At Odds With The Midwife

From high school crush to enemy number one

Gemma has always been a rescuer. Birds with broken wings, abandoned baby raccoons...anything that needs help. But when it comes to her lifelong crush, doctor Nathan Smith, she has to curb her natural instincts. All of them. Nathan doesn’t trust midwives, and he doesn’t want her help.

Back in town to restore the community hospital his father bankrupted, Nathan’s just as determined to shut down the birthing center. How can Gemma Whitmire save her center and prove Nathan—and the other critics—wrong? And more important, how can she stop falling for him?

“You’re a midwife.”

Gemma stared at him, at his sudden stiffness, the way his brown eyes had narrowed. Alarm bells clanged in her head, but she spoke calmly. “Yes, I am.”

“And you’re planning to open a birthing center?”

“Yes, in your father’s old offices next to the hospital.” She lifted her chin, held his gaze. There had been a time when she would have backed down, apologized, tried to explain her position. Those days were gone. “Exactly as you plan to establish a family practice and reopen the hospital.”

“Not exactly.”

“Both facilities are for people’s health.”

“No, the hospital cures people and keeps them well—”

“Fortunately, giving birth isn’t an illness.”

Their eyes met—hers defiant, his resolute. Gemma’s heart sank as she imagined the swirl of objections that were about to come at her. She’d heard them all before, fought them all before.

Somehow, it was disappointing to know she was about to hear them from Nathan.

Dear Reader,

Although I was born and raised in an Arizona copper-mining town, both of my parents were from Oklahoma, where I still have many relatives. Visits to rural southeastern Oklahoma fill me with happiness and nostalgia as I recall summers there—swimming in the creeks, exploring with my cousins or lying on the bed on the screened-in porch listening to bobwhite quail whistling in the underbrush. Although the area has never really been my home, it feels like home because of all the loved ones I have there.

Gemma Whitmire has returned to her hometown of Reston, Oklahoma, to work as a midwife and to open a birthing center. At the same time, Dr. Nathan Smith, who has no use for midwives, has come home, too, with plans to reopen the local hospital that was forced to close due to his father’s embezzlement. He also hopes to make peace with his troubled family history.

I hope you enjoy Nathan and Gemma’s journey to overcome their differences and find their happy-ever-after.

Happy reading,

Patricia

At Odds with the Midwife

Patricia Forsythe

www.millsandboon.co.uk

PATRICIA FORSYTHE probably would never have become a writer if a seventh-grade teacher hadn’t said that Patricia’s story characters were, well, crazy. Patricia didn’t think that was such a bad thing. After all, she has a large extended family of decidedly interesting and unusual people who provide ideas and inspiration for her books. In Patricia’s opinion, that only makes them more lovable and worthy of a place in literature.

A native Arizonan, Patricia has no concept of what a real winter is like, but she is very familiar with summer. She has held a number of jobs, including teaching school, working as a librarian and as a secretary, and operating a care home for developmentally disabled children. Her favorite occupation, though, is writing novels in which the characters get into challenging situations and then work their way out. Each situation and set of characters is different, so sometimes the finished book is as much of a surprise to her as it is to the readers. She is the author of many romance novels with many more to come.

MILLS & BOON

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This book is dedicated to my beloved little sister, Betty Forsythe. Even though she never had an easy life, she brought endless joy to everyone else’s.

