The ambulance takes off, sirens blaring.
It reminds me of being in the police car the night my parents died. But, that night, the sirenâs rhythmic sound was sort of soothing. Today, itâs not.
The contractions hurt way more than I imagined they would. I thought they were supposed to come in waves. Every few minutes. That you breathed through them, rested, and then breathed through them again until they got closer and closer together. Then, it meant you were ready to have the baby.
But, in between these contractions, I still feel a deep pain coming from my side. I know Iâve never been in labor before, but something feels off.
I look down and notice blood on the sheet.
âIâm bleeding â¦â I say, mostly to myself, coming to the realization that my bad dreams are playing out in front of me.
The paramedic doesnât respond to me.
He yells to the driver, âWe have a possible placental abruption. Let the hospital know.â
. Thatâs one of those worst-case scenarios. But I canât remember what it means. Common sense tells me the placenta ruptures.
As in stops working?
I have another searing pain.
All I know is, this bleeding is not good.
I yell out again as I try to focus on the words and phrases floating around me and not on the pain.
âMarcus, is the baby going to be okay?â I ask, squeezing his hand as another contraction rips through me. âAnd tell me the truthâthe worst-case scenario.â
âThere are a lot of factors. Youâre obviously bleeding, but we canât know the extent of the abruption. In a full abruption, both the mother and baby are at risk. In a partial abruption, time is of the essence. The placenta feeds your baby oxygen and food and takes away the waste. Those things are key to the babyâs viability.â
â
?â I repeat, the word settling in.
Similar words scroll through my head from the night my parents died.
â
I grab the front of Marcusâs shirt and pull him close. âMarcus, this is important. I need to tell the hospital my wishes,â I say as another contraction causes me to cry out in pain.
âWhat wishes?â he asks.
I close my eyes, not wanting to say the words Iâve been thinking. But thereâs something inside me that innately knows this is going to end badly.
âIf thereâs a choice to be made, I want the baby saved. Do you understand?â I look at the paramedic. âDo you understand?â
The paramedic nods, but Marcus squeezes my hand. âJadyn, I donât thinkââ
I cut him off. âThis is important, Marcus. These are my instructions. Please, tell me you understand.â
âI understand,â he says.
âWe need it in writing. Weâll have the paramedics give it to the staff as soon as we get there. Do you have some paper?â