Derek and Meredith had been busy all morning. It had started with Meredith's morning sickness, and Derek offering his support.

After such a dreadful start to the day, and Meredith having such a hard time swallowing her pills, she had Derek drop her off home while he went on his way to work

She had been so nervous about her up-coming appointment with Burke. She had no idea what they were going to discuss and that made her worry more.

In efforts to keep her mind off of things, Meredith had turned to cleaning. Between doing the laundry and cleaning the rest of the house from top to bottom, she had managed to keep herself completely busy.

When it came time for her appointment, she drove to the hospital and met an equally flustered Derek at the door. It seemed as if he had gotten out of surgery only moments before.

She greeted him with a kiss, and he quite happily slipped his arm around her, and they began to make their way to Prestons office.

On arriving at the office they both waited patiently for Preston who they had been informed, was on his way.

Derek took this opportunity to run his hands over her slightly swollen stomach, while placing butterfly kisses on Meredith's head, which was resting on his shoulder.

"We need a song." she whispered.

Derek considered this, surprised that she had thought that it was important to discuss at this time now

"Well what do you think?" he asked her.

"I dunno" she sighed "but we should , you know, and we... married soon... dance... and ... " she rattled off nervously.

"Shh..." he sighed as he moved to tilt her head to look at him. "I want to figure it out too." he told her, "but right now let's just not think about that."

Meredith looked down a little.

"Let's just wait until we can focus on it completely. We need to find a song that suits us." he ran his thumb over Meredith's cheek. "Ok?" he asked.

Meredith nodded and sighed.

Derek leaned in and kissed her softly. "It's all going to be ok." he promised before Meredith snuggled into him.

Preston arrived moments later. He looked over at Meredith and Derek and considered the situation they were in. He had read over her file and had looked over her results from the other day. He knew every little detail as her doctor to assist him in making an accurate decision on handling this case.

He let them be for a few moment. He understood the impact of the situation on the couple. The last thing he wanted to do was upset their world. A world which he knew already had been shaken by her mothers return.

Taking a deep breath he walked towards them. "Dr Shepherd, Meredith, step on in." he invited as he opened his office door and allowed them entry.

They moved in awkwardly and sat down on the chairs that he had set up in front of his desk.

"Now Meredith as you know, i asked to see you." Preston spoke as he took his seat behind his desk. "We need to discuss your pregnancy." he said.

Meredith nodded and Derek reached for her hand. They both needed to hear this.

"I'm worried about your heart Meredith. I dont know if it could hold up through Child birth." he said rather uneasily. He didn't want them to assume anything. "I would have actually prefered that you weren't put in this position, but i do have to recommend..."

"Abortion?" Derek asked worriedly.

"No" Preston shook his head. "I was goig to apologise because she would not be able to experience a natural child birth. I'd prefer a ceasarean birth. It would reduce the risk of any problems and then i would hope to review Meredith's heart and consider a method of repairing the damage that it has already recieved."

Derek nodded in understanding while Meredith just looked relieved.