Contents

Cover

Back Cover Text

Introduction

Dear Reader

Title Page

About the Author

Dedication

CHAPTER ONE

CHAPTER TWO

CHAPTER THREE

CHAPTER FOUR

CHAPTER FIVE

CHAPTER SIX

CHAPTER SEVEN

CHAPTER EIGHT

CHAPTER NINE

CHAPTER TEN

CHAPTER ELEVEN

CHAPTER TWELVE

CHAPTER THIRTEEN

CHAPTER FOURTEEN

Epilogue

Extract

Copyright

CHAPTER ONE

FEET SLAPPING THE PAVEMENT—right, left, right, left—Nathan Smith pounded down High Street, turned west onto Main Street and took the hill that led out of town. He hadn’t been this way yet on his thrice-weekly runs, but there had been a time, when he was eighteen, that he couldn’t seem to take this hill fast enough. Driving the new SUV his dad had bought him for graduating as valedictorian, he’d gunned the engine, eager to leave Reston behind. Waiting for his university classes to start in the fall hadn’t even been an option. He’d enrolled in some summer courses so he’d have an excuse to leave days after graduation. He’d sped down Main Street until it became Highway 6 and, since then, had kept his subsequent visits home both rare and short.

He couldn’t quite believe he was back. His return to Reston had been challenging, not to mention exhausting. There were times he questioned why he’d come back, but he knew the answer. Guilt was at the top of the list, followed closely by its companion, shame.

He forced his mind to veer away from that. Even though it was the truth, if he focused on it for too long, he would never move ahead. In the project he’d started it was critical to keep going forward. There were more problems than solutions, many issues he didn’t yet know how to solve. Somehow, his nighttime runs on the quiet streets helped him see his way forward. Something about the rhythm of his feet, the focus on his breathing as he ran through the cool spring evenings, helped him make sense of the daily complications of his life and the Herculean task he’d taken on.

The full moon lit his way as he ran along the pavement, then he swerved to the edge when a car came by. He waved, not because he knew the driver, but because it was expected in this rural pocket of the world. Some bred-in-the-bone habits never died.

Half a mile out of town, he crossed the bridge over the Kinnick River and slowed to a walk as he caught his breath. He’d given up his running schedule when he’d sprained his ankle a few months ago and now, when it started to ache, he knew it was time to slow down or take a break.

As he fast walked past the old Kinnick Campground, he glanced to the left and saw a light. Pausing, Nathan stood, panting lightly and using the tail of his white T-shirt to wipe away sweat as he gazed into the darkness. The camp was deserted. The Whitmires, who had owned it during his growing-up years, had left town. He’d heard they’d come in to some money. The camp, with its private, well-stocked lake, where they had once hosted hikers, birders and fishermen, had been abandoned for the past fifteen years, though he was sure the local citizenry fished the lake as if it was public property.

Nate frowned at the overgrown bar ditches on each side of the road. He wasn’t sure he’d take the chance of fishing in the small lake. Weeds that had been beaten back for decades while the Whitmires were in residence had eagerly taken over the property, providing hiding places for field mice, bobwhite quail and the snakes that fed on them.

Whoever was at the campground now wasn’t of the four-legged variety, though.

“Squatters,” he murmured. He knew they camped out anyplace they could find, usually tucked back in these mountains, where they could grow marijuana, operate stills or cook meth. If that’s what these squatters were up to, he couldn’t imagine why they’d want to be this close to the highway. Of course, it was entirely possible that they were either crazy or desperate. He reached for his cell phone to call the police, but quickly realized the signal, always spotty in this area, was nonexistent tonight. He was going to have to find a better cell-phone service. It was critical for people to be able to get in touch with him.

Annoyed, he started to run again, but had taken only a few steps when he cursed under his breath and turned down the rutted lane instead. He couldn’t walk away from this situation—another lifelong Reston habit. Approaching slowly, he glanced around. In the glow from the full moon, he could see that someone had been working on this place. He stopped and sniffed the air. Fresh paint. That wasn’t something squatters would do, so maybe new owners had taken residence. That conclusion didn’t turn him around, though, but drew him forward.

He’d always thought there was something about the smell of fresh paint that promised a new beginning, a positive change. Change was something desperately needed in this town.

The Whitmires had lived in a small century-old log cabin that Ben Whitmire—who’d renamed himself Wolfchild—had updated and renovated by hand. Nate had never been inside, but his mother had described it as “primitive.” He also remembered an old tale about the place being haunted but didn’t know what form that haunting took.

