#medical fitness certificate

[medoclife]

Medical Fitness Certificate

Get the peace of mind you deserve with our top-notch Medical and Physical Fitness Certificates!

Whether you require a Medical Fitness Certificate for a job application or a Physical Fitness Certificate for sports participation, we've got you covered! Our experienced team of healthcare professionals will conduct comprehensive assessments to ensure your fitness levels meet the required standards.

Obtaining these certificates has never been easier! Simply visit our clinic and undergo a thorough examination tailored to your needs. Don't let paperwork hold yo

u back! With our quick turnaround time, you'll receive your certificates promptly, enabling you to pursue your dreams and ambitions without delay!

Contact us today and take a step towards a healthier, more confident you!

[oatmilk-vampire]

Absolutely terrified to think I'm actually considering enrolling into medical assistant school.

[bogbees]

my best friend in the whole wide world (mel, scrump) is on a flight to Japan rn

i am. somewhat rotting in jealousy but also not bc i could have gone but bc of reasons* I couldn't, so im resigned to not getting to be a cringe white woman sniffing out iruka acrylic standees this summer. or kakairu djs. rentan djs. a tanjiro fuwa.

[abudhabihealthinsights]

New National Medical Centre (NNMC) is a leading healthcare provider in Abu Dhabi, UAE, committed to delivering high-quality medical services to the community. With a team of highly experienced and dedicated medical professionals, NNMC offers a wide range of healthcare services, including general medicine, pediatrics, gynecology, dermatology, and more. Equipped with state-of-the-art technology and modern medical facilities, NNMC ensures patients receive the best possible care in a comfortable and compassionate environment.

The center is dedicated to promoting health and wellness through personalized care plans, preventive treatments, and advanced diagnostic tools, serving the diverse needs of patients in Abu Dhabi. Whether it's routine check-ups or specialized medical care, NNMC strives to provide excellence in healthcare, making it a trusted choice for families and individuals.

At NNMC, patient-centric care is a top priority, ensuring that every patient receives comprehensive, tailored treatment to improve overall health and well-being.

[pediatrics-manila]

Protecting Privacy: Addressing Issues with Electronic Medical Certificates

The increasing adoption of electronic medical certificates in healthcare has enhanced the process of verifying medical conditions and issuing fit-to-work clearances. While this shift to digital formats boosts efficiency and convenience in managing medical records, it also brings significant privacy and security concerns that must be addressed. This article explores the challenges and considerations surrounding the confidentiality of electronic medical certificates, particularly in relation to sensitive information like fit-to-work clearances.

Medical certificates play a vital role in confirming an individual’s health status, detailing diagnoses, treatment plans, and recommendations for work or other activities. Specifically, a fit-to-work clearance indicates that a person is physically and mentally fit to perform their job responsibilities safely and effectively. The transition to electronic formats for these certificates presents new challenges in safeguarding personal health data and maintaining the confidentiality of critical medical information.

Concerns about the privacy and security of electronic medical certificates involve several factors, including data storage, transmission, and access controls for digital records. Healthcare organizations and providers must implement robust encryption methods, secure server systems, and strict user authentication protocols to protect medical certificates from unauthorized access. Additionally, conducting regular data audits, complying with data protection regulations, and training staff on the appropriate handling of electronic medical records are essential practices to minimize risks and ensure patient privacy.

As reliance on electronic medical certificates grows, it is crucial for stakeholders in the healthcare sector to prioritize privacy and security in their digital operations. By following best practices in data protection, maintaining high confidentiality standards, and employing secure technological solutions, healthcare providers can safeguard the integrity and confidentiality of electronic medical certificates, including Fit to work Clearance. This commitment not only protects sensitive information but also builds trust with patients and employers alike.

For more information about Fit to work Clearance come and visit our website : https://nowserving.ph/

[certifymyhealth]

How do I get a medical certificate for leave?

Welcome to our service for Leave Certificates. Do you need time off from work or school because you're sick? We have everything covered. With the help of our Certificates Provider, you can quickly and easily contact licensed physicians who can issue you a legal leave certificate. We can assist you whether you're feeling under the weather or recovering from an injury. Just complete the short form, set up a virtual appointment, and soon you will have your certificate. With our easy-to-use sick leave certificate service, you can acquire the time off you need without dealing with lengthy lines or complicated paperwork.

You can take these easy steps to get a medical certificate for leave:

Meet an Appointment: Make an appointment with Our Certifymyhealth first. That could be a specialist or any other qualified medical practitioner who can evaluate your health.

Speak with Your Provider: Bring up your health concerns with your provider. Explain your need for a medical certificate, including any employment, educational, or other reasons. Your provider will assess your condition and decide whether your rest requires time off.

Request the Certificate: Request a medical certificate of absence from your healthcare provider. Most information, including your name, the date of your consultation, and the suggested length of an absence, should all be included on this certificate.

Use CertifyMyHealth: Certify My Health is a digital certificate provider that makes creating and organizing medical certificates easier. Get your medical certificate in Delhi quickly and efficiently with CertifyMyHealth.

Get Your Certificate: A photocopy of your medical certificate will be sent to you if you want to use CertifyMyHealth. You may quickly access and download your certificate from our portal, and you can share it with your company or educational institution.

Submit the Certificate: Provide the medical certificate—either hard copy or digital—to your job or educational institution as soon as you obtain it. You may receive a PDF file that you may send straight to someone or a secure link if you got it through Certify My Health.

You can quickly obtain and manage your medical certificate for leave by following these instructions and CertifyMyHealth. 

[dubaifuture]

How to get a DHA medical fitness certificate online?

Undergoing the process of how to get DHA medical fitness certificate online can be excruciating for expatriates who are seeking residency in the UAE. This certificate is a crucial document that confirms that the individual is free from any communicable diseases and maintains the public health standards of the UAE. With the evolution of digital services, obtaining this document is even simpler and can be initiated from the comfort of home. Shuraa will simplify the procedure for you and offer a step-by-step approach to applying for the medical fitness test online.

[theprivatewolf]

Securing a DHA Medical Fitness Certificate Online: Your Path to Residency in UAE

Why the DHA Medical Fitness Certificate is Essential

Obtaining a DHA Medical Fitness Certificate is crucial for those planning to establish residency in the United Arab Emirates (UAE). This certificate plays a vital role in safeguarding individual and public health by ensuring that new residents do not have medical conditions posing public health risks. Passing this comprehensive assessment earns you the certification of being medically fit to reside in the UAE.

Eligibility for the Certificate

Expatriates desiring to live and work in the UAE and aged 18 or above require this certificate. It’s also mandatory for company representatives seeking to obtain or renew their residence permit. The certificate is essential to confirm your health status, particularly regarding communicable diseases.

Medical Fitness Test Components

The test includes:

A comprehensive physical examination:

Blood tests

Chest X-ray

Applying Online: A Stepwise Procedure

Downloading the DHA Smart App: Start by installing the DHA Smart App on your smartphone.

Registration and Login: Use your DHA Account, Health Card, or Emirates ID to log in, with the option of biometric authentication for enhanced security.

Finding Test Centers via the App: Utilize the app’s integrated map feature to locate nearby medical test centers.

Alternative Route: Typing Centers: You can also begin your application at a typing center by filling out the necessary forms.

Undergoing Medical Tests: Visit a designated test center with your documents for a blood test and chest X-ray.

Checking Results: Typically, results are available within a day. Use the app to check the status of your medical certificate by entering your reference number and date of birth.

In Case of Delays: If results are not available within five days, contact the test center directly.

Required Documents for Application

Prepare these documents:

A copy of your entry permit or residence visa

Original passport and Emirates ID

Recent photograph and contact information

Change status paper (if undergoing visa transition)

Final Steps to UAE Residency

Understanding and navigating through the medical fitness certificate process is a key step in securing your life in the UAE. The procedure, from understanding the requisite tests to applying online and attending your appointment, is pivotal in meeting the residency health standards.

While comprehensive, the process is designed for your ease. With this guide and the DHA Smart App, you are well-prepared to successfully complete the steps towards obtaining your UAE residency. Remember, this health certification is not just a procedural step; it’s the beginning of your exciting new chapter in the UAE.

Wishing you good health and a smooth transition to your new life in the UAE!

M.Hussnain Private Wolf | facebook | Instagram | Twitter | Linkedin

[mahehealthcare]

The Importance of CPR and First Aid: How it Works and Why?

