially name them, the babies will be called Baby Dumas A and Baby Dumas B. Your son is A since he was born first and that makes your daughter B."
"Okay, can we go now?" Lita asked.
"Yes we can," She turned her attention to Lita's and John's parents, "Grandma and Grandpa can come too. But you're going to have to wait outside the room for a bit."
"They're so small. Even if we were able to hold them, I would be a bit scared," Lita said when her and John were finally with their babies.
"Yea."
"What if something happens to them? Especially her? Her heart-"
John interrupted her before she could go into one of her panic moments. "Li, Dr. Moretti said they'll be okay. The medicine they're giving her should help."
"If it doesn't, she'll probably have to undergo surgery that's why she didn't tell us what would happen if the medicine didn't work. She's only a baby!" Lita said with her eyes getting teary so she opted to look down at her hands in her lap.
John stooped down a bit to her level, she was on a wheel chair since she wasn't supposed to move around too much and irritate her stitches, and lifted her chin so she was looking at him. "You can't keep thinking about the 'ifs'. Think positive."
"I'm sorry I can't be calm like you okay!"
John sighed. "I'm worried too. But like I said, you have to think positive. You can't worry yourself, the doctors know what they're doing. She'll be okay."
"And if she's not?"
"Li-"
"Okay. You're right. Think positive. That's not going to help but I can try."
"That's all I ask."
"Did you name them yet?" Victoria asked her sister-in-law.
"No," Lita replied, "but we narrowed it down from three each to two."
"And?" Trish asked after she realized Lita wasn't going to continue.
"Brooke or Audrey. Logan or Andrew. Ava wasn't really working for me. And John didn't like Mason."
"But you did until-"
"Shut up Trish," Lita said glaring at the blonde.
Victoria smirked. "But it's the truth."
"You know, I'm so close to killing the two of you."
"Lighten up. We're just messing with you."
"Am I the only one who's confused?" Dave asked John and Randy.
Just you and John, he's more confused than you. "Nope," Randy lied. He knew about how Lita changed her mind of naming her son Mason just because Maria liked that name. Victoria knew about that too, but unlike Trish and Randy, she didn't know why she had a huge dislike for Maria. She was in the same boat as Dave, she had an inkling but never asked the red-head about it. She knew Lita wouldn't tell her the truth because she could slip and tell Dave who was probably the last person, next to John, she actually wanted to find out.
"So how are you going to decide what to name them?" Trish wanted to know.
"We're gonna pick the name out of a hat," John said.
Lita punched John on his arm. "No we're not. Shut up."
"Stitches and you're still violent?" John said rubbing at the arm she punched him on.
She rolled her eyes. "Anyways, when our parents were here earlier, we asked them to vote. So we're going to ask you too."
"So what are the votes?" Randy asked before anyone else could.
"Not telling you. Tell you after the final count. So chop chop. John give them a piece of paper so they won't know each other's votes."
"Is that necessary?" John asked.
"Yes, now shut up and do it."
"Someone's pushy."
"Someone's annoying."
"And they just became parents," Dave said shaking his head in the pairs usual bickering.
"Shut up," they said in unison.
"Alright," Lita started to say when she had all the slips of votes in her hands after a couple of minutes. "Five for Audrey, three for Brooke. I like Brooke, John likes Audrey, so that's six Audrey and four for Brooke." She glanced at John, "Did your brothers care?" She thought they should be included in on the voting too even though they weren't there.
"Well, two of them said Brooke. The other two don't care."
"Well then, that's a tie. I guess we can figure out which one of those names goes better with our boy's name." She started to work out the votes for her son's name. "Okay, five for Logan and three for Andrew. Me and John both like Andrew so that's five for that name."
"Both said Andrew," John said about his two brothers who actually had an opinion about the names.
"Did they vote together?" Lita rhetorically asked, they both said Brooke and they both also said Andrew. "Alright, let's see, Andrew and Brooke or Andrew and Audrey?" Lita answered her own question, "Andrew and Audrey sounds better. What do you think?" She asked looking at John.
"Well that's both of the names I like, so it works."
"But I really like the name Brooke," Lita pouted.
"Then that's fine."
"No. Audrey and Andrew sounds better."
"Yea, that's cute set of names for twins." Trish said.
"So then what are the final names? Like with the middle name. And the last name. Did you finally agree to John's last name or are you still being stubborn with it?" Dave asked his sister who rolled her eyes at him.
"Everyone made their point. They should have his last name instead. Whatever."
"I win," John said with a smug look on his face.
"Do you want to get slapped?"
"Are you violent with everyone or am I just special?"
"You wish you were special."
"Okay," Victoria interrupted before two could continue any further, "Would you like to tell us the full names?"
"What was the middle name for Audrey again?" Lita asked John, he liked that name more than Lita did so she kind of forgot what middle name they opted for.
"Renee," he answered.
She nodded. "So Andrew Joseph Cena and Audrey Renee Cena. I still think Dumas would sound better." Lita answered.
He rolled his eyes, "Get over it."
"So Li, I'm going to have to borrow the two of them later when they get out of here and a little bigger," Randy said
"And why is that?" Lita asked.
"Everyone knows the ladies fall for the single fathers."
"Okay, I'm really interested in seeing where you're going with this," Lita interrupted.
"If you would let me finish. Anyways, you know, I could take them for a stroll around the park. The ladies will see me with the babies, think I'm their father, and fall to my feet."
Lita took a deep breath before she asked her next question even though she felt like she knew the answer. "And how would they think you're a single father?"
Randy shrugged. "I'll just them the babies mom died or something and I'm devoting my life to my children."
Lita laughed humorlessly then looked at John, "You're not special because I'm about to kill him."
"I'd back away a bit if I were you," John warned Randy, "Stitches won't stop her, you know that."
Thanks for reading. Thanks for reviewing. Thanks for voting.
There was a tie in the names. It's kind of funny how the tie worked out because looking at the votes, it seems like I asked Brooke&Logan or Audrey&Andrew. Anyways, I broke the tie and chose Audrey&Andrew because like alliewash17 said, that's a cute set of names for twins.
Fun fact (or not): I was a preemie and whenever anyone called my parents, my mom thought it was the hospital telling her I died. I have a very optimistic mother (sense the sarcasm). I was born a year early. No I'm kidding, that's not possible. But I was born in the end of December 90 when it was supposed to be the end of February or beginning of March 91 so yea, a year early.
