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Chapter 12 - The Edge of the Blade

Within ninety seconds, the master suite had transformed into a sterile, high-stakes medical battlefield.

Dr. Catherine Vance rushed into the room, followed by two senior obstetrical nurses carrying emergency delivery packs, tocolytic IV medications, and a portable neonatal incubator.

Sloan was pushed back toward the wall by the medical team, his face pale, his fists clenched so tightly his fingernails drew blood from his palms.

Dr. Vance pulled back the heavy blankets, sliding an electronic fetal monitoring belt around Delphine’s belly and securing it with elastic straps.

The familiar monitor hummed to life on the cart.

The rapid, rhythmic beat of the baby’s heart filled the room.

Thump-thump.

Thump-thump.

Thump-thump.

Delphine listened intently to the cadence, her nurse training analyzing every single decibel of the sound.

One hundred and fifty beats per minute.

Then, another contraction struck.

Delphine cried out, gripping the wooden armrests of the chair as the spasm seized her entire abdomen.

On the monitor screen, the fetal heart rate plummeted precipitously.

One hundred and forty.

One hundred and twenty.

Ninety.

Eighty-two beats per minute.

A blaring red alarm sounded on the monitor panel.

“Fetal deceleration!” Dr. Vance announced urgently, her professional calm cracking under the pressure.

“The heart rate is bottoming out with the peak of every contraction!”

“What does that mean?” Sloan demanded, stepping forward with murderous intensity, his voice vibrating with raw panic.

“Explain it to me in plain English!”

Delphine forced her eyes open, panting heavily as the contraction slowly released.

“Cord compression,” Delphine whispered, tears of terror leaking down her temples.

“Or placental abruption.”

“The placenta is separating from the uterine wall due to the blunt force trauma when I fell during the breach.”

Dr. Vance looked up at Sloan, her expression dead serious.

“Your wife is right, Mr. Marchetti,” Dr. Vance said grimly.

“The placenta is failing to oxygenate the fetus during contractions.”

“If we don’t deliver this child within thirty minutes, the baby will suffer profound intrapartum asphyxia.”

“And Delphine could bleed to death internally from a concealed abruption.”

Sloan’s breath caught in his throat.

His gaze darted between his gasping wife and the terrifying drop in the baby’s heartbeat on the screen.

“Then operate,” Sloan ordered, his voice breaking with desperation.

“Take them to St. Jude’s!”

“There is no time to transport her to the hospital through the rain, Mr. Marchetti!” Dr. Vance said, tearing open a sterile surgical prep kit.

“The nearest trauma center is twenty-five minutes away through winding mountain roads.”

“If the cord fully prolapses or the placenta completely detaches in the back of an ambulance, both of them will arrest before we reach the emergency bay.”

“We have to perform an emergency cesarean section right here.”

“On this bed.”

Sloan looked at the king-sized four-poster bed where generations of Marchetti leaders had slept.

It was not an operating theater.

It was not sterile.

“Dr. Harris is downstairs monitoring Cora,” Sloan said, grabbing Dr. Vance by the shoulder.

“I am bringing him up to assist you.”

“Do whatever you have to do to keep both of them alive.”

“If I lose either of them, doctor…”

Sloan leaned down, his gray eyes burning with apocalyptic darkness.

“You will not leave this compound alive.”

“Threatening me won't stop a hemorrhage, Mr. Marchetti!” Dr. Vance fired back, demonstrating the fearless spine required of high-risk surgeons.

“Get out of my way, wash your hands, and let me save your family!”

Dr. Marcus Harris sprinted into the room seconds later, carrying surgical scrubs, suction machines, and pre-warmed sterile drapes.

The two doctors moved with lightning speed, turning the master suite into an improvised surgical suite.

Delphine was carefully lifted onto the bed, her hips elevated with sterile rolled towels.

An IV bolus of fluid was wide open, rushing hydration into her veins.

Dr. Vance scrubbed Delphine’s rounded abdomen with dark brown betadine antiseptic, painting her skin in broad, orange-brown strokes.

Delphine looked up at the ceiling, feeling the cold liquid spread across her stretched skin.

Her heart pounded in her ears like a war drum.

She had stood in trauma bays during dozens of emergency C-sections.

She had held the retractors.

She had clamped the bleeders.

She had caught the screaming newborns and handed them off to neonatal teams.

Now, she was the one strapped to the table.

Now, her own child’s life was dangling by a thread of oxygen.

Sloan stepped up to the head of the bed, wearing sterile blue scrubs and a surgical mask.

He took her trembling, cold hand in his massive grip.

His touch was rock solid.

“Look at me, Delphine,” Sloan commanded softly, leaning over her face so all she could see were his piercing gray eyes.

“Don’t look at the knives.”

“Don’t listen to the monitors.”

“Look at me.”

Delphine focused entirely on his eyes.

The ruthless, violent mob boss was gone.

In his place was a husband, terrified, desperate, and anchoring her with every ounce of his soul.

“I’m scared, Sloan,” Delphine wept, her voice small and fragile.

“The baby is too early.”

“Our child is a fighter, Delphine,” Sloan said, kissing her sweat-soaked forehead through his mask.

“Our baby survived a hitman, an explosion, and the worst night of this family’s history.”

“He is not going to give up now.”

“Local spinal block is in,” Dr. Vance called out from behind the blue drape.

“Delphine, you will feel immense pressure, but no sharp pain.”

“Ready with suction, Dr. Harris?”

“Suction ready. Scalpel ten to Vance,” Dr. Harris responded.

Delphine squeezed Sloan’s fingers with all the remaining strength in her body.

She felt the cold slide of the blade.

She felt the strange, terrifying sensation of blunt dissection tearing through the fascial layers of her abdomen.

She didn't feel physical pain, but the violent rocking and pulling made her nauseous.

“Suctioning amniotic fluid,” Harris called out.

“Dark fluid noted. Significant concealed retroplacental hematoma confirmed.”

“We were just in time,” Vance said, her hands moving deep inside the incision.

“Delphine, big pressure now.”

Delphine cried out as Dr. Vance’s hands pressed down hard on the top of her uterine fundus, forcing the baby’s head through the uterine incision.

A feeling of profound emptiness rushed through Delphine’s midsection.

The pressure vanished.

For four agonizing seconds, the room fell into complete, terrifying silence.

No monitors beeping.

No one speaking.

Only the sound of rain lashing against the reinforced glass windows.

Delphine held her breath, staring at the ceiling, waiting for the only sound that mattered in the universe.

Then, a thin, sputtering cough broke the silence.

Followed by a fierce, indignant, high-pitched wail.

Waah!

Waah!

Waah!

A sound so raw, so powerful, and so completely full of life that it shattered the gloom of Blackwood Manor like a lightning strike.

Dr. Vance lifted a tiny, squirming, blood-streaked infant over the surgical drape.

A boy.

Ten perfect fingers.

Ten kicking toes.

Covered in white vernix, screaming at the top of his lungs with fury and vitality.

Delphine burst into violent, uncontrolled sobs of joy, burying her face against Sloan’s arm.

Beside her, Sloan Marchetti froze.

He looked at the tiny human being screaming in the doctor’s gloved hands.

The ruthless kingpin who had executed traitors without flinching dropped his head against Delphine’s neck, his broad shoulders shaking violently as hot, silent tears soaked through her hospital gown.

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“A boy, Mr. Marchetti,” Dr. Vance announced, cutting the umbilical cord with surgical shears.

“A healthy, screaming, beautiful boy.”

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