In times of medical emergencies, knowing CPR (Cardiopulmonary Resuscitation) and first aid can make a significant difference between life and death. These crucial skills can be the key to saving someone's life until professional medical help arrives. Mahe Health Care recognizes the importance of CPR and first aid and aims to spread awareness about their significance in the community.

CPR is a life-saving technique used in emergencies when someone's breathing or heartbeat stops. It involves a combination of chest compressions and rescue breaths to keep the blood circulating and provide oxygen to the vital organs. By performing CPR immediately, you can help maintain the flow of oxygenated blood to the brain, which is critical for preventing brain damage and increasing the chances of survival.

First aid, on the other hand, refers to the initial assistance given to a person who has been injured or suddenly falls ill. It involves assessing the situation, providing basic medical care, and stabilizing the individual until professional medical help is available. First aid can include actions such as controlling bleeding, immobilizing fractures, administering medication, or performing basic wound care. These immediate actions can significantly improve the outcome for the injured or ill person.

The importance of CPR and first aid cannot be overstated. By receiving proper training and certification, individuals can become empowered to take action during emergencies. Prompt CPR and first aid can buy valuable time for the patient, potentially preventing irreversible damage or even saving their life.

Moreover, CPR and first aid training can also instill confidence and a sense of preparedness among individuals. Knowing how to respond effectively in emergency situations can reduce panic and anxiety, allowing for a more organized and efficient response.

Mahe Health Care is committed to promoting CPR and first aid training in the community. We offer comprehensive training programs conducted by experienced professionals who provide hands-on training in a supportive learning environment. Our courses cover the latest techniques and guidelines, ensuring participants are equipped with the knowledge and skills necessary to handle emergency situations with confidence.

In conclusion, CPR and first aid are vital skills that can make a tremendous difference in saving lives during emergencies. Mahe Health Care encourages everyone to invest in CPR and first aid training, as it can empower individuals to take immediate action, provide critical care, and increase the chances of survival. Together, let's create a safer and more prepared community.

[e-konsulta-medical-clinic]

A Guide to Online Consultation in the Philippines

Are you looking for ways to access medical advice from the comfort of your own home? Online consultations are becoming more and more popular with patients seeking convenient, easily-accessible medical advice. In addition, with the technological advances of the last few years, more medical services are now offered remotely from your home, including the ability to speak to a certified medical practitioner. This guide will outline what online consultation involves and what you should consider before booking an appointment.

What Are Online Consultations?

Online consultations are a way for you to meet with a medical practitioner remotely. The consultation is conducted using video software or an audio phone call. Online consultations are similar to traditional consultations in that they are one-on-one interactions between a patient and a certified medical professional.

In some cases, online consultations can be used to diagnose and treat minor ailments. For example, an online doctor can prescribe medication to treat a sore throat or allergies. However, online consultations may also be used for more complex medical conditions and follow-up advice, depending on the patient's needs.

What to Consider Before Booking

Before you book an appointment, it’s important to consider your needs. For example, ask yourself if an online consultation is proper for you or if you would be better suited to a traditional consultation. It’s also important to check that your insurance will cover the cost of the appointment.

You should also take the time to research medical practitioners who offer online medical consultations. Research their experience, qualifications, and any membership to medical professional bodies. This is a great way to ensure that you receive advice from a qualified and reputable doctor.

Using Online Consultations

If an online consultation is a suitable choice, the next step is to find a service that can help. In the Philippines, E-Konsulta is an excellent option for those looking for convenient and easy access to medical advice. Through E-Konsulta, you can book appointments with certified medical practitioners online in just a few clicks.

The service offers a range of options to suit your needs, including private consultations, video calls, and specialist consultations. You can also access comprehensive medical advice in a range of languages, including English and Filipino.

The Benefits of Online Consultations

Online consultations are becoming a popular way for Filipinos to access medical care, and here are some of the main benefits:

Convenience

Online check up is convenient and can be done anywhere with an internet connection. This makes it ideal for those with difficulty traveling to see a doctor, such as elderly individuals or those with mobility issues.

Time Savings

Online consultations are significantly faster than traditional doctor consultation visits. As a result, patients don't need to wait in line or book an appointment in the hospital or clinic to see a doctor.

Affordability

Online consultations are generally more affordable than in-person medical check-ups, which can be helpful when paying medical bills.

Privacy

Online consultations provide a high level of privacy as patients don't need exposure to other people in the doctor's office.

How to Find a Good Online Consultation Provider

When looking for an excellent online consultation provider in the Philippines, it's essential to look for one that is accredited, experienced, and trustworthy. E-Konsulta is a superb option for a reliable online consultation provider. The service is certified by the Philippine Health Insurance Corporation (PhilHealth) and has a team of experienced medical professionals who can provide quality care.

The E-Konsulta Difference

At E-Konsulta, we provide quality online check up in a secure and convenient manner. Our service allows patients to connect with a medical professional quickly and easily. All our patients also have the option of completing their medical consultations in the comfort of their own homes.

Additionally, we always prioritize patient safety and ensure that all consultations are done in accordance with Philippine medical regulations. Our service also provides additional talks for dermatology, pediatrics, psychiatry, and more.

Here at E-Konsulta, you can receive quality advice from certified medical practitioners. All our practitioners are experienced and have undergone rigorous quality testing to ensure they meet the highest standards.

Our online medical consultation are becoming increasingly favored as it offer a convenient and affordable way to access medical care to Filipinos. With that, patients can trust services like E-Konsulta to provide quality online consultations securely and privately. With this complete guide, you now have the information you need to make an informed decision about online consultations in the Philippines!

[medoclife]

Medical Fitness Certificates

Searching for a trustworthy physical fitness certificate or medical fitness certificate format? Look nowhere else! We have your back. Our meticulously thought-out medical fitness certificate form guarantees a smooth procedure and precise results. You may easily get your fitness certificate with our thorough evaluation. Our tried-and-true approach ensures the highest level of authenticity, whether it's for a job application, sports participation, or personal well-being. Today, start moving in the direction of a better living. With ease, obtain your medical fitness certificate and enjoy a healthy future. You can rely on us to keep you healthy and growing!

[papaya-twinks]

random request but lando norris x reader where he comes to her undergrad graduation or med school?

Warnings: SMUT, 18+, (i have severe mental issues)

Pairing: Lando Norris x medical!student!reader

A/N - sorry to add a negative message, but to y’all who keep sending me hate coz I’m not able to do your request the same day it’s sent, fuck you bud. I’m trying juggle fucking uni and my own job, so deal with it yourself if you want it written so bad. But anyways, @slytherinholland this is a sick request, sorry it took a while

“This robe is SO unflattering,” you groaned, eyeing the outfit in the mirror as you dropped the fifth belt onto the bed. “It’s just a few hours in it,” your best friend smiled, “and that too, no matter what belt, there’s no fixing that,” she grimaced as you snorted. “Yeah, I can tell,” you laughed. And the graduation went well, you collected your certificates and threw your hats, but it was about to get even better. “Oh my god, I’m so happy!” you clapped your hand as your best friend raised an eyebrow.

“Wha-Lando?!” you shrieked, your boyfriend standing behind you as you turned around, a stupid grin plastered on his face. “Thought I’d miss this?” he asked, seeing if you’d really doubted him. He was wearing a green hoodie and joggers, matching your robe and aesthetic. Wow, he really thought a lot about the details. “Oh god,” you threw your arms round his neck, “sorry this outfits a bit…” you gestured vaguely at yourself. “A bit ugly,” your best friend finished, making Lando laugh.

Saying your goodbyes to your friends, you smiled awkwardly at Lando. “Ya know,” he said, gesturing for you to get into his car, “it’s not terrible,”. You raised an eyebrow. “The fit,” Lando explained, “you know who it’d look better?”. Seriously? He had an idea? You thought there was no fixing it. “I’ll show you,” he said, seeing your disbelieving face. You had a bit of small talk, answering his questions about a few things and asking about races, cracking jokes and making each other laugh. Very different to what he had planned.

“Still revising?” he scoffed, seeing you sat at the desk in his apartment, books laid out. “Yeah, got one final exam. Biggest one yet,” you frowned, trying to memorise the body anatomy. “What you learning?” you knew he wouldn’t understand it, just trying to show some sort of interest in your life. “Anatomy,” you showed him the human body diagram. “God, I don’t get why they won’t just let you take a mannequin home,” you groaned. “I can help,” Lando volunteered, hands in his pockets.

