Entering Addison's room, Alex set Ella on the foot of the bed and rushed to Addison, kissing her on the forehead before asking, "What happened? You were fine when you came in this morning."
Twisting her face, she handed Ella the television remote before answering. "I was having contractions this morning, but they weren't very strong or consistent, so I figured they were Braxton-Hicks. I didn't have any surgeries scheduled for today, so I wasn't too worried since it was going to be an easy day. I was having lunch with Callie when I started to feel lightheaded. Next thing I knew, I was hooked up to monitors and being admitted. My blood pressure skyrocketed and that was putting Evelyn in distress, which is why I'd been having contractions." As Addison was explaining everything, Alex was reading it in her chart that he picked up from the tray table next to the bed. "My BP is still high, but not as high as it was and my contractions have been getting stronger and more consistent for the past hour or so. They're still ten minutes apart, though."
"Everything will work out. You're thirty-four weeks, still early, but it's not too early. Our main concern right now is her lungs and her size. Did they give steroids yet to help develop her lungs?"
"Yeah and they did an ultrasound just before you got here. She was always on the smaller side, it looks like she's right around four pounds. I called Mark after I talked to you. He said Callie would stop by to pick Ella up when she gets off in about an hour. I already asked Arizona to stay, I want her to check Evelyn as soon as she's born. I'm scared, Alex, I'm really scared," Addison was almost in tears.
Addison's labor continued to progress and by 7:30, her room was bustling with activity. Fellow surgeons had been stopping by all day to offer to help with anything they needed, but now it was Addison's OB and several nurses in the room as they prepped for Addison to deliver her daughter.
Trying to stay out of the way of the other doctors, Alex stood next to Addison's head and held her hand. "Everything will be fine. We've got the best doctors possible and they're going to do to make sure she's perfect," Alex tried to comfort Addison.
"Okay, Addison, I'm gonna need you to push with your next contraction," the doctor interrupted Alex.
Twenty minutes of pushing later, the doctor was passing a small baby girl to Arizona without giving Addison a chance to see or hold her daughter. "She's beautiful, perfect, too. She needs a little help breathing, but she's stable for now," Arizona told the new parents as she examined Evelyn Grace Montgomery-Karev. "She's 17 inches long and weighs exactly four pounds. Alex come meet your daughter"
Alex looked at Addison, as though he were asking for permission to leave her side. "Go see our daughter. I'll be fine for a few minutes."
Alex crossed the room the incubator the infant was lying in. "How long do you think she'll need to be on oxygen for?" All of his medical knowledge seemed to have been forgotten.
"It's really hard to say with a preemie born at thirty-four weeks, Alex. With preemies, we usually say they'll be in the NICU until right around their due date, but you know that every case is different. Her oxygen levels might pick up in a few hours and she'll be able to leave in a few days or she might need to stay a few weeks. I'm going to take her to the NICU now. Addison can come down in a wheelchair in a few hours once she's gotten a little sleep," Arizona began to push the incubator into the hallway.
The doctors finished cleaning Addison up and left her to sleep before meeting her daughter. Alex had taken a picture of her, which he sent to all of their friends, along with a request of no visitors until at least the next afternoon. He did talk to Ella for a few minutes, assuring her that both Addison and Evelyn were alright and that she could come the next day to see them.
Addison awoke from her nap around midnight and immediately asked Alex to get her a wheelchair. She was told she could see her daughter as soon as she woke up and didn't want to wait any longer than she had to. While pushing her toward the NICU, Alex filled her in on their daughter's condition. "She's on oxygen right now and is in the incubator to help regulate her temp. They hadn't tried feeding her yet when I talked to Robbins a little while ago. I asked them to wait until you were there to do that. I'm scared out of my mind right now, but I know she has the best doctors in this place."
After putting on the standard pink gowns, Alex rolled the chair to Evelyn's incubator and helped Addison to stand to get a better look at her. Almost instantly, tears started to well in Addison's eyes, "She looks so fragile, Alex. What if she doesn't make it?"
"You can't think that way, Adds. We both know everything that can happen to a baby in the NICU, but we need to keep thinking that she just needs a little extra oxygen and to put on some weight and that we'll be taking her home soon."
Arizona entered the room and walked towards the new parents, setting Evelyn's chart on the end of the incubator."Perfect timing, Addison. We were just going to try feeding her. She did okay with the pacifier earlier, so her swallow reflexes are working. After feeding her, you can do some skin to skin if you want to help her temp. It's a little low still, but it's been holding steady for the past two hours. We just need to get it up."
