Dr.

Vance pushed her stool back and wiped her hands on a cloth towel.

She pulled a printed chart from the wall holder and began marking initial notes with a black pen.

“Three heartbeats,” Caroline said, looking down at her flat stomach beneath the white sheet.

“Three,” Dr.

Vance said.

“And high-order multiple pregnancies come with very specific medical guidelines.”

At half past ten, Dr.