“You gonna steal a mannequin?” you raised an eyebrow. “No, silly, I can be the mannequin,” he shrugged, cheeks dusted with a soft pink blush as you blinked. “Okay,” you said, letting him take your hand before he allowed you to lay him down, his eyes trained on yours. “There’s a reason they don’t make mannequins hot,” you muttered, his gaze unfaltering as your flushed. “What was that?” he smirked, knowing he heard you as you rolled your eyes. “Nothing,” you shrugged.

“Stop, that tickles,” he huffed, your featherlight touches along his neck and shoulders making him wriggle. “Better?” you dug your nail into his chest, making him push you slightly. “You’re a pain. Can I help with anything?” he tried to be helpful. “I can’t really see much,” you shrugged, pulling at his hoodie, letting him read the situation and remove it. “Better?” he asked. “Better,” you nodded. “Out loud,” he commanded, his voice deeper slightly as he watched your finger trail down his chest. “Ventriculus,” you said, cheeks flushed as you trailed over his stomach.

“Ishcium,” your hand reached his hips, his lips parting slightly as his chest lifted up and down quicker. “Mhm, what about lower?” he asked, your eyes closing as you tried to hide your blush. “Lando…” you mumbled, his hands coming to your wrist to press your hand against him, his cock semi-hard against your palm. “What is it, hm?” he looked at you, his lips spread into a smirk. Without hesitation, you pulled his joggers down, his cock springing against you as you gasped, hand coming to throw base of it instinctively.

“Fuck,” he hissed, his eyelashes fluttering at the sensation. You hummer softly and, without asking, you wrapped your lips around his tip, swirling your tongue around as he groaned. “Fuck, Y/N,” he gasped, his hand coming to the back of your head as he pushed you softly more. “What’s the called, hm?” he said, hand coming to feel the bump in your cheek as your eyes rolled slightly. The words came out as muffles, making him frown slightly.

“Can’t hear you,” he said, pulling you off as you spluttered, his hand on your neck. “What is it?” he asked again, voice more commanding. “Glans,” you coughed, a smirk on his face as your hand wrapped onto his tip again. “Lift,” he said, sliding the robes off of your body as you crawled onto his chest, head on his shoulder and as he sit up, lifting you onto his lap. “Miss this,” he mumbled, lifting you so he could align himself with your entrance.

“Me too, Lan,” you moaned as he pushed in, his eyes on your face, a picture of bliss and ecstasy, as you sunk down onto him. His hands gripped your waist as he slammed upwards into you, your hips rolling back onto him as his teeth sunk into your neck softly. “Fuck, Lan,” you gasped, his cock hitting the perfect spots as he sucked onto your skin, your eyes rolling slightly. “Gonna cum for me, pretty?” he cooed, hands cupping your cheeks as you choked out a small ‘yes’. “Then go on,” he said, slowing down as you felt yourself come undone all over him.

“Orgasm,” you tapped your boyfriend’s stomach as he pulled out of you, an airy laugh ringing vibrating through his chest. “Yeah, know that one,” he cupped your cheek, pressing a kiss to your head. “Unless you wanna test out the reproductive system, I think it’s best we clean up,” he said, staring at his cum pooling between your legs. “Ideally no, but unfortunately, we have to,” you kicked your foot in mock sadness as he laughed. “Alright, Miss ‘I have a PhD,’” he snorted as you flushed. “I’d never pull that card on anyone!” you said, rolling your eyes. And not even ten minutes later, you did.

[maskedrealities]

A lot of the time growing up, I had a lot of people tell me I gave them gender envy. I had others asking me my gender, what was in my pants, getting with me to see if I had a penis or a vagina. Actively asking me very invasive questions because they couldn’t tell.

I am an intersex woman. I have F on every certificate I have. But I am built more androgynous. This causes me issues in my daily life.

I have had people tell me to “pick a gender and stay with it.” I’ve had others ask me if I used to be a male because my voice sounds like a teen boy’s but I look like a girl with shorter hair (I love short hair but I’d rather look masc with a shorter length). I’ve had people bully and belittle me because they couldn’t tell what gender I am.

It really causes me issues for going out in public. I fear being harassed again in public, asked invasive questions, be told someone wants to look like me and ask how I achieved it. How long I’ve been on testosterone or estrogen.

I’ve never been on either. It is something my body has done on its own. And the more that I grow older, my body has changed from feminine to masculine. I wanted to love myself for my more “feminine” features and yet those have gone away.

No matter what I want, I will always struggle to love my body because I have to get used to it again and again when I see a new change in the mirror.

Medical professionals hate me and don’t take me seriously. I’ve done something wrong just by living yet I haven’t done anything wrong at the same time. Although that’s something that will always be shoved down my throat because I “don’t look like a set gender” so I “need to figure it out and stay with it.”

Let me just be me. Let me be happy and love how I look. I’m not a dress up doll. No matter what, though, that’s what so many people assume of me.

I despise the binary for the pain it causes me and others. And I hate myself for being so desperate to be able to fit into this stupid category so the pain isn’t as bad.

I don’t have a DSD. I am intersex. I’m not something to fix, I am a being that deserves respect, too. Yet it’s so hard to get that.

[communistkenobi]

There is a baseline transmedicalism in framing transition as a purely medical process. “transition” is synonymous with medically transitioning, with taking hormones and having “corrective” surgery. This is a framing that largely comes from cissexual doctors and psychologists, but it has also been taken up in mainstream trans discourse by many trans people. It reduces the concept of “changing sex” to a medical procedure, and as a result, reaffirms the idea of sex as a purely biological category. It doesn’t account for the fact that you are also administratively and socially trans-sexual - some of the most intensely transgender moments in my life have been signing forms to change my name with yet another governmental department, with sending human rights complaints to my phone company because they refused to accept my name change documentation, with booking an appointment with a lawyer to notarise an application to change my sex marker on my birth certificate, with emailing my employer for the fourth time to PLEASE change my name in their internal emailing system. Administrative transition isn’t just simply updating a record here or there, you are comprehensively, administratively altering your position within the family, within marriage, within insurance claims, within census data, within the state itself. To use a phrase by Stryker & Sullivan, you are petitioning the king to correct the record of your own life. There’s nothing biological about that

and yes, these administrative and social transitions are often legitimatised through medical transition - you frequently need a psychiatric diagnosis to “prove” you need to change your sex marker, you need a doctor to affirm you’ve been on hormones for X number of months in order to get a replacement government ID or get put on a surgery waiting list. I had to have a specific surgery so I could fit into men’s clothing. Medical transition allows you to move through cis social spaces while being recognised as your gender. And also like, medical transition feels good! I love taking testosterone, I’m happy with my top surgery scars. I like being treated like a man by other people & medical transition has helped me achieve that. But there’s nothing inherently biological about this arrangement - the authority of the doctor and psychiatrist is what gets you legitimacy. I didn’t have to send pics of my top surgery to the federal government to change my ID, I needed the signature of a doctor. And this updated ID means my landlord and employer and bank and phone company and the cashier selling me alcohol all gender me correctly. No biology involved here!

[shhhsecretsideblog]

Anniversary To Remember

RP / story written with @tbgblr2 Thanks for taking on the challenge of this idea and my attempt to find an inconvenient birth location that hadn’t been written before. (9.5k words)

“Wha… NO!” you snapped as you looked at the sign in front of us.

“Please?” I asked, with my best doe eyed expression. “I booked it specially for us last year… I know things have changed, but it's perfectly safe.”

“I’ll fall through.” You groan, admittedly giggling at the thought.

“No you won't, they’re not like the old days with wicker baskets, they’re proper, metal structures designed to hold 10 times our combined weight.” I retorted.

It was our second wedding anniversary today. When we discussed it last year, the day after our one year anniversary, it sounded like a great way to celebrate our second. We were going on a hot air balloon ride over the city into the countryside and staying for a romantic meal together with a night in a log cabin to follow.

Only our desires got the better of us, and here we were looking at the sign for the balloon place with you holding your hands under your blossoming belly – 9 months of it.

You had forgotten all about it with all the baby commotion, but when I pulled up to the venue near the airport, it all came flooding back.

“The doctor said you weren’t due for another week, and this will be the last chance we can do something crazy like this before the baby comes. It makes lots of sense to do it now and cross it off our bucket list… plus I can’t get a refund.” I tried to reason with logic.

You shook your head. “I think my belly is almost the size of that balloon the way I feel.” Despite your protest you’re clearly thinking about it and, warming up to the idea, you eventually smile at me.

