the modern building. They rode the elevator to the fourth floor and Kelly stood numbly as Ryan checked in with the receptionist.
After filling out her medical history, she was ushered back for the prerequisite pee in a cup. When she exited the bathroom, a nurse directed her into one of the exam rooms where she found Ryan waiting for her.
She bared her teeth in a snarl, prepared to order him out when he held up a hand, his expression as fierce as her own had to be.
âI will hear firsthand everything the doctor has to say.â
His eyes dared her to argue. She swallowed nervously, knowing heâd make a scene if she pushed the issue. She turned her back on him and leaned on the exam table.
She just had to get past the exam, have the doctor tell Ryan that everything was fine, and then sheâd be rid of him.
A few minutes later, a young doctor came in and smiled at her. He gestured for her to get onto the table and recline. After measuring her and listening to the babyâs heartbeat, he wheeled in a small machine and then applied cool gel to her stomach.
She lifted her head. âWhat are you doing?â
âThought you might like to get a look at the little guy or girl. Iâll do a quick sonogram for dates and measurement, make sure everything is okay. Is that all right with you?â
She nodded and the doctor began moving the wand over her stomach. Then he stopped and gestured toward the small screen. âThereâs the head.â
Ryan crowded in so he could see the monitor. She craned her neck to see around him. Ryan looked back at her then hastily slipped a hand underneath her neck to lift her so she could see. Tears filled her eyes and her lips widened into a smile. âSheâs beautiful!â
âYes, she is,â Ryan said huskily in her ear.
âOr he,â she said quickly.
âWould you like to find out what youâre having?â the doctor offered. âWe can take a look.â
âNoâ¦no, I donât think so,â she said. âI want it to be a surprise.â
The doctor took a few more minutes and then stood up, wiping her belly clean. He handed her a picture he printed out of the babyâs profile and returned to his clipboard.After a few scribbled notes, he looked back up at her. âIâm concerned about you.â
She frowned and struggled to sit up. Ryan eased her into a sitting position, and she looked questioningly at the doctor.
âYour blood pressure is elevated and there are traces of protein in your urine. There is significant edema to your hands and feet and Iâd bet, judging by your weight, that you arenât getting enough nutrition. Youâre exhibiting signs of preeclampsia and it could lead to serious repercussions.â
Kelly regarded him in stunned silence.
Ryan turned to the doctor with a frown. âWhat is preeclampsia?â
âItâs related to an increase in blood pressure and an increase in protein in urine output. Typically it affects women after their twentieth week of pregnancy. It can progress to seizures, at that point it becomes eclampsia.â
The doctor turned his stern gaze on Kelly before continuing.
âYou are only a hairbreadth from going into the hospital and staying there until you deliver, and unless I exact a promise from you and your husband that youâll remain off your feet and take better care of yourself, Iâll forgo the warning and straight into the hospital youâll go.â
âHeâs not myââ she began.
âConsider it done,â Ryan smoothly interjected. âShe wonât so much as lift a finger. You have my word.â
âButââ
âNo buts,â the doctor said. âI donât think you fully understand the direness of your situation. If your condition progresses, it can mean your death. Eclampsia is the second leading cause of maternal death in the U.S. and the leading cause of fetal complications.