was Jasper?’
‘Ten weeks early. He’s on a ventilator because he has a lung problem that I don’t really understand,’ she returned quietly. ‘Hy-mem … something disease. The doctor tried to explain it to me but I didn’t really understand. And I didn’t want to ask too many questions. I thought he might think I’m being pushy, wanting to know everything medical when I’m not a doctor or even think I’m stupid for not understanding.’
Jade knew from her training and years of neonatal nursing that mothers of premature babies and their families all faced uncertainty and this caused raised levels of anxiety. Visiting their baby in Neonatal Intensive Care was a stressful situation that most knew little or nothing about.
‘It’s important that you never think of yourself as being difficult. Any questions you might have are valid,’ Jade explained, as she turned off the tap with her elbow. She was aware that the exchange of information allowed the nurses to gauge the stress within the family and most particularly the mother’s ability to cope. ‘Parents need to feel a part of the decisions being made for their baby, and you can’t do that if you don’t understand what is happening.’
‘Really? He won’t mind if I keep asking questions, and he won’t think they’re silly things I’m asking? It’s just that you’re here every day and it’s all so new to me.’
‘I promise you that the doctors and the nursing staff would never think of any questions as silly. More than likely the doctor assumed that you knew what he was saying if you didn’t ask any questions, and I guarantee he would have been more than happy to explain it to you. You’re a mother of a newborn in intensive care and you have every right and need to know what is happening throughout his treatment. Please, never hesitate to ask any of us whatever you want to know.’
The young woman sighed and seemed to lift in confidence a little.
‘I just don’t know what the disease is and why Jasper has it?’
‘Hyaline membrane disease is also called infant respiratory distress syndrome and is suffered by almost half of premature babies under thirty weeks,’ Jade offered instinctively as the woman’s body language showed she was relaxing. ‘It means that every time Jasper breathes in he has to expand his lungs completely. Healthy lungs don’t collapse to an airless state, but because of his prematurity Jasper’s lungs are deflating totally. It makes breathing very hard work for him.’
The woman dropped the dampened paper towel into the bin and tentatively approached Jade, looking for reassurance. ‘So it’s common, then?’
‘Many premature babies have issues with breathing as a result of their early arrival, and even if they aren’t as premature as Jasper they can still have this problem. But your baby is in very good hands here. If you have any questions about Jasper and the doctor isn’t available, just ask any of the nurses.’
‘I haven’t seen you here before. You’re American. Have you moved to Adelaide to live?’
‘No, I’m on a working holiday. Today is my first shift and I will be here for the next three weeks. So let me know if you have any other questions. I’ll be here tonight till late.’
‘Thanks so much. I have to express some milk and grab something to eat. The nurse told me that I have to keep up my calories to make sure I can produce enough for Jasper.’
Jade nodded. ‘Yes, you do. You have to get sleep and rest and eat well for both you and Jasper. One of the most important things you and your partner can do for your baby is look after yourselves. Get sleep, eat healthy meals, and take a break from it all. It’s exhausting having a baby in the neonatal unit, particularly after a difficult or emergency birth. It’s natural to want to put your baby first but you must be good to yourself, too.’
She watched as the woman put a half-smile on her tired face then left the washroom to head back to the ward, hopefully secure in the knowledge that she could ask anything she needed to know without any judgement from the medical staff. Ultimately, she would be her baby’s only constant in the multiple care-giving system of neonatal intensive care and she needed to feel confident in that role.
Jade had already been given her patient roster at handover. It wasn’t a busy time in the nursery and she only had two infants to monitor. Checking the first infant’s chart, she noted that Costa was due for a gavage feed. She crossed slowly to another nurse already on duty. As she drew closer, she noticed she was quite young. She had a friendly face with a smattering of freckles across the bridge of her nose. Her hair was a mass of copper curls kept out of her eyes with a pearly clasp on the top of her head. She wasn’t particularly tall, perhaps two or three inches shorter than Jade, and this added to her overall young appearance. She imagined that Amber might look similar when she was older.
‘Hi, I’m Jade.’
‘I’m Mandy. You’re from the agency too, then?’
‘Yes, first shift and staying for about three weeks, part time, though.’
‘Welcome on board.’ Then, distracted by something or someone in the glass-walled scrub room, she paused and then lowered her voice. ‘Scrumptious, isn’t he?’
Jade noticed a huge smile spread across the young nurse’s face but had no idea why.
‘If I wasn’t engaged …’ Mandy began in a wistful tone, before tilting her head to one side in the direction of the door ‘… I’d offer him breakfast in bed.’
‘Who?’ Jade cut in.
‘Mitchell Forrester, the dishy doctor just scrubbing in.’
Jade froze. Mitchell worked at the hospital? He hadn’t mentioned it the night before. She felt her stomach jump and her heart race. Why hadn’t he told her? She was suddenly quite confused as she’d thought they were getting on well and if he wanted it to remain that way he certainly should have volunteered that information the previous night.
Perhaps he didn’t like the idea of them working together. She couldn’t be sure but there were so many things about which she wasn’t sure. Including her feelings for the man scrubbing in. She could see exactly why the nurse spoke that way. Mitchell was very handsome and more than likely up for some fun with the right woman, but it wasn’t her. She was not in the market for a one-night stand and up until now her resolve to stay single had not been tested.
‘I suppose,’ Jade replied coldly, not wanting to let on that she had any connection to Mitchell or the fact there was a tiny part of her that agreed.
‘It doesn’t hurt to have some eye candy in the workplace. I mean, it’s a nice distraction from the round-the-clock care we provide for premmies. I think it’s the universe rewarding us!’
Jade could not join her enthusiasm. She wanted to be anywhere else but near Mitchell. He was resurrecting needs she had put to rest the moment Amber had arrived in her life. She didn’t want or need a distraction from her role. She didn’t dare let her eyes rest on him for long. His raw masculinity was reminding her that she was a woman with desires that hadn’t been met in a very long time.
‘I guess, from what I’ve heard, the parents can rest assured their babies are in the very best hands. And in Mitchell Forrester’s hands is where I’m sure every second nurse in the hospital would like to be,’ she added with a laugh.
‘Well, there’s no accounting for taste,’ Jade answered woodenly, making it clear she had no intention of joining the recruitment line for his harem. Then she noticed that a theatre nurse spoke to him briefly and he turned and left the scrub room with her.
She was relieved that he wasn’t coming in. It gave her a little longer without him there.
Her attention quickly returned to baby Costa. She began the gavage feed that was due by aspirating the contents of his tiny stomach to assess the quantity of still undigested food, along with the colour and appearance. Satisfied that everything was within normal limits, Jade slowly returned the contents to ensure that valuable electrolytes were not lost. Then, attaching the