“That’s my girl” I grin “Don’t worry, it’s only 3 hours”

~•~

I roll my eyes but my lips pull into a smile. “Okay, let’s do it. Here’s hoping we can both fit in there.” I joke, rubbing the swell of my heavy stomach.

Leaving the house was the last thing I wanted to do today, and taking a romantic hot air balloon ride? Complete madness. But you were just so excited, this was something you’d always wanted to do for as long as I’d known you. And those doe eyes, I really couldn’t say no.

As we stood and waited for the stewards to set up the balloons, I grimaced at the twinge flaring in my back.

“Oof-” I huff out, and attempt to hold up my bump that’s weighing heavy on my hips and cramping my spine.

“Baby kicking you in the ribs again?” You ask, noticing my expression.

“No… it’s just really heavy. Hoooo- I’ll be glad when this pregnancy is over.”

“Not long left to go sweetie. Here, let me try something.” You stand behind me, arms snaking my waist, and you lift up the large bump containing our baby. My head falls back against you with relief. “That feels wonderful.” I murmur, enjoying the momentary feeling.

After a couple of minutes of respite, you gently let go and the weight returns to my pelvis and I groan softly.

“Are you sure this is safe?” I ask, taking another deep breath, rubbing my belly subconsciously. “I’m not sure I’m up for this…”

~•~

“It’s the safest thing in the world” came the voice across the way. One of the representatives of the balloon company came striding up and shook my hand. “How can I help?”

I picked up my phone and scrolled through to our online voucher. “I’m here for our booking?” I asked, showing the details to the man who approached.

“Ahh!” came the reply. “You’re here to fly. Got your transport right over here. Flying it myself today. Names Jimmy. I couldn’t help but overhear the discussion earlier, let me tell you, kids are the best thing in the world, and once you’re up in the air, you’re going to have stories to tell them to get them to sleep for years to come. Just checking…” he sounded slightly unsure “are you safe to fly in your condition?”

“I have the medical certificate here, got it last week.” I announced. Jimmy looked it over.

“Good all seems to be in order, if you’ll follow me… our chariot awaits!” Jimmy was enthusiastic, I’ll certainly give him that.

~•~

I was glad when Jimmy directed us further across the field, I needed the opportunity to walk off the cramp rippling my stomach. The braxton hicks had been happening on and off today, which wasn’t particularly unusual, but I didn’t want to tell you as I knew you’d only worry. I didn’t want to ruin this once in a lifetime experience for you.

My eyes widened when I saw the basket we’d be riding in; it was huge and a lot taller than I anticipated. It was higher than my waist.

“Erm… how am I going to get in that?” I ask uncertainly.

Jimmy produced a stepping stool, presumably he was used to getting people in and out the large basket but perhaps never someone quite this pregnant before.

~•~

It took a few false starts, with you stepping on, trying to get your leg over the top, giving up, repositioning, trying again and again, but eventually you were able to use my shoulder as support as I lifted you up over the edge of the basket. “Maybe I should have gotten in first and lifted you over?” I suggested, as I scrambled in behind you.

You huffed out a breath as you smiled “I am in no condition to be lifted thank you!”

It was quite roomy all things considered. There was a small cabin to one side where the pilot could sit and do his thing without directly interfering with us. I looked over and saw the laptop computer affixed to a small tray against the wall.

Our area was open sided, exposed to the elements, but thankfully it was a nice day and aside from higher winds when we got up to a decent height, we were expecting clear views and plenty of lasting memories.

We cuddled together as Jimmy announced he was lighting the burners – the whoosh of the gas and the heat of the flames announced we were getting ready to go. I hugged you from behind and as there was a quick lurch from the balloon lifting off the ground I felt your usually soft belly harden under my fingers. “What was that?” I whispered to you.

~•~

“What was what?” I reply casually, keeping my eyes forward at the ground that was slowly disappearing beneath us.

You say my name with a hint of a scolding, knowing I knew exactly what you were referring to. My belly was still contracting under your fingers and I could see in your eyes that you could feel it too.

“It’s nothing, just another braxton hicks that’s all. Don’t worry. Look at this amazing view” I try to distract you “we’re already so high.”

~•~

I calm a little as I feel the tension ease around your middle. Taking your hand in mine we walked over to the edge of the basket. We spend a good 5 minutes with the wind ruffling our hair as we stare out over the city. “There's our house!” I excitedly point out into the distance. “There’s your parent’s place. Oh and mine.” I’m lost in the giddy enjoyment of this, holding your hand tight and don’t notice your grip tightening and tightening more on mine as the next contraction starts to grip your middle.

“If we need to get down, how do we do that?” you asked Jimmy.

“Sorry, nothing much we can do now until we’re outside the city. Nowhere clear to land. Figure we need about 2 hours minimum with this wind speed. Afraid we can’t just turn these things around and head home.” He was smiling but didn’t even look up at you as he responded, he was too focused on twisting the knobs on the gas bottles to get the mixture right and tapping his route onto the laptop to let air traffic control know where we were heading.

I turn back around and grasp you around the waist – your bump pressed in tight against me as I cuddle you close to me. I don’t notice the strained tension that had gripped it a few moments before. Kissing you I whisper “Happy anniversary. Here’s to lots of years and lots of babies!”

~•~

“Lots of babies eh? Let’s see how we get on with this one first before you start planning for a whole football team.” I shift my hips subtly side to side, trying to not think about just how low the baby felt in my pelvis.

“You were right; it is really magical up here. You can see the whole city.” I say wandering as much as I can in the small space, needing to move, looking out at every angle towards the horizon. The sun was shining brightly illuminating the tiny buildings below, clouds littered the perfectly blue sky, but it was the silence that made the experience otherworldly. It was so quiet up here. Just the sounds of the breeze and the occasional whoosh of the gas canisters keeping our balloon in the air.

I ended up leaning against the adjacent wall of the basket to you, each of us looking out at the impressive scenery, but I’m pulled out of the experience but a forceful contraction squeezing and tightening my belly. My breath hitches, pain pressing more urgently now through my body. I try to steady my breathing, long deep breathes through the pain, that’s what they say don’t they? My fingers grip the padded railing and my head dips slightly. Stay calm, just breathe, I tell myself. This might not be labour.

~•~

You suddenly feel my hand rubbing your back. “You ok?” I ask, concern in my voice looking at your white knuckles gripping the side. Your eyes dart between my face and what I’m looking at, suddenly releasing your grip.

“Yeah, fine. Just baby’s really low. Probably just the change in gravity because we’re so high.”

I caught my laugh, sniggering through my lips. “No, you’re just very, very pregnant.” My hands grip either side of your hips and press, the moan escaping your lips echoed out across the wide open air.

I lean in close and whisper so only you can hear “Just breathe through it, we’ll be on the ground in a couple of hours.”

~•~

“You know?” I whisper my reply, turning my head slightly to find you nodding, a grin twitching your lips. “Damn, I thought I’d been more- hooo-subtle.”

Slowly, I turn around to face you, holding on to your biceps as I find myself needing both the physical and emotional support.

“Ooohhhh- why now?” I quietly moan against your chest.

“Shhhhhh it’s okay.” You whisper into my hair, rubbing my back before pressing deep into my hips again. “How long do you think you’ve been in labour for?” You ask.

“Mmmm- I’m not sure. My body’s always aching and cramping these days, I- I didn’t think anything of it….” I reply softly, my breath hitching again with another contraction. My heavy rounded belly is squashed between us and I’m almost certain you’d be able to feel it through your shirt, tensing and contracting against your stomach.

~•~

The next contraction builds without warning as you grab hold of me tight, your fingers digging into my shoulders as you press your forehead into my chest, desperately resisting the urge to scream, knowing it would likely cause chaos with our pilot. My hands grip into the small of your back and you press back into them, you’re suddenly bent at the waist, your feet spread, hips swaying side to side as you groan quietly into me.

My forehead rests against you and to the outside world - or specifically Jimmy at this moment - it just looks like we’re embracing and enjoying the moment.

Suddenly there’s a splash between your legs and you find your dress is sticking to your legs. You go wide eyed. There’s no mistaking it now…

~•~

“Oh my god…” my voice is barely a whisper as I stare up at you in shock. Your expression mirrors my own.

“Erm… is everything alright guys?” Jimmy asks in an upbeat tone that feels alien to the both of us right now.

“Not really no…” I say to our bewildered pilot, before turning back to you. “Honey, I think I need to sit down.”