Someone had cleared the weeds and brush that had no doubt grown up around the door and piled it into a massive stack for burning, or maybe to be picked up by the county and turned into mulch. Abandoned tires had been repurposed into planters with some kind of spiky plants growing in them. He applauded the use of the tires. It was better than having them end up in the landfill.

“Home improvement squatters?” he questioned, even though he was quickly talking himself out of the idea that unauthorized people were on the property. He followed the path around the cabin to the back, where the light was coming from. When he turned the corner, he could hear music that sounded like some kind of wind instrument caught in an endless loop. It was as though the same few bars were playing over and over, with an occasional flat note thrown in for variety.

Wincing at the repetitive sound, he glanced around to see a floor lamp set up outside the back door with the cord snaking inside. It cast a soft glow on the surroundings—and on what looked like a woman digging a grave.

The sight rocked him to a stop, and although she hadn’t seen him, Nate stepped behind a blossoming crape myrtle to see what she was doing.

A large, rectangular patch of sod had been turned over and she was busily breaking up the chunks of dirt, smashing into them with the side of the shovel blade. Too shallow for a grave. He shook his head at his own morbid thoughts.

As she worked, she sang words he couldn’t understand. They were out of rhythm with the music he could now see was coming from a tablet computer set up at the base of the lamp.

The woman had curly red hair that flowed down her back and lifted when a breeze happened by. She wore cutoff jeans with black rain boots and a yellow tank top that revealed toned arms, streaked with dirt.

He needed to let her know he was there, but he was enjoying the sight of her working.

Turning around and leaving before she saw him was certainly an option, but now that he was here, he wanted to find out what was going on and, more importantly, who she was.

“Hello,” he called out.

She didn’t respond.

“Excuse me. Hello.” He took a few steps forward, but she still didn’t answer. Now he could see potted plants lined up, ready to go into the ground. She was planting something. At night.

Thinking that she might be hard of hearing, Nate stepped forward, reaching out a hand to wave at the moment she tossed the shovel aside and bent to pick up one of the potted plants lined up at her feet.

The woman turned her head, saw a hand coming at her and exploded.

Grabbing his arm, she stepped forward to throw him off balance. Then she swept out her foot to knock his feet out from under him.

Nate landed on his left side with a whoosh of breath. His hand slammed down on the sharp edge of the shovel blade, shooting pain up his arm.

The girl grabbed the shovel away from him with one hand and jerked earbuds from her ears with the other. She let them fall and they dangled from the MP3 player attached to her waistband as she moved back several feet and held the shovel out in front of her like a weapon.

“Who are you?” she demanded. “What do you want?”

“I—I saw...” Nate stopped to catch his breath.

“You saw what? A woman alone who might like some company?” She tossed her head to get her hair out of her face and moved from one foot to the other, ready to do more damage. “Well, you guessed wrong, buddy. As you can see, even though I’m alone here, I can defend myself just fine.”

“Yeah, I noticed.” He rolled onto his side to sit up, but when he placed his cut hand on the ground, pain raced up his arm. Breath hissed between his teeth as he fell back.

“What’s wrong?’ she asked, finally seeming to realize he was hurt. “Do you need help? I can help you if you don’t try anything funny.”

“I can take care of it myself,” he answered testily. “As long as you don’t knock me down again.”

Dropping the shovel, but making sure it was within reach, she came down onto her knees beside him. She slid her arm under his shoulders and helped him into a sitting position.

Nate held up his hand and tilted it toward the pale glow from the lamp.

“Oh, that’s a pretty bad cut,” she said. “You must have hit it on the edge of the shovel.”

“Yeah, I think so.”

“And you’ve managed to grind dirt into it.”

He couldn’t see her face clearly since the light was behind her, but Nate imagined she was giving him an accusing look.

“Yeah, well, that sometimes happens when a crazy woman throws me to the ground.”

