Decker nodded, and the room turned quiet. Rina’s eyes were closed, her mouth slightly agape. Decker wanted to tell her how much he loved her, but he didn’t want to disturb her rest. A few minutes later, Georgina returned. She placed a hand on Decker’s shoulder.

“How’re you holding up, Pop?”

“Not too bad for an old guy,” Decker said. “Mom’s resting.”

“Yeah, she needs some peace and quiet.”

Hendricks said, “Georgina, set up a twenty-milligram Pitocin drip, please.”

Anxiously, Decker looked up at the labor nurse. She flashed him a smile of crooked teeth, but the expression wasn’t cheery. Then she liberated the metal stand from the corner and opened a cabinet door. Out came a plastic bottle that hung on a rack. Georgina hooked the I.V. line up to Rina’s left arm, then adjusted some valves. A moment later, Decker saw clear liquid run through plastic tubing. Again the doctor pushed on Rina’s abdomen. A soft moan escaped from her lips as she attempted to control her breathing. But fatigue was taking its toll. She cried out. Decker looked at Hendricks.

“I’m pushing with some pressure,” the OB said calmly. “It doesn’t feel comfortable, but it should help Mom along. Georgina, increase the rate of the drip.”

“Right away, Doctor.”

Decker didn’t like the military cadence in the labor nurse’s voice. It had gone from jocular to professional. He felt his heart race.

“Is everything okay, Doctor?”

“She’s having a bit of trouble expelling the placenta.” Hendricks paused. “I can feel it, but…the Pitocin should help. Does it hurt, honey?”

Again Rina nodded.

“Honey, I need to keep pressing on your uterus. Just keep on with your Lamaze breathing.” He turned to Decker. “Just help her like you did in labor.”

The doctor compressed her stomach wall. Rina’s face contorted with pain.

“Try to breathe, Rina,” Hendricks said.

“I can’t—”

“Breathe, Rina,” Decker said. “Squeeze my hand if it hurts.”

Rina took his hand. Her fingers held no strength, and her complexion had become wan. Hendricks clucked his tongue and shook his head. Decker felt his stomach drop.

“Georgina, get a gurney and see who’s available for OB Anesthesiology,” Hendricks said. “Also, get me point two-five milligrams of Methergine and a BP cuff.”

“What’s going on, Doc?” Decker said.

Hendricks ignored him.

“What’s going on?” Decker repeated.

“In a moment, Peter.”

Decker was silent, his gut a tight, wet knot. His body ached with tension. He forced himself to rotate his head, releasing a symphony of creaks and pops from his neck. Georgina returned, carrying a metal tray with a needle on it. Hendricks took the syringe and injected the medicine into Rina’s shoulder. She didn’t even wince.

“I love you, Rina,” Decker whispered.

A nod was her answer.