Your hand is around my waist as you walk me over to the small cushioned bench sitting one end of the hot air balloon basket, you steady me as I awkwardly lower myself down.

“Are you okay here for a minute while I update our pilot on what’s happening?” You ask quietly, one hand affectionately rubbing my stomach.

“Mmmm- yeah… I think so. Thanks.” I reply and watch you walk over to Jimmy to presumably tell him that I’m in labour.

Everything feels different now I’m sat down; my hips ache, my pelvis feels full and my stomach seems to sit further out forcing itself to sit between my thighs. The baby had definitely dropped and was making its arrival known.

Why now… why here… I thought to myself, this baby has a really warped sense of timing. I closed my eyes and rubbed slow circles around my stomach. I tried to stay calm and reassure myself that everything would be okay, but my broken waters continuing to leak from me served as a constant reminder of my advancing labour. My heart raced and it felt like I couldn’t quite catch my breath through the rising panic…

~•~

I look Jimmy straight in the eyes. “We need to get down. Now… if not sooner.”

He shook his head “I wasn’t lying when I said we couldn’t. You guys knew the issues before you got on. I’ll put an SOS out so the medical facilities will meet us when we land, but it’s going to be around 2 hours.”

“Shit” I cursed under my breath, as you groaned loudly, the first vocalisation of a rapidly accelerating labour.

I dashed to you and skidded down to my knees, inadvertently sliding through your amniotic fluid in the process, cursing all the way. I grasp your hands as you grip mine - hard - as your eyes look at me pleading, struggling to catch your breath.

I talk you down, calming whispering tones as you catch your breath and groan through the rest of the contraction.

Jimmy struggles putting 2 and 2 together as he asks “what’s happening?”

“We might well be pushing out a baby at 2000 feet if you can’t get this thing on the ground” I summarise.

“Fuck” came the blunt reply from our pilot.

~•~

We stay in that position for the next few contractions - offering me your hands to hold or shoulders to squeeze. Meanwhile, Jimmy is nervously pressing buttons on his map and contacting the base on the ground, trying to find any nearby suitable location to land - his laidback persona starting to fray at the edges.

“Hooo- the baby feels so low…” I huff out after a particularly fierce contraction. “I don’t think… I can sit anymore. Feels like I’m sitting on their head. Need to- oof- stand. Help me up?” I ask holding out my arms.

Your large hands hook under my arms and slowly aid me to standing. My balance is thrown off, the baby even lower, and I stumble a little but you’re quick to react and hold me steady.

“How are you doing love?” You ask me with concerned eyes.

“Okay… as well as I can b-be in the circumstances.” I attempt to joke, motioning to the basket and the open skies around us and the ridiculous situation we’ve found ourselves in.

“I guess of all places to labour, this has definitely got the best views.” You tuck a sweaty strand of hair behind my ear. You’re barely even looking at where we are - eyes focussed solely on me.

“I’m sorry… I ruined this experience for you.” I murmur quietly to you, feeling guilty that you were now missing out on enjoying this bucket-list activity.

“What? Don’t be silly. You’re having my baby, there is literally nothing more important to me than the two of you.” You kiss my forehead and pull me closer.

Before I can respond another contraction steals any words I could say and I’m left with only deep groans coming from my mouth.

The pain and pressure rages through my very core, my hands scramble to hook themselves around your neck as my hips sway and my knees bounce, pulling myself downwards against your sturdy frame, releasing a low moan against your chest.

When the contraction fades and my ability to speak returns I ask “do you think we should maybe start… hoooo… timing them?”

~•~

“Let’s give it a go” I say, glancing at my watch. At this point I’m just playing along as I’d been timing them since I first realised you’d been having contractions. We focus on each other through the course of the next few minutes not even staring out at the view at this point - you’re deep breathing, head buried in my chest and my hands roaming your body trying to rub - anywhere - to make the pain go away.

As the next contraction builds bringing you back into your previous position, hanging low off me and moaning loud through the worst of it, I’m counting in my head. The numbers reach high enough that I just give up as you finally come out the other end and look at me.

“So you know in the birthing class when they say come in when they’re less than 5 minutes apart and last longer than a minute?”

You nod, signalling me to go on.

“I think we should have been there for quite some time now. That was 3 minutes from the last one and lasted at least a minute - lost count after 50 seconds”

Jimmys face, watching all this from afar went white.

I turned and noticed. “Hey you said you’d had babies before. Any tips for this bit? All my knowledge is from videos at this point?”

He shook his head. “No. I couldn’t handle it. Seen my wife in stirrups, seen her bulge as the head came out and I passed out. Came to as she had a baby to her chest and 2 nurses fanning me looking on concerned”

I shook my head. “Great…” I wasn’t sure how much of that you had took on in you slight state of delirium, but either way, the next contraction was building and you held on tight.

~•~

On learning that we should already be at the hospital by now with how close together the contractions were coming, I wiggled out of your hold and moved away. Needing space… to process, to not be touched.

“No…. That can’t- can’t be right. Hoooo-“ I breathed heavily, hands gripping the edge of the basket in the absence of you. Unsure if it was the increasing pressure or the very real possibility that I was going to have this baby in a damn hot air balloon, my brain went into complete denial.

“Babe, I’m sorry. We can time some more to be sure, but this baby is definitely coming, sooner than we want.” You stand next to me, placing a comforting hand on my shoulder which I shrug off with a gruff. I know this isn’t your fault, just a case of really unfortunate timing, but the constant pressure and pain has me taking my frustrations out at you.

“Fuck… ohhhh my back….” I whimper, leaning over the railing and jutting my hips backwards. The baby must be pressing on a nerve that has my spine screaming.

Despite snapping at you and shrugging off any contact, your hands grasp my hips and you press your thumbs deep into pressure points in my lower back. The relief is instant, pain reducing to a level that didn’t make me want to vomit, and I exhale a moan into my elbows.

“Did we- find anywhere- else to- land?” I pant out.

You turn to Jimmy, who also heard my laboured question.

“Yes I did, it’s sooner than our original landing spot, but with the wind speed and direction we’re travelling… erm it’s still going to be at least another hour and half…” Jimmy admitted to us.

~•~

“I don’t think she’s going to last an hour and a half!” I rant at Jimmy while rubbing your back. He looks at me with an apologetic look in his eyes but didn’t say anything.

“Is there anything in here that we could use? A first aid kit at least?” I ask.

Jimmy digs under the shelf where his laptop sits and pulls out a tiny first aid kit. Leaving you for just a moment I take the first aid kit from Jimmy and open it - inside a small roll of gauze, some tape and a pair of round ended scissors.

“No idea if these will even be sharp enough to cut the cord… not that we could tie it off properly if we could.” I at least sounded like I knew what I was talking about though inside I was panicking at this point.

“Quick…” you groan as the next contraction builds and I rush over to hold your hand, feeling you squeeze tight.

~•~

I take your hand, gripping hard, and twist around towards you curling into your embrace. I hang on to you as the contraction takes hold, the pain sharp and the pressure constant. You notice the sounds I’m making with each contraction are getting deeper, now lowing instinctually with every peak.

A minute slowly passes but the contraction doesn’t fade. I’m still shifting and groaning in your arms.

“Hoooooo- No…. Oh no no no…” I suddenly whimper, panting erratically.

“What is it?” You ask worriedly.

I lift my head up, seeing the apprehension in your eyes. “I- hooohooohoo- no…. not now….”

“Baby, talk to me. I need to know so I can help you.” You plead, cupping my face.

“I think… ooohh- I think I need to push…” I say as I bite my bottom lip, breathing heavily through my nose.

~•~

It was my turn for my face to go white. “Now? No! God, no… not now!” I pleaded to the open air around us. You weren’t listening, or at least not responding, deep breaths being sucked in and puffed out to try and regain a moment of calm before the contractions happen all over again.

“You can’t push. No one has checked you… are you dilated? You might injure yourself. You have to wait until we land!” I’m rambling at this point. Instinctively I know there’s nothing we can do to stop it and it happens when it happens but the only thing going through my head is ‘we’re all alone up here.’

“Please baby do your best. You can’t push… please” I plead.

~•~

The contraction eventually begins to fade, and taking with it the urge to push. I can’t help the smile that pulls my lips hearing your string of panicked questions and your flustered demeanour. Placing a hand to your chest, I calmly say “Honey, breathe.” Echoing the words you’ve previously said to me. “It’s okay, it’s passed now.”

