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little cold now,’ she said softly, as her body began to shiver. ‘It feels odd; I was so hot before. There’s no pain but...’

      Patrick noticed her eyes were becoming glassy and she was losing her grip on the boys. There was something very wrong. Quickly he scooped them from her weakening hold and placed them together beside her, still wrapped in his shirt. He felt for her pulse. It was becoming fainter. He looked down to see blood pouring from Claudia and pooling on the jacket underneath her.

      It was his worst nightmare—a postpartum haemorrhage.

      Claudia had fifty percent more blood in her body because of the pregnancy, which would help, but, with the amount of blood she had already lost on the floor, it would still only buy them a small amount of time. He needed to encourage her uterus to contract, shutting off the open blood vessels. Immediately he began to massage her belly through to her uterus but after a minute he could see there was no difference. She was barely lucid and he needed to administer a synthetic form of the hormone that would naturally assist, but that was on the other side of the closed elevator doors with the paramedics. It wasn’t something he carried in his medical bag. Not now anyway. Once he would have had everything he now needed to save Claudia—but that was a lifetime ago.

      ‘Claudia—’ he ceased the massage momentarily and patted her hand ‘—I need you to try to feed one of the boys. It will help to stimulate a hormone that will lessen the bleeding. Do you understand?’

      ‘Uh-huh,’ she muttered while trying to keep her eyes from closing. ‘I feel so light-headed.’

      ‘That’s the blood loss. I’m going to do everything I can to stop it until help arrives, but again we need to work together. You’ll be on your way to hospital very soon.’

      He reached down and gently unwrapped the babies and, picking up the larger of the twins, he lifted Claudia’s tank top and bra and placed him onto her breast. Instinctively the baby latched onto his mother and began to suckle while Patrick continued the massaging.

      ‘Do you have any names for the boys?’ he asked, trying to keep Claudia focused as he dealt with the medical emergency that was unfolding before his eyes.

      She tried to think but the names weren’t there. They were special names and they should have spilled out without any effort but she was befuddled, which wasn’t her. ‘I think...’ She paused momentarily as the names she had chosen now seemed strangely out of reach. She blinked to bring herself back on track. ‘Thomas...and Luca...after each of their great-grandpas.’

      ‘I think they are strong names for two little fighters. Is this baby Thomas or Luca?’

      Claudia smiled down at her son, still attached to her breast but not really sucking successfully. ‘Thomas...but I think he’s tired already and a bit too small.’

      ‘I think you’re right on both counts.’

      ‘I’m feeling quite dizzy again.’ She paused as she felt herself wavering and her vision was starting to blur. Fear was mounting again inside her. ‘Am I going to die?’

      ‘No, you’re going to pull through and raise your two sons until they are grown men.’

      Claudia felt weaker by the minute. She knew there was something very serious happening, even though she couldn’t see the blood. ‘If I don’t make it...’

      ‘You will,’ he argued as he reached for Thomas, who was unable to suckle, and placed him safely on the floor beside his brother, Luca.

      She closed her eyes for a moment. She felt too weak to fight. ‘You need to contact my sister, Harriet. Her details are in my phone. She needs to be there for my boys if I can’t be.’

      ‘Claudia, listen to me. You’re going to make it, but I’m going to have to do something very uncomfortable for you.’

      ‘What?’ she asked in a worried whisper.

      ‘I’m going to compress your uterus with my hands. It will further slow the bleeding.’

      She nodded but she felt as if she was close to drifting off to sleep. ‘If you have to, then do it.’

      ‘Try to stay awake,’ he pleaded with her as he attempted to manually compress the uterus with the firm pressure of his hands.

      Minutes passed but still the blood was flowing over his hands to the floor beneath her. Claudia needed to be in a hospital and she needed to be there now. This was something more serious than the usual postpartum blood loss.

      She was dangerously close to losing consciousness as he gently removed his hands. The manual pressure could not stop the bleeding. Claudia needed surgical intervention if she was to survive. He reached for the films and ripped open the envelope. The films scattered on the floor but, as he grabbed the report, his worst fears were confirmed. Claudia’s placenta had invaded the walls of her uterus. Every part of his body shuddered. It was déjà vu. The prognosis was identical to what he had faced all those years ago. There was no way her obstetrician would have allowed her to board a plane with the condition. Claudia would have delivered her sons in America, whether it had been this day or another.

      With a heavy heart, he dropped his gloves and the report to the floor and pulled a barely conscious Claudia into his arms, where he held her while he stroked the faces of the little boys lying on the floor beside them. If help didn’t arrive within a few minutes he would lose Claudia.

      And her two tiny babies would never know their beautiful, brave mother.

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