Forever, Plus One
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“No problem,” Emily said. “Fire away.”
“The first thing we need to determine of course is how far along you are. Are your periods usually regular?”
Emily nodded. “My last one was just before our wedding. So it’s been about eight weeks.”
“So this might be a honeymoon baby?” Doctor Arkwright said with a smile. “How romantic.”
Emily blushed.
Doctor Arkwright continued. “The way we work out the due date is to initially take it to be thirty-eighty to forty-two weeks after the end of the last period. So currently we’re looking at December eleventh.”
Emily and Daniel looked at each other, their eyes wide. So close to Christmas!
“Then when you have your first sonogram and the baby is measured that can be adjusted slightly,” the doctor added. “Can you tell me what symptoms of pregnancy you’ve been having and how long for?”
“She was feeling nauseous and faint,” Daniel explained. “From right after the wedding really, wasn’t it?” He looked over at Emily for confirmation.
“I thought it was stress,” she said. “There was a lot going on in our lives at that point of time.”
Doctor Arkwright nodded. “They’re the two most common symptoms to have early on. And often confused with stress. No fainting, though? Just feeling woozy?”
“Yes,” Emily said.
Doctor Arkwright took notes as she spoke. “Good. It’s not dangerous to the baby if you do faint because it’s too small at the moment and in a protective sac of fluid. But for you it can obviously be a bit distressing, particularly if you hit something on the way down. Keep an eye on that going forward. It’s likely to resolve over the next few weeks but for some women the symptoms do persist. If you’re naturally prone to low blood pressure it could continue into the second trimester. So make sure you take it easy. Stand up slowly. Eat regularly. Best to keep a banana in your purse. And a bag of nuts.”
“Sure thing,” Emily said, nodding, already starting to feel a little overwhelmed. She wished she was taking notes and hoped Daniel was committing to memory all the things she was too overwhelmed to absorb.
“Right, shall we take a look at you?” Doctor Arkwright said, standing.
Emily swung her legs round so she was lying flat on the bed. Daniel stood and hovered beside her. Doctor Arkwright put on some latex gloves.
“I feel like I’ve been abducted by aliens,” Emily said, peering up at her audience.
Daniel laughed.
“Yes, you’ll be prodded and poked more in the next few months than ever before in your life,” Doctor Arkwright said. “By the end you’ll have no qualms about stripping off in front of people. Body hang-ups go completely out the window.”
“I look forward to that time,” Emily said, feeling her cheeks warming with a blush.
Doctor Arkwright checked Emily’s pelvis and abdomen, her hip rotations, and general joint flexibility. She moved her fingers deftly, checking almost every inch of Emily’s body. Emily felt she was a lump of dough being kneaded.
“I’ll order some blood tests,” the doctor explained as she worked. “So we know your type and Rh status. We’ll also check for anemia, certain antibodies, and make sure you’re immune to all the big viruses like chickenpox, rubella, hepatitis.”
Blood tests weren’t exactly Emily’s favorite things in the world. The thought of having so many tests made her feel increasingly anxious.
“This is your first pregnancy, isn’t it, Mrs. Morey?” the doctor asked as she placed a cold stethoscope against Emily’s chest.
Emily nodded. “Yes.”
“Any prior gynecological problems? Abnormal pap results? Sexually transmitted infections? Anything like that?”
Emily shook her head and wondered whether it would have been better for Daniel not to have come along to this particular appointment. She’d naively thought such delicate questions wouldn’t be asked immediately. She was going to have to get used to revealing everything about her body now. Nothing would be off limits!
Doctor Arkwright removed her stethoscope and slung it back around her neck again.
“Now, because of your advanced maternal age,” she explained, her attention drawn back to Emily’s abdomen, “it’s a little more important for you to take the right vitamins, sleep enough, reduce your stress levels to the absolute minimum. They’re all things we would recommend to expectant mothers whatever their age, but for you it’s that extra bit important.”
“Should we be worried?” Daniel asked. “About Emily’s age?”
Emily frowned up at him. With her stomach on display and the both of them looking down at her like a specimen it made her feel vulnerable and somewhat at their mercy. She could cope with the doctor referring to her age, but not Daniel!
Doctor Arkwright looked at Daniel briefly and shook her head. “It’s far more common for women to leave starting a family until their late thirties these days and the medical world is catching up. It’s not as much an issue as it used to be. Really the main hurdle is fertility, which clearly isn’t a problem in this case. There is a marginally higher risk of gestational diabetes, blood pressure problems, premature birth. But you’re in safe hands.”
Emily certainly felt like she was in safe hands. She just wished there wasn’t so much testing to be done. It all felt a bit impersonal. Clinical. She didn’t like just feeling like a baby-making vessel and would be very glad when this initial assessment was over and done with.
Doctor Arkwright peeled off her gloves. “All done. You’re in good shape, so nothing of concern there. Please, take a seat and we’ll have a quick look at your medical history.”
Emily sat up and gave Daniel a weak smile, not quite ready to forgive him for his comments on her advanced age. She rearranged her clothes and slid her shoes back on, then took a seat. Doctor Arkwright washed her hands and then came and sat in her chair, spinning toward her computer. She took a moment to read the screen.