“Oh god, you scared the life out of me.” You pull me closer, wrapping your arms around my waist. “So… you’re doing okay now?”

“Yes, I’m okay now, we both are.” I reassure you, holding the swell of my stomach that’s nestled between us.

You crouch right down so you’re eyelevel with the bump, both your hands splayed wide across its surface. Looking up at me over the swell you mutter “Can’t believe we’re going to meet our baby.”

I giggle, placing my hands over yours. “I know, hopefully not too soon though.” My breath suddenly hitches with a sharp inhale. “Oooohhhh here comes another one. Quick, hold me-” I manage to spit out before the contraction steals my speech and buckles my knees.

~•~

You sink down to your knees, your head nestling into the crook of my neck as you flop your arms over either of my shoulders and leave them draped down my back. I feel your fists clench and release through the bouncing of your forearms as you let out a groan, muffled by the fabric of my tee shirt.

I whisper close to your ears “You’re doing great, keep on doing that, resist that urge to push.”

I feel your head bobbing into me, nodding as much as you could, not able to give me a verbal response.

Your knees are spread wide and I can only hope at this time that your stance being wide doesn’t foreshadow anything happening between them.

I glance to the side to see Jimmy moving towards us to push past my back. He was fiddling with a few ballast bags on the side of the basket, pulling them in and pushing them to the opposite side of the basket.

He didn’t say anything, but after shoving the bags over the other side, re-securing their fixings and letting them out over the edge he went back to the gas controls.

Suddenly we felt the unmistakable feeling of descent, the slight jump in the pit of our stomachs.

“Are we nearly there?” You asked. The contraction was ebbing away and your voice was croaky, only barely loud enough to hear.

“Sorry” came Jimmy, and once more he sounded genuinely apologetic. “We need to drop down a bit to catch a different wind current to get to the new destination. Still got an hour or so.”

Your head dug back into my shoulder. That wasn’t what you wanted to hear.

~•~

“An hour?! Hooooo- I don’t know if the baby is going to wait that long…” I whisper quietly in your ear, not wanting to admit it too loudly as that would make it real.

“Shhhh, it’ll be okay baby.” You quietly reply as you rub my back. “You’re doing great, keep resisting the urge. It’s not time to push yet…. It can’t be” you added so quietly, whispering to yourself. Hoping.

“The baby feels so so low…ughhh… even without a contraction the pressure… so much pressure.”

“I know darling, but you’ve got this. We’ll be back on the ground before we know it. Just hold on a little bit longer.” You look skyward, pleading to the universe. You really didn’t want to have to deliver this baby at 2,000 feet.

As the balloon dropped to its new level, the basket got caught on a rogue strong gust of wind, jolting everything and everyone inside as it swayed abruptly. With our arms wrapped around each other, we nearly toppled over but managed to stay upright as we both instinctually widened our knees for balance.

“Are you okay?” You ask me, our hearts thumping in shock.

I could only nod as another contraction started not long after the basket steadied itself.

“Jeeze, Jimmy what the hell was that?!” You shout towards our pilot.

“Sorry guys, that was a bit of a rough one.” He joked, readjusting his equipment that had dislodged

Meanwhile the contraction raged through me, every muscle seemingly tense and solid. My hips were screaming, forced apart by the large head barrelling towards my cervix. The pressure… it was too much. My knees were too wide. I couldn’t hold off any longer, I had to push…my body deciding to act of its own accord. Bearing down, a long and low grunt suddenly rattles from my throat against your neck.

~•~

I’d been paying careful attention to your grunts and moans over the past hour or so as concern grew and grew, but the new noises you were making were different. I looked at your face and saw your scrunched up eyes, the blown out cheeks and I suddenly realised.

“No!” I snapped. You didn’t respond. “Don’t push, baby, you can’t. You need to be checked. You know you can’t push until you’re fully dilated. Please… don’t want you to get injured.”

The end of the push came, you opened your eyes. There were tears there, frustration, pain, panic… who knows but all you could answer in response was “I have to push right now!” Soon you’re at it again.

~•~

“Can’t- help- it…mnghhhhhh!” My hands claw at your shoulders, using you to balance as my hips sink lower and my body pushes hard. “Oooohh… I can feel it… baby is moving…down!”

“Shit. Okay, okay.” You try and rationalise and plan, working out what the hell we were going to do now. “Baby, is this it? Is this really happening now?” You ask me.

“Ughhh! I think so… feels very real to me hooo!”

“Then we’ve got to take your panties off. We need to see if you’re fully dilated, if you should even be pushing right now.” Your brows furrow with concern and sympathy with every hitch of breath and groan of pain, knowing this was about to escalate very quickly.

Your hands disappear under my dress and find the dampened fabric of my underwear from my broken waters. You roll them down my thighs but keep them hidden from view beneath my knee-length dress, not wanting to alert Jimmy to what was happening. It was just you and me right now.

“Tell me when this contraction is over, then I can try and see if I can work out how dilated you are.” You say softly, trying to keep me calm and reassured in this far-from-ideal situation.

I nod in understanding, grunting once more in an uncontrollable push before gasping for breath at its end. “Hoooo-hoooo I think it’s passed…” I croak quietly to you.

~•~

I look up to check and see Jimmy occupying himself with his duties, not looking at us. Blowing out my own breath to calm myself I lower you down, so you’re on your hands and knees in front of me.

I stand up and move around behind you. Lifting the back of your dress up, I roll it up to expose your ass, your wide opened legs stretching your panties around your knees.

I let out an involuntary gasp. It’s not lost on you.

“What is it” you gasp. I describe the scene in front of me. Whilst your lips hadn’t yet parted, the baby’s head was definitely bulging, sitting just inside of you. I’d no medical training, but could only presume that we were at the stage where each push had the head begin to show and retreat as you stopped the effort. I explained to you that we were well past the point of needing to check your dilation, and right now we need to get you more comfortable to push… first task will be to get those panties off you so you could open up freely.

I looked up and that’s when I saw Jimmy looking straight at us, wide eyed like a deer caught in the headlights.

~•~

“I hope you’ve got some blankets or something up here Jimmy, cos this baby is going to be born before we reach the ground.” You warn him sternly, snapping him out of his panicked staring.

Ignoring our pilot, you focus your attention back to me - shifting and squirming on hands and knees, the dress still lifted showing just how close the baby was to this world.

“How are you holding up darling?” You ask quietly to me.

“Mhhhh- like there’s a bowling ball stuck in my vagina-” I snap with a gruff.

“Right let’s get those panties off before the next contraction so you’re free to move.”

My hands and knees were planted so heavily on the floor of the basket, I couldn’t move. The idea of raising either of my knees to free my underwear seemed too Herculean a task. You had to manoeuvre around me, holding me steady and pulled the garment free from my legs.

As soon as I was free my knees automatically spread opening up my hips further to ease the unbearable pressure in my pelvis. I know you wanted to move me for the next contraction, but I could already feel it approaching. Pressure was building and building, the baby pushing against my opening. With my ass still on full display I went down to my elbows, my forehead almost kissing the floor with my hips up pointing to the sky, and I succumbed to my instincts and pushed.

You held me steady as I pushed, watching in fascination as the bulge got bigger. The sounds I was making had turned primal, instinctual, and you could tell I had mentally retreated into myself and on the job I had to do.

“Oh my god… I think I can see the head!” You cried out after a forceful push showed the smallest sliver of the baby’s head appear just behind my lips.

~•~

My exclamation caused you to lose your focus, immediately stoping pushing and causing the sliver of the head to slide back in. Biology won out though as you were forced to push again only a few moments later and once more the first glimpse of our baby was clear to see again.

You grunt with relief as the contraction finally passed - with the head slipping back out of view again - but you were buoyed by my enthusiasm.

Jimmy, taking a moment to interrupt with a cough managed “sorry no towels or anything… it’s not intended to be used for ferrying the sick, wounded or I guess labouring mothers to be”

“Help me up” you gasp as you pull on my arms. I move around to grab you under the armpits and heave you up, you dress slipping back down your legs covering your modesty again.

“Here it comes” you grunt as you echo the position you’d been in only a moment ago, your arms under my armpits, one hand holding the other wrist, the other gripping tight to my tee shirt in a balled fist. You planted your legs wide and almost growled with effort as the next contraction ramped up.

~•~

My body trembled against you as I pushed, my arms so tight around you grasping at your clothes. Your frame the only thing keeping me upright, the smell of your aftershave the only thing keeping me from panicking. It was an effort to get up but I needed the gravity, something telling me to stand up, to bring the baby down.

