Sorry for any mistakes I make in this, especially medical later. It was based on what my mum could remember from when this happened to me and she was a bit preoccupied at the time. So sorry. Let me know if it is majorly wrong. Thanks for all the reviews so far.

Also, don't care if I over dramatise it, its a fic. I love them all too much not to explain everything that I can.

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Sara screamed aloud as another contraction hit her hard.

"Al you said I could start pushing." She virtually screamed at the Doc. He grimaced apologetically.

"I know, I was just checking the time between still. Next time you can push, you ready though? It's going to hurt a lot more."

"More? I didn't know it could get any worse. How can it hurt more?" She replied, starting still annoyed and collapsing into sobs by the end. "Please Al. Please tell me there is something you can do. It hurts so much."

Al looked about ready to cry as well, and looked thoughtful for a moment before replying. "Not right now, not that I'm willing to do. I promise you Sara, if I think I need to do it I will."

"Doc, right now I don't care if you kill me. Please."

"No, Sara." Even through the pain she heard the stern note in his voice, and knew that he was only doing what he thought best for her. He was having to look at her as a patient and not as someone he knew well. She nodded weakly. Slumped her head back and breathed deeply, trying to prepare herself.

Grissom stretched a hand towards her forehead and towards a loose strand and opened his mouth to speak but stopped when Sara suddenly growled. "Don't."

He moved his hand back to holding hers, and shut his mouth, but looked at her waiting for her to speak again. She muttered at him, low and quiet.

"You dare mention how proud you are, how well I am doing, or how much you love me and I promise you as soon as I can stand I will strangle you with the umbilical cord from your own child." Grissom didn't move or say anything only accepted it but his face paled slightly. Sara continued to watch him and continued to mutter at him. "Don't even think of telling me it's nearly over. When the shoulders are out its nearly over. And until you have pushed a baby elephant you cannot comment on this. If you dare say anything I'll..." Grissom didn't get to hear what she would do.

Sara suddenly sat up slightly and clutched at her abdomen, biting her lip to keep from screaming, the tears pouring in earnest. She instantly lay down flat again trying to breath as Doc. Robbins spoke to her.

"Push Sara, push now. Ok, relax. Well done Sara, I can see a head, we're almost there." She attempted to glare at him and failed. Instead she lay down again and waited for it to start again.

"There we go, there we go." Doc. Robbins continued saying as he finished pulling the baby away. "Sara, you've got a beautiful baby girl."

Sara began to weep again from relief. "Can I see her?"

Doc. Robbins nodded. "Just give me a minute to finish up and wrap her up and then of course Sara."

Sara suddenly gasped in pain again. "I thought this pain would stop. Why isn't stopping?"

Doc. Robbins' face grew concerned, he pushed the first baby towards Catherine who immediately took hold of it and began rocking it gently to stop it crying as she continued to watch Sara nervously. A moment later she saw Doc. Robbins sit up again.

"Surprise Sara. You're having twins."

"What? I never knew I was having twins. Why didn't I know?"

"The second will have hidden behind the first in the scan. It happens every so often. Your ready to go again?"

Sara drew in a ragged breath and biting her lip nodded.

"Ok, I want you to push next time ok?"

She nodded again. A moment later she began to push. "Stop. Sara stop pushing. Now Sara!"

Worried both her and Grissom looked towards Doc. Robbins. "Shit!" He whispered softly.

"Al?" Sara questioned gently. "What's wrong? What's up with my baby?"

"I think it's caught in it's umbilical cord. But I don't know. I'll try and see. Just do what I say."

Sara nodded fervently, now silent and her face even paler than before. He began explaining what he was going to do calmly to Sara.

"Ok, now what I'm going to do is-" Sara suddenly cut him off.

"Doc. I don't care what you do. Just sort out my baby." Catherine looked sharply towards her, she had been so absorbed in the first child (who had now stopped crying) and caring for Sara and pitying her for the pain she was going through that she had completely forgotten about any maternal instincts that Sara could be having. Al simply nodded, understanding what Sara was saying, his face registering understanding, his eyes showing shock. He had suddenly also remembered about Sara becoming a mother. He had forced himself to look at it like a normal birth and Sara as patient. Now he suddenly saw her as the strong woman who he had worked with for so long, a new mother. He knew that she no longer cared about the pain she was going through, she just wanted to get the baby out alright. His eyes took on a new determination.

He had never done this before himself but he had assisted on quite a few of them. He was not going to let anything happen to Sara or to her child. He owed it to her, and to Grissom. Grissom was just staring at Al, almost pleading, though Al knew not whether it was to get his child out ok or to help Sara.

Al gritted his teeth and turned all his attention to the child being born. Not letting anything distract him. Grissom looked back to Sara and stared at her.

Her eyes were closed both from pain and concern. Her hair lay either around her on the pillow or plastered to her face. She was biting her lip. One single slow tear was trickling from the corner of her eye down her cheek. Grissom knew he would remember this single image for the rest of his life. The beautiful woman he loved, so vulnerable but having no less strength because of it.

He encouraged her in what little ways he could and continued to watch her face. Listened to Al's instruction about when to push and when not to push. Sara suddenly let out a breath, almost a sigh of relief. Grissom looked quickly down and realised that his second child had just been born. He smiled weakly at Sara who smiled weakly back, partly from relief that it was now over. Until something intruded a few seconds later.

Al was still moving around the new child, Catherine was hovering nervously over his shoulder. But their was no crying. No noise. Only silence coming from the direction of the baby. Grissom bit his lip to stop himself screaming questions at Al, he knew that he needed to work. Sara was struggling to get up but not managing. She opened her mouth a little, but instead of words a sob escaped her.

"Gil? Why is my baby silent? Why isn't my baby crying or moving?" She whispered her voice barely audible. Grissom just looked at her. He could find no words to explain, as he didn't know what to explain. He refused to believe that they had lost a child, but knew that Al would have said if everything was fine.

Tears were also brimming in his own eyes and only the need to stay strong to comfort Sara was keeping them from spilling over. Instead he cradled Sara in his arms, saying nothing. Still not knowing what to say.

Sara kept trying to speak, to ask Al what was happening but couldn't find her voice. Instead she wordlessly cried into Gil's shoulder apart from to take quick glances at Al and her baby.

The rest of the team had stepped forward slowly, drawing nearer, also worried but remaining silent.

Catherine was hovering nervously over Al's shoulder. Still rocking the first child but hardly noticing as she watched concernedly over the second one. She had seen what had happened, and could see what was happening now. As a mother she knew that she was slightly closer to understanding what Sara was thinking than anyone else except possibly Grissom. But she not even begin to imagine what Sara would feel like if the baby died. Hospitals were still not running and even if they were they could not get them there in time. She only hoped Al could solve this.

Al himself was muttering under his breath while working on the infant. "No. You're not going to go, I owe it Sara. I owe it to Gil. I owe it to you and your sister. You're not going to go. You're not going to die." But even though he was continually muttering and swearing that he could sort it the coroner and the doctor in him knew that time was running out. Unless he could sort the infant in about a minute then he would have no chance. The doctor in him noted how little amount of time was left and how little equipment he had around. The coroner in him realised how many babies with similar situations he had seen which had come to him over some controversy and how they had been lost the moment the cord had twisted. The friend in him swore that he would try all he could to save the child. He was not going to let Sara and Gil's second daughter die.