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Chapter 1 - One Baby Out, Three Still Inside

I gave birth to the first of my quadruplets at twenty-three weeks, but the doctors stopped the delivery before the other three could be born. While my daughter fought for every breath in the NICU, her siblings remained inside me—and I was warned that trying to reach her could trigger the birth of all three.

Chapter One

One Baby Out, Three Still Inside

The first thing Dr. Camille Foster said after my daughter was born was not congratulations.

“Leave the placenta where it is.”

I lifted my head from the pillow.

Between my knees, a newborn no larger than my husband’s hand lay inside a clear warming wrap. She did not cry. Her arms moved once, weakly, before three members of the neonatal team surrounded her.

“Why isn’t she crying?” I asked.

No one answered.

A mask covered most of her face. One nurse supported her head while another squeezed a tiny breathing bag.

“Heart rate sixty-eight.”

“Starting ventilation.”

“Come on, sweetheart.”

Andrew stood beside me with both hands pressed against his mouth. I reached for him, but he did not notice. He was staring at the daughter we had already named Faith.

Twelve hours earlier, all four of our babies had been inside me.

Now one was being carried toward the doors while the other three continued moving beneath my skin.

“Andrew,” I whispered. “Go with her.”

His eyes shifted toward my stomach.

“But the others—”

“Go.”

He kissed my forehead and followed Faith into the hallway.

I expected Dr. Foster to tell me to push again. Instead, she placed both hands against my abdomen and watched the monitors.

Three heart rates still pulsed across the screens.

Oliver.

Sophie.

Mia.

“Are they coming too?” I asked.

“Your contractions are slowing.”

“What does that mean?”

“It means we may have a chance to stop the delivery.”

I stared at her, certain I had misunderstood.

“You can’t stop it. I already had one baby.”

Dr. Foster pulled the ultrasound machine closer. Cold gel spread across my belly as she moved the probe carefully from one side to the other.

Oliver kicked first.

Sophie was curled beneath him.

Mia, the smallest, remained tucked under my ribs.

Three intact sacs.

Three beating hearts.

“They’re still inside me,” I said.

“Yes.”

“But Faith is already born.”

“Yes.”

The answer sounded impossible both times.

Dr. Foster looked toward the nurse standing near my feet.

“Secure the cord as high as possible. Do not disturb the placenta.”

Fear rose into my throat.

“Why are you leaving it inside me?”

“Removing it could restart the contractions or cause bleeding. Faith had her own sac and placenta. If there is no infection and the other babies remain stable, we may be able to delay their births.”

“For how long?”

“A few hours would help. A few days could make a meaningful difference.”

“And weeks?”

She hesitated.

“It has happened.”

The room seemed to tilt around me.

For three years, Andrew and I had measured our lives in numbers—embryos, hormone levels, blood tests and failed cycles. When two embryos were transferred and one divided, four heartbeats appeared on the first ultrasound.

Four babies.

Four names.

Four cribs Andrew had started assembling even after the doctor warned us to wait.

Now Faith was somewhere beyond those doors, breathing through a tube, while her three siblings remained protected inside the same body that had delivered her too soon.

“What could go wrong?” I asked.

Dr. Foster did not soften the truth.

“Infection. Hemorrhage. Another sudden delivery. And if your life becomes endangered, we deliver the remaining babies immediately.”

“Even if they’re too small?”

“Yes.”

A nurse lowered the lights and adjusted the medication flowing through my IV. Another fitted three monitoring sensors across my abdomen.

I watched the lines jump with every heartbeat.

Then the doors opened.

Andrew stood there alone.

His face had changed in the fifteen minutes since he followed Faith out of the room. A blue NICU bracelet circled his wrist, and tears had soaked the collar of his gray sweater.

“Is she alive?” I asked.

He nodded, but the movement was barely visible.

“They got the tube in. She weighs one pound, three ounces.”

“Can I see her?”

Andrew looked at Dr. Foster.

The doctor answered for him.

“You cannot leave this bed.”

“She’s my daughter.”

“And moving you could restart labor.”

“I need to be with her.”

“You also have three babies who need you to remain exactly where you are.”

A sound came from the hallway—three sharp alarms followed by hurried footsteps.

Andrew turned toward it.

A NICU nurse appeared at the doorway.

“Mr. Dawson, Dr. Reed needs you back now.”

“What happened?” I demanded.

The nurse’s expression told me before she spoke.

“Faith’s heart rate is falling.”

Andrew stood between my bed and the open door.

One daughter was crashing down the hall.

Three more were still inside me.

He reached for my hand, but I pushed him away.

“Go to her.”

“What if something happens to you?”

“Then come back.”

“And what if she—”

“Andrew, go!”

He ran.

The doors closed behind him, leaving me with three heartbeats on the monitors and no sound at all from the child I had already delivered.

Dr. Foster tightened her hand around mine.

“Every hour we keep these babies inside you gives them a better chance.”

I stared at the empty doorway.

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“And what about Faith?”

Before Dr. Foster could answer, one of the three heart-rate lines disappeared from the screen

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