“Oh god…” I moaned out heavily against your neck “I can f-feel the head…” my knees squatting slightly during the push, opening up for the baby to peak through.

But when the contraction was over, and the pushing stopped, the head slipped backwards and I whimpered a sob on your shoulder.

The effort of pushing had dampened the back of my neck and hair with sweat, and beads of it glistened on my forehead. Though it was early evening the sun was still bright and warm in the sky, making my temperature soar. Every pore of my skin seemed to tingle, aggravated by the fabric of my dress. My entire being was overheating. I felt like I couldn’t quite catch my breath; the air too hot, my skin too tacky.

I shifted in your arms, uncomfortable, frustrated. I needed to do something but couldn’t find the words. You noticed me pulling at the hem of my dress and knew what my subconscious was trying to do. Still holding me upright, your hands roamed my back and found the zip of my dress, pulling down, helping to free me from the cotton prison.

~•~

Your eyes opened as I reached down and grabbed the base of your dress, suddenly realising what I was doing. You stretched your arms out, hands placed lightly on my shoulders as my body raised up, pulling the dress with me as I went.

The first thing I noticed was the bump stopped the dress from coming up. I had to tug it a little to get it unstuck. I pulled it up over your breasts and over your head, then releasing it from one arm to the other until it hung loosely from my fist, draping on the floor.

The sigh of satisfaction as you felt the cool breeze rush over your exposed, overheated skin, instantly cooling you was palpable. You were now naked except for your sports bra you had put on this morning for comfort.

You gripped hard on my shoulders again, the next contraction building as you managed to grunt out “that feels so nice… but don’t you dare lose that dress. I need it to get home.”

~•~

“I wouldn’t dream of it.” You whispered back to me with a laugh.

I held on tight to you as the contraction took hold; my body pushing, squeezing, opening for the baby.

“Keep going baby, you’re doing wonderfully.” You offered words of encouragement against the moaning I was making in your ear.

“I don’t feel like I’m making any- mnghhh- progress.” I say releasing the push with a huff.

When the contraction had waned I shifted out of your hold a bit. Holding the underside of my low bump I swayed gently, facing outwards towards the stunning horizon, letting the cool breeze wash over my skin in the break I was given.

“How long til we land now?” I dared to ask our pilot, who’d been giving us a wide birth since I started openly pushing.

“We’re getting closer, I’d say just under 45 minutes.” Jimmy answered simply, completely avoiding looking in my direction.

“Do you reckon - hoooo… we’ve got any hope of making it to land before this baby c-comes?” I ask in vain, taking one hand off my bump to hold the side of the basket, my hips shifting round in wide circles.

Your hesitation gives me all the answers I need. Still you reply “Whatever happens babe, you can do this. And I’ll be right by your side.”

“Well you’re not exactly going to go anywhere.” I joke before a contraction suddenly strikes and I hiss through my teeth.

Standing in the a corner of the basket I grasp the padded railing with both hands, gripping the cushioning so hard my knuckles whiten. The baby presses lower and lower and I rock, and groan and push alongside its efforts. My hips jut backwards towards you, my back flat as I lean into the baskets edge, nearly wailing with the efforts of the push.

“Can- can you see… ohhhh…. Is it coming out now? Mghhhhh!!!” I cry out mid-push.

~•~

“I can see it baby, I can see it!” Even against all of my natural instincts to panic I’m getting invested in your progress and can’t help but get excited as things show progress. The bulge between your legs was now significantly bigger than when I had first noticed it, and whenever you were pushing, the head was forming into a genuine teardrop shape, though still not holding its place when you stopped.

“Shit” came the voice from Jimmy. Panicking, expecting to get some bad news, my eyes shoot over to him just to see him staring straight at you, focused clearly on the dark patch between your legs.

“Don’t you dare freak out or feint… there’s 4 of us in this basket relying on you to get us safely on the ground” I admonished. Jimmy in turn shook his head and thanked me, breaking his reverie and focusing back on the laptop.

Focusing back on you, you grunt as you push again. “You’re doing so good baby. I can see the head a lot when you push. Keep focused… if you want, you can reach down when you push and feel it yourself”

~•~

I tentatively release one hand's grip on the barrier, the excitement in your voice making me desperate to feel the baby. But I can’t seem to let go, the effort of pushing is too consuming and I’m scared to let go of the support. I give a loud grunt with a big push, feeling my lips starting to burn with the stretch.

But then it’s over, contraction faded, and I bring myself back up to standing. Feeling more confident without a contraction to let go of the support, I place one of my hands between my thighs and I can feel it; just behind my slightly parted lips is our baby.

“Oh my- wow!” I exclaim, making first contact with our child. “I can feel them, that’s our baby.”

“I know, and you’re doing wonderfully darling. We’ll be meeting them soon” You say, grinning ear to ear and stepping towards me.

“It’s got hair!”

“That’s not surprising, considering the amount you’ve got.” You joke and stroke the thick locks of hair that cascade past my shoulders, tucking wayward strands behind my ear.

“Do you think it’ll be a boy or a girl?” I ask, my fingers still delicately stroking the bit of head that’s peaking out.

“I’ve told you I don’t mind. As long as they are healthy and happy.”

“I know, I know…. I’m kinda hoping for a girl though…” I admit.

I feel the next contraction brewing, but I don’t want to remove my hand from my crotch. Instead I back into the corner of the basket, keeping one hand on my baby and the other flying out towards you for support.

My body sinks into a squat when the contraction hits and everything squeezes downwards. I take a big gulp of air and push… hard, feeling the baby’s head inch forward into my palm.

~•~

My hand reaches out to you, your hand on my shoulder and my hand in turn resting just under where your bra strap rests. As you sink down I follow you, ultimately ending on my haunches so I’m eye level with you. Whilst you’re desperate to close your eyes during the push you fight to keep them open and look into my eyes, my smiling demeanour giving you a level of comfort in this trying time. Suddenly I lean forward and place my second hand over yours so we are both cupping your lips. I feel the roundness of your hand as it envelops the bulge there and get in close. “Push!” I urge.

There’s no stopping you, your cheeks are puffed out and your brow is furrowed but you keep your eyes on me. Your mouth is wide and groaning as you make the effort but still we keep that connection.

My hand is pressed outwards as is yours as your lips part and your fingers rub the slick, surprisingly spongy mass slowly making its way out from between your legs.

You suck in your breath as you need a moment to get your strength as I say “again?” and you’re back at it, groaning loud and low, the hand on my shoulder grasping hard.

~•~

It was just you and me at that moment, the rest of the world completely shut out. You and me, together bringing our baby into the world.

My chest heaves with every rasped breath, my breasts resting atop the large pregnant swell that hung between my open thighs. My boobs had gotten bigger as I approached the end of this pregnancy and this bra was the only one that didn’t pinch.

Your eyes light up as we both feel the head sliding forwards into our hands. But the pain is astronomical and I’d lose myself entirely to it if you weren’t beside me right now. The baby fills even more of my palm and I can’t help but cry out “…Hurts…. Burning…” in between my laboured breaths.

The contraction starts to ebb away but I don’t want to lose this progress. It’s almost too much to bear if the baby slides back again now. I give a final long grunt, pushing as hard as I could while the contraction was still present, huffing as I release the push and hoping the baby stays put.

~•~

I watch in awe as I see you put incredible effort into a push, your face both incredibly contorted and at the same time, focused on it’s one task. Your hand moves away from between your legs, batting mine back at the same time. It twists and grabs my fingers, as my eyes sink down to the area that was previously covered.

Your hand squeezes my fingers as you let out a roaring sound, unlike any I’d heard so far. The hand on my shoulder digs in to the point where I’m certain your nails will leave embedded marks, but still my eyes focus between your legs.

In front of my eyes I see your lips spread around the head moving out, red, firey skin moulding outwards, spreading like a petal on a flower. The teardrop shape of the head, expanding outwards.

You gasp. “Burning… burning… burning, hurts” it’s almost incoherent babbling at this time, but whatever you were doing had some positive effect, as once I see your shoulders sag, right there between your legs was the most perfect oval of darkened, matted, soggy hair that I had ever seen.

“You did it baby!” I yell in triumph. That’s when I realised that you weren’t paying attention. It’s clear that at this point, there’s nothing you can do but focus on the ring of fire between your legs. It’s all consuming at this point, your knees are quivering trying not to lose control, your hands are squeezing and digging nonstop. Your eyes are closed and scrunched hard.

