Disclaimer: I don't own Grey's Anatomy characters or stories.

September 7th: 34 weeks pregnant.

Addison and Derek were busy rushing around getting the girls ready for their first day of school.

"Derek, where's the camera?" Derek kissed her.

"Slow down. You're 34 weeks pregnant."

"It's her first day of Kindergarten."

"I know."

"Did you make sure she's dressed in her uniform?"

"She's all ready. She's bouncing off the walls." Addison got teary and then smiled. "What's wrong?"

"She's going to kindergarten for a whole day." Derek laughed.

"It's just a day of school. You'll see her at 4 at the latest."

"I know."

"Did you talk to Mark?"

"He's meeting us at school."

At school….Lily walked between Addison and Mark holding their hands. The teacher was at the door to greet them.

"Hi. I'm Ms. Kendall. What is your name?" Lily held on to Addison's leg. Addison put her hand on Lily's head.

"Can you tell your teacher your name?"

"Lily."

"It's nice to meet you Lily. There should be a spot at a table with your name on it. You can meet some of the other girls your age and when everyone's here we can start our day." They went in to find Lily's spot. Derek found her spot.

"Here you are Lil. This is your chair." Addison tried to get her to let go of her leg.

"Take off your backpack and you can sit in it." Lily did. Another little girl came over with her mom.

"Hi. I'm Sophie and I'm a princess." Addison and Derek smiled.

"Not at school Soph." Sophie's mom introduced herself to Addison, Derek, and Mark. "She does that everywhere we go." Mark started flirting.

"We have one like." The little girls started talking.

"What is your name?"

"I'm Lily."

"My sisters go to this school."

"My sister is in high school."

"Wow. My sister is in 8th grade and one is in 4th grade and my baby sister is two."

"My baby sister isn't born yet. Her name is Grace." The parents let the girls make friends. Derek and Mark started scheming.

"What do you think Kaitlyn would do if I waved at her room?" Addison gave them a look.

"Don't. She won't be speaking to you. Besides I need to go home and put my feet up as soon as she's ready for us to leave." Addison took a deep breath and rubbed the top of her belly. Derek was concerned.

"You okay?"

"Yeah. She's kicking my diaphragm." He put his arm around her and kissed her temple.

"It's time to say goodbye to mommies and daddies." Some of the kids started crying. Lily hugged Addison, Derek, and Mark.

"Have a very good day at school."

"I will. Bye." They walked out of the room.

"I think that was harder for me than her." Derek and Mark laughed at her.

"I think so."

September 14th : 35 weeks pregnant.

Addison really wasn't feeling well. She knew it wasn't good. She called Derek's and Mark's cell phone's but neither answered. She called Nancy.

"Hello."

"I just need you to talk to me. No freaking out."

"What's wrong?"

"I'm so nauseous. My feet and ankles are very swollen. I don't feel well. I've been having regular contractions."

"Addison. Go to the doctor."

"I can't get in touch with Derek or Mark and I don't think I can drive myself."

"The sooner you go the better the outcome."

"I know." Addison started crying. "Are they going to induce?"

"Why are you asking me?"

"I'm not me right now."

"My guess is they are going to put you on medicine to help with the blood pressure and prevent seizures, then give you 48 hours to let the baby's lungs develop with medicine, and then induce labor. Addison?"

"What?"

"It's going to be okay. Do you want someone to fly out?"

"Not yet. We'll let you know when we're ready for visitors."

"Okay. Just call and someone will be on the next plane out."

"Thanks."

"Call the hospital. I'm sure someone will get you."

"I will."

"You have to keep me posted now."

"We will."

"Bye."

"Bye." She took a deep breath and called the hospital.

"Seattle Grace Hospital."

"Derek Shepherd please."

"I'm sorry. Dr. Shepherd's in surgery right now. I can give his voice mail."

"Is Mark Sloan around?"

"Dr. Sloan's in surgery too."

"Are any of the surgeons around?"

"Dr. Stevens and Dr. Karev are here."

"I'll talk to either."

"Can I ask who's calling?"

"Addison Montgomery."
(In background) "Dr. Stevens, Dr. Karev. Dr. Montgomery is on the phone. She wants to talk to one of you."

"You take it."

"Hello?"

"Izzie. I really need someone to take me to the hospital."

"Okay. Do you want me to find Dr. Shepherd?"

"He's in surgery. Please find someone who will get me."

"I'll come. I'll be there in ten minutes."

"Thank you so much."

Ten minutes later at the house….Addison made it downstairs. Izzie came right in when she got there. Addison was on the couch.

"What's wrong?"

"I'm fairly certain I have pre-eclampsia."

"Okay. We should get you to the hospital." Izzie helped her up. "Do you need anything from here?"

"Not right now. Just need to get to the hospital."

"We're going." Izzie helped her out to the car and drove her to the hospital. Izzie took her right up to OB when they got there and got her into a bed and on a fetal monitor. Izzie came back in after a minute. "The highway is shut down and Dr. Jackson is stuck in the traffic. She's going to be here as soon as she can. Someone else is going to be in in a few minutes."

"You need to get an ultrasound machine and check the baby and the placenta."

"But I'm not.."

"You've worked with me enough. You can do this. I'll walk you through it." She left the room and came back followed by Meredith.

