A/N – The characters aren't mine. I just let them out to play from time to time. This is the second to last chapter of my story. I plan on having the last one up on Thursday to mark the last Thursday before the season 10 premiere. I'm a little sad to see this one end but I hope I can end it well. I really hope you all like it. As always I hope you'll let me know what you think. Thank you to all of my loyal readers and to Anna and Lindsay who give me feedback as I write! Until Thursday….

April groaned with each contraction as she sat back in the hospital bed.

"April, you are doing an amazing job!" Jackson encouraged as he stood by her side, letting her squeeze his hand.

"Can you page, Alex?" April asked Jackson as she panted, "I really want him to be in the OR in case the babies need anything."

"Absolutely," Jackson answered before instructing the nurse to page Dr. Karev.

"How is it going, April," the anesthesiologist asked as he entered the room.

"It's labor. What exactly do you expect?" April responded slightly perturbed at the question.

"You're right. That was a dumb question," he chuckled to himself, "I'm going to need you to roll on to your side so I can insert your epidural."

April shifted herself to her side so she was facing Jackson. "Squeeze as tight as you need to," Jackson offered.

As the anesthesiologist administered April's epidural, Jackson knelt down close to April so their faces were almost touching. "We are so close to meeting them! You are a solider," Jackson cheered her on, eliciting a chuckle from April, remembering her motto, as she winced from the needle.

After the doctor finished, April shifted to her back and looked up at Jackson. "Are you ready for this? Are you ready for two babies?" April asked him.

"I've been ready forever," Jackson answered, rubbing her hand with both of his.

"April, you are ready for delivery. Let's get her to OR 2 for a c-section," The doctor told April before instructing the nurses.

Jackson was right behind as Alex and the nurses pushed April's bed down the hall as she softly panted through contractions. The whole group hurried down the halls on route to the operating room. Jackson ducked off to dress for the OR. He returned just in time to take April's hand as the curtain went up at her chest.

The doctor made the incisions to expose the babies. "April, you are going to feel some pressure," the doctor warned as she began to deliver the first baby. April squeezed Jackson's hand as the doctor jostled April's stomach and eased out the baby.

"It's a boy! What a set of lungs he has on him," the doctor said as she pulled out the healthy baby boy who began screaming the moment the cord was clipped. She held him up so Jackson and April could see their little boy.

"He's beautiful," Jackson exclaimed as the nurse took Jayden to clean him up.

"Yes, he is," April agreed as tears filled her eyes.

"I don't want to alarm you April, but the cord is wrapped around her neck so you may not hear her cry right away. Dr. Karev, I will hand her to you as soon as I get her out," the doctor explained before she directed her attention to the OR staff.

Within moments the second baby was out, the cord removed from her neck and handed off to Alex. He proceeded to care for her, clearing Amelia's air passages and helping her breathe with the Ambu Bag.

"Alex!" April screamed as the silence seemed to go on forever. Alex turned his head to see the panic and tears in April's eyes. "Save our little girl," Jackson added seriously, sharing April's expression.

"I will do everything I possibly can," Alex told them, giving them a sympathetic look.

Finally, she began to cry which brought great relief to Jackson and April, who were both holding back tears. One of the nurses brought Jayden over to Jackson in a soft blue blanket and he held his little face near April's so she could kiss him.

Once he finished cleaning her up, Alex brought the little pink bundle in his arms close to April as well. Then in a flash, they placed the babies in the basinets and they were whirled off to the nursery.

Once April was resting in her room after the surgery was over, Jackson rolled the basinets into the room and up next to her bed. He handed Jayden to April, who was beaming holding her little boy for the first time. He then scooped up Amelia is his arms and scooted next to April in her bed.

"He looks just like his daddy," April whispered as she held the sleeping baby in her arms.

"But he has your eyes," Jackson added, "I saw them earlier and they are all you. She looks just like you, however."

"She does, doesn't she," April said of the squirming little girl in Jackson's arms, "but it looks like she may have your eyes."

"I'd say they are a perfect mix of both of you," a voice observed from the door way, admiring the family of four, "Don't you just make a picture perfect family?"

"Hello, Catherine," April greeting the new grandmother.

"I figured you'd find us eventually, Mom," Jackson added, "Would you like to hold Amelia, 'Grandma'?"

"Grandma? Do I look that old to you?" the elder Avery scolded, as he walked toward the bed, "I'd love to hold my granddaughter." Jackson handed the pink bundle to Catherine, who rocked her gently.

"Her name is Amelia Catherine Avery," April added after a moment, "We couldn't think of a better woman for her to strive to be like."

"Except her mother," Catherine corrected, "Thank you. I'm honored." She stood there for many moments admiring her namesake.

The next morning Joe and Karen Kepner arrived to see their grandchildren.

"April, Jackson, they are so beautiful" Karen said as April handed her Amelia, before cooing at her granddaughter, "Hi, Amelia. I'm your grandma."

"Dad," April began, her eyes getting misty as she handed her little boy to her father, "This is Jayden Joseph Avery."

The Kepner patriarch's eyes grew misty at hearing his name in his grandson's. "Thank you both. Having no sons, you don't realize how truly special this is," he said as he gained his composure.

"April and I couldn't think of a better name for our son than that of the most important man in her life…in our lives," Jackson added sincerely. He never really knew his father, and though Richard would also be a grandpa to his children, Joseph Kepner was the man he wanted his son to look up to.

Alice and Alex trickled into the room after the other visitors had left for the day.

"You two are really popular," Alice said to new parents, as she admired her new nephew and niece, "Then again it might be these two cutie pies."

"I think J.J. would like his auntie to hold him," Jackson said as he handed Jayden to the youngest Kepner.

"Alex, thank you so much, for everything," April said, trying not to get emotional, which was much easier said than done for a recently pregnant woman.

"Just another day at the office, Kepner," he teased as April handed the Amelia to the man who cared for her. The new mother gave him a nice whack for his comment. "You're welcome, April," he added after a moment.

As the couple held the twins, Jackson walked over to April and took her hand. "If you are willing, we'd really love for you two to be their godparents," April said to them, her eyes meeting Jackson's as she spoke.

"Really," Alice asked surprised.

"Of course, Alice," April answered, "You living here makes you the perfect choice."

"Avery, are you losing it? I'm not really godfather material," Alex countered.

"Don't be stupid. I couldn't think of anyone better," Jackson responded causing both men to chuckle.