Youre gasping “Pull it out! Help me!” There’s nothing I can do at this point but sympathise as you struggle at this most gruelling stage of the process.

~•~

I can’t think, I can’t speak, I can’t move. I’m entirely lost in this moment; blinded by the pain of being stretched far beyond anything I thought possible. But it was more than just the spreading of my sensitive lips - my hips were wrenched apart, the baby shoved against my pelvis, the nauseating feeling of being so… full. I couldn’t take it.

My body started to tremble, you could feel it beneath the hold you had on my ribs and you could see me shaking in front of your eyes.

“I can’t do this!” I wailed, eyes scrunched and tears leaking past my lashes. “It’s too big! Uhhhh- fuck. Help me.”

“Oh baby…” you whispered, your heart breaking at seeing me in so much pain. “I know, but you are so close. You can do this.”

“I c-can’t!” I sobbed.

“Yes, you can. You are the strongest, bravest woman I have ever met. You can do anything, and you can do this. Just a little bit longer, I promise. Then when the next contraction comes, you push with everything you’ve got, okay? The head is almost here…”

I nod. That’s all I can manage. My head lolls forward, both my hands clawing at your shoulders, my entire body trembling, and we wait. We wait through agonising second after agonising second for the next contraction.

~•~

Soon it’s upon you. “It’s coming” you manage, before gripping me tightly again and dropping your chin down, closing your eyes and giving it all you’ve got.

I watch the oval shape between your legs quiver and a few seconds later start to move. You gasp, taking a breath and start again, still in mid contraction. More movement.

“Go! Go! Go!” I’m chanting, it seems to help. Finally your lips turn white, all blood drained from around them as they are stretched to their widest point.

You gasp and start panting, something primal in your memories from videos we have watched telling you to pant out the last push, and suddenly there’s a rush. You jump. There’s a gush of more fluid. My eyes go wide, and teary, what I’m seeing seems both the most natural thing in the world and at the same time the most unreal thing ever.

Deep in your squat, dangling between your legs, is the back of a baby’s head.

Your hand lets go of mine and reaches down to hold it. You’re bewildered, somewhat exhausted and sore, but you’ve accomplished a major milestone.

~•~

Gasping, my fingers delicately roam the whole circumference of the head that’s now outside of me. “Oh… hi baby.” I say softly to our child.

I look up at you and see the tears in your eyes. “Oh my god… oh my god…” I sob through my smile, not quite able to form any other words through the relief and awe of what’s just happened.

Your hand joins mine, cupping the head together as you lean forward to kiss me. It’s salty with my sweat and tears. “You, are incredible.” You whisper, our foreheads pressed together.

In no time at all, the respite is over and I’m squirming and shifting again in your arms from an approaching contraction. Letting go of our baby’s head my hands brace against my thighs.

“Hooooo- babe, need to move…” I groan, my legs and ankles suddenly protesting against the deep squatting position.

“Do whatever you need to do, where do you want to be?” You ask, trying to second guess what I’d want but also knowing I was acting entirely on natural instinct.

I couldn’t speak, instead my hands used your torso as a ladder - lifting myself up and getting down onto my knees, my feet pointed behind me in a v-shape. I felt instantly more stable, more in, kneeling so close to the floor.

The baby was on its way, its arrival immanent, I could sense it. Some primal instinct in my very DNA unlocked. I needed less physical support while on my knees so my hands released you, instead reaching behind to unclasp my bra. In my haste to remove my final layer of clothing, I forgot where we were for a moment and it was only on seeing your raised eyebrows I realise I’d whipped my bra off and casually thrown it overboard.

~•~

I couldn’t help it. I knew instinctively that I should be looking at you, but something made me follow the trajectory of your discarded underwear as I watched it soar over the side. My eyes followed it over the edge and as I lifted myself up off my haunches back to standing, I noticed the ground was very much closer than what I had expected.

“Jimmy… what’s happening?” I bellow out to our pilot. My brain went ‘he’s fainted, we’re going to crash’ and my natural instinct was to panic, but my eyes were drawn back to you, kneeling on the ground, hands back between your legs supporting the head of our baby. I couldn’t turn and look for him. Thankfully he returned the question with his own shouted answer.

“We’re nearly there. School field is just over there.” Relieved at his response, I briefly turned my head to look at him, to look at where his hand was pointing. I followed the direction and I saw blue lights in the distance. I saw a wide open area, which was the football and athletic fields of a school. I didn’t recognise it, but I knew we were nearly down. Your bra had landed in some unfortunate persons back garden. Might be some explaining to do for the occupants later.

I heard you grunt as my attention was drawn back to you. You looked radiant, like some sort of primal goddess, nude and backlit by the sun. I saw the baby had turned and you had started to push. Your grunts were audible as you pushed your hips forward, opening up the passage for the baby, your hands gently cupping its head.

Another grunt, and the first shoulder was free. A second grunt and the second shoulder. I dashed forward and skidded to the ground, stopping just in front of you with my hands skimming the ground between your legs, and more importantly directly under the baby which was out to its torso.

And with a triumphant yell from you, it flopped down into my hands, slick, covered in vernix, remnants of blood, and flooding my hands with yet more amniotic fluid.

“You did it baby…” I’m almost shocked thinking it’s all over.

~•~

Pure relief flooded through my entire body as the baby slipped into both of our awaiting hands. My mouth was dry, my brain in shock, and I’m only able to mumble “baby… baby…” over and over as I pick up the slippery newborn and immediately bring them to my bare chest. The need to see, to hold, to nurture was completely overpowering.

When the baby made its first gurgling cry against me I thought my heart may explode. I sagged back into the floor, exhaustion taking hold, and stared at the baby in my arms. Their little scrunched up face as they cried, their tiny hands with ten little fingers, their small feet with ten tiny toes. I had to see every inch of our baby, to check they were okay, and when I readjusted them against the curves of my body I announced “It’s a girl!”

You knelt next to me in the corner of the basket, looking over my shoulder totally transfixed and enamoured with our newborn. “You did it baby, I’m so proud of you!” You cupped my head and kissed the side of my face, my cheek, my shoulder, and eventually my lips. You couldn’t stop the emotional wave washing over you at the sight of your wife and newborn daughter beside you, wrapped in your arms.

I couldn’t quite believe it was over - the baby was here. Born in the basket of a hot air balloon. I stared down at our daughter and giggled to myself.

“What is it?” You asked, not able to wipe the beaming smile off your face.

“I can’t believe she’s here. That that just happened. That I just gave birth in a bloody hot air balloon!” The stress from the situation and relief that we were all alright had turned to exhausted hysteria, I simply couldn’t help the laughter.

“I guess she just wanted to make a grand entrance into this world.” You cooed, looking down at the infant already nuzzled against my breast.

“I think she might be a little troublemaker.”

“Just like her mother then.” You teased, kissing me again.

~•~

“Hang on tight” comes a call from Jimmy giving us a few seconds of warning where I grabbed hold of you as the balloon finally touched the ground with a thump. I threw your dress over you to cover your modesty as I got up to walk over and thank Jimmy for how well he had done in outrageous circumstances.

As I saw 2 paramedics dash towards the balloon as the gas valves were cut and the balloon itself started sinking to the ground behind us, I heard you give another groan.

“Baby?” I turn and look at you.

“I don’t know… another contraction.” You replied.

I dashed over. “No, can’t be. We had scans… there was only one baby in there.”

As the first paramedic threw their bag over the side of the basket at vaulted over the top I looked at them pleading.

“I don’t know what’s happening. The baby is born but she’s still having contractions. Is something wrong?”

“Let’s take a look see and figure this out, I’m sure it’s fine” came the professional sounding reply as his partner came on board.

They knelt down and looked you over, checking over the baby and declaring that everything was ok. They took a moment to clamp the baby’s cord, and rubbed your belly a little.

“Ok my dear… this looks good. Give me a good strong push” they instructed.

I gasped “is there another in there? We didn’t know.” The stress of the day was getting to me.

“No sir. Your wife is just ready to pass the afterbirth.” As he said it, he collected the placenta from between your legs and checked it over for completeness. “Well done, looks like this is about as close to a textbook delivery as can be… you know except for flying through the air whilst doing it.”

To say I breathed a sigh of relief would be an understatement.

[pediatrics-manila]

Safeguarding Privacy: Tackling Concerns with Electronic Medical Certificates

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