“Crazy? I was defending myself!”

“I was only trying to get your attention.”

“Why? So you could scare me to death?” She got to her feet and stepped back to watch him stand up, too.

“I saw the light and thought someone was up to no good.”

“Yes, someone was. You!”

Nate tried to smother his temper. “I thought someone was trespassing.”

“Again. You! This is private property. My property.”

He paused, staring at her, then walked around her so that she would have to turn to keep an eye on him. When the light hit her face, he recognized her. The red hair—though he didn’t remember it being quite this red—almond-shaped green eyes, the heart-shaped face.

“Bijou?” he asked.

“Do I know you?” She frowned at him.

“Nathan Smith,” he said.

Surprise flared in her eyes, followed by a fleeting emotion he couldn’t name. Embarrassment? Dismay? She lowered her eyes so he couldn’t read her expression.

When she didn’t say anything else, he went on, “I thought your parents had sold this place.”

“No. It’s always stayed in the family.” She gave a small shrug. “Obviously, no one kept it up.”

He glanced around. “This is a lot of work. What are you doing back here, Bijou?”

“I could ask the same of you, Nathan, and the name’s Gemma now. I changed my name the minute I turned eighteen.”

“What did your parents, Wolfchild and, um, Sunshine, think of that?”

She reached up and pushed her hair away from her face, tucking it behind her ears. “They realized that I was old enough to make my own decisions and they apologized for having given me a name that wasn’t cosmically suited to my personality.”

Nate hid a smile as he flexed his shoulders. He’d forgotten that her parents talked like that. They had been well-meaning oddballs in this community, but they hadn’t minded being out of step with everyone else in town. He hadn’t thought their daughter was very much like them, seeming to be more conventional—focused on school, friends and small-town life.

“Bijou is French for Jewel,” he pointed out, his gaze touching on those bright green eyes and richly colored hair.

“I know.”

Lifting his uninjured hand, he rubbed his left arm. He was going to be sore and bruised in the morning. “I’m guessing you chose Gemma since Wonder Woman was taken.”

One corner of her mouth tilted up as she lifted her eyebrows at him. He remembered that expression from years ago.

He held up his mangled hand. “Is there somewhere I can wash and bandage this before I head home?”

“Come inside. I’ll bandage it for you.”

“I’m a doctor. I can do my own bandaging.”

“I know that, and I’m a registered nurse, so I’ll do the bandaging. It’s my house and they’re my bandages.” Gemma paused to pick up the tablet and shut off the music.

Nate decided not to pursue the who-will-do-the-bandaging? argument. From what he’d seen so far, he would lose, anyway.

“That was...interesting music,” he ventured. “But you weren’t listening to it?” He didn’t have a very active imagination and didn’t know why she would listen to one kind of music to block out another.

“It’s Tibetan music. Frankly, I can’t stand it because it reminds me of the time my dad insisted we all needed to learn to play the zither.” She shook her head, a small smile on her lips. “Carly is absolutely convinced it’ll help the plants grow.”

He frowned. “Carly? Oh, yes, Joslin.” He vaguely remembered the two of them had been best friends, along with Lisa Thomas. Glancing around at her family’s property, he realized she had done what he couldn’t—kept her ties to their hometown.

“Come on,” she said briskly. “Let me look at that hand. It’s rude to keep the nurse waiting.”

Giving her a thoughtful look, he followed her inside. A nurse. In spite of her prickliness, this sounded promising.

“Don’t touch the door or the facings,” she said, pointing to what he could now see was a bright blue, glistening with newness. “I just painted them.”

“I know. I smelled the paint.”

While she scrubbed her hands at the sink, then bustled about, setting out a basin, a clean towel, disinfectant and bandages, Nate looked around the cozy cabin.

