Elena's POVThe ambulance arrived in seven minutes.I had unlocked the building entrance remotely from my phone and I was sitting at the kitchen table when the paramedics came through the door, two of them, efficient and unhurried in the specific way of people who have learned that urgency is better expressed through competence than speed. They asked their questions and I answered them clearly, gestational age, number of fetuses, previous preterm scare, current medications, the name and number of my OB. One of them was writing. The other was checking my pulse and blood pressure with the practiced economy of someone gathering information and organizing it simultaneously.The cramping had not stopped.It had changed in quality since I sat down, shifting from the pulling sensation I recognized from the urgent care visit into something with more intention behind it, more rhythmic, more purposeful. My body, which I had been asking to hold on for twenty-four weeks under conditions that had
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