"Izzie, Bailey's been paging you. Where have you been?"

"I have to take care of this patient. Just tell Bailey that."

"No one's assigned to (trailing off) OB. Oh. Are you okay?"

"I don't know. Do you know if Derek's out of surgery yet?"

"He is. I was in with him."

"Please page him for me."

"Sure. And I'll tell Bailey."

Izzie turned on the ultrasound machine and started scanning Addison's belly. Addison put her hands over her face and then ran them through her hair. "She looks good."

"It's early."

"Two more weeks and she would be considered full term. You know she has very good odds of being perfectly healthy. Plus you aren't in labor."

"It came on fast and I'm close enough that they're going to induce labor."

"Doctors make the worst patients." (hey both smiled. Izzie got Addison hooked up to a machine to monitor her. Dr. Jackson came in. She hadn't even put any of her things down.

"I was hoping you wouldn't be in here for a while."

"Me too."

"Dr. Stevens, an update please." Izzie filled her in on what was happening. "Get her started on the medications and steriods for the baby's lungs. We're going to induce labor in 48 hours unless she gets much better." Derek came bursting in the room.

"What happened?" He stood at the bed next to Addison with his hand on her head.

"Pre-eclampsia."

"What's going to happen?"

"I'm on medicine to help until the medicine to develop the baby's lungs works and then labor will be induced."

"But it's early."

"At 35 weeks, she has a great chance of survival." Derek sat by the bed and held her hand.

"I'm right here with you." Dr. Jackson finished writing in the chart.

"Dr. Stevens, do you want to be the intern on this case?"

"Yes. If that's alright with Dr. Montgomery."

"Yeah, it's fine." They monitored Addison for a while. Derek stayed right by her side.

Later…

"It's three. If you'll be alright for an hour while I'm gone, I'll go get the girls and take them home. Kaitlyn can babysit and then I'll have Mark take them when he gets off work."

"Okay." Derek kissed her forehead.

"Try to get some rest." He went out in the hallway. "Dr. Stevens."

"Yes."

"Will you keep Addison company while I'm gone? I'll be back in about an hour."

"Sure." Izzie went into Addison's room.

"He told you to stay with me while he's gone, didn't he?"

"Maybe."

"I feel so helpless."

"You're doing the biggest job of all. You're growing a baby and keeping her safe and warm inside you. You did that for more than eight months. Now it's time we take care you."

"Have you decided on your chosen specialty?"

"I'm thinking neonatal or pediatrics." Addison smiled.

"I thought you would do the whole neonatal or OB/GYN thing."

Next night…Dr. Jackson left Izzie monitoring Addison overnight. Mark was having trouble with Lily who was having separation anxiety so Derek went home for a while to help while Addison slept because it was late. Around midnight Addison paged Izzie.

"How are you doing?" Addison was groggy.

"I think my water broke." Izzie lifted the sheets and saw blood. She tried not to panic.

"I'll be right back. I'm going to see who's on call." She went out to the nurses station. "Who's on call tonight?"

"Dr. Smith is in a surgery and Dr. Keller is juggling two deliveries." Izzie went back in the Addison's room. Addison knew something was wrong.

"Izzie. What is it?"

"I'm pretty sure the placenta is torn."

"What?"

"It's not your water. It's blood." Addison started freaking out.

"You need to get the baby out now."

"I know. There isn't anyone on this floor who can do it."

"You can."

"I'm an intern."

"How many cesareans have you watched?"

"A lot, but."

"This is my baby's life here."

"Okay. I'll get you moved to an OR and page someone to help or to do it. Who can do one? Dr. Bailey? Dr. Hunt?"

"Bailey walked Alex through one once."

"Okay Bailey it is."

"Izzie please."

"I know. It's going to be okay." She got Addison down to an OR. An anesthesiologist got her ready for the surgery. Izzie and Bailey scrubbed in. They came in.

(Bailey) "You ready to be a mommy?"

"Yes. Did you page the NICU team?"

"Stop running my OR. Izzie, did you page the NICU team?"

"No." Someone went to do it.

Same time…Derek found Addison's room empty. A nurse sent him down to the surgery floor. Owen found him.

"Derek."

"Where is she?"

"OR 1." Derek took off running. He scrubbed in and entered the OR. He stood at Addison's head.

"I'm sorry I left you."

"It's okay. You made it." He held her hand.

"Okay Stevens, get started."

"I'm doing it?"

"Unless Dr. Montgomery has an objection."

"I already told her she could."

"Okay." Izzie started with Bailey helping her and walking her through it. After a minute Izzie pulled the baby out. The baby started screaming. Everyone was happy. "Does daddy want to cut the cord?"

"Yes." He did. Someone took the baby to take care of. Derek went to watch the baby. Bailey and Izzie kept going with the surgery.

"Five pounds 6 ounces." Derek came back over to Addison.

"She's beautiful." He kissed her. Someone brought the baby over for Addison to see.

"Quick kiss mommy and then we need to take her to get her checked out." Addison kissed the baby's head, crying. They put the baby in an isolette and wheeled her out.

"I can't believe she's here."

"I know."

"Go with her."

"I'm here with you."

"She's all alone and tiny. She needs you."

"You did a great job." He kissed her and followed the NICU team out.