The living room held a dark blue sofa and chair with a huge, multicolored rug in the middle of the floor. A rock fireplace, probably original to the house, dominated one wall. A few sealed boxes were piled one atop the other along a wall, and a stack of paintings and photographs waited to be hung. A doorway opened onto a hallway, where he assumed the bedrooms and bathroom were.

The place was warm and inviting, not at all the den of hippie craziness his mother had claimed it to be. Also, it was rustic, but not primitive. Thinking about it now, he wondered why she had chosen that word.

“Come over to the sink,” Gemma commanded and he did as he was told, standing with his hand under warm running water. He was very aware of her gently clasping his hand in her own while she turned it this way and that, keeping it under the stream from the faucet. Nate liked being close enough to catch her scent, which was faintly flowery, no doubt heightened by the work she’d been doing out back.

He was about to ask what she’d been planting when she shut off the water and grabbed a handful of paper towels, which she placed beneath his hand to catch the drips, and directed him toward the table. Its scarred top spoke of many meals eaten by many generations. The chairs were a mishmash of styles, but all seemed to be as old as the table. Nate could imagine previous Whitmires sitting here, eating, talking, laughing. The place had a settled atmosphere. In spite of the modern furnishings, glowing electric lamps and the laptop open on a living room table, he could picture a woman in a long dress coming inside, removing her bonnet and pumping water at the sink to wash up. Maybe that’s what actually haunted the Whitmire farm—the ghosts of hardworking, happy people with established traditions going back generations. He shook his head at the fanciful thoughts. He never lapsed into daydreams like this.

Casting Gemma a wary glance, he ruefully decided that she wouldn’t know if this was out of character for him or not. They hadn’t seen each other in fifteen years.

“This cabin is nice,” he said, watching her pick up a rubber bulb syringe, fill it with warm water and expertly flush his cut with a disinfectant solution. “Your family farmed this land for many years.”

“More than a hundred, but my dad wasn’t interested in farming so he sold most of the farmland and established the campground.”

“But they stayed in this cabin, kept the family home.”

“Don’t sound so surprised,” she said, glancing up and giving him the full attention of those remarkable green eyes. “They have roots here that they wanted to maintain. My parents may have been...unusual, but they knew how to create a happy home.”

Nate didn’t answer. For all of their wealth and position, his parents had never known how to do that. From his first memories, their home had been sterile, filled with icy silences. Funny, after all these years, he still never thought of the ostentatious house at the end of Pine Street as his home, only theirs. That’s why it was sitting empty, falling into disrepair. Why he’d rented a small house near the hospital and filled it with furniture he’d bought himself. He had yet to include anything from his childhood home.

“And how are your parents?” he asked. “I heard they had left town, and the campground was permanently closed.”

She gave him a big smile—the expression of someone talking about those she loved. “They’re very well. As soon as I was launched into the world, they took the money they’d inherited from my dad’s family and the sale of the farmland and took off. They’ve traveled the world ever since, helping out on building projects in places in need wherever they can. I see them a couple of times a year here in the States, or I go wherever they are.”

“It sounds...idyllic.”

Gemma laughed and her eyes lit up. “It sounds like what a couple of middle-aged hippies would do, but don’t tell them I said that.”

“I doubt that I’ll ever see them.”

“You might be surprised.” She lifted his hand and examined it closely for debris, then, apparently satisfied, she carefully positioned a bandage over the cut. “This is their home, after all.”

“Are you going to be here long?” Maybe she’d go out to dinner with him. There were no decent restaurants in Reston, but Dallas was only a couple of hours south and he knew there were plenty of fine dining places there. Besides, if she was as competent a nurse as she appeared to be, he might have a job for her.

“I’m back permanently.”

“Really?” More and more promising, Nate thought. “Is your nursing license current?”

“Of course.” She tilted another smile at him. “What’s the matter?” she asked. “Afraid I didn’t bandage your hand right? Remember, you were on my property without being asked, while I was busy working.”

Deciding he’d better change tactics, he asked, “What were you doing out there, by the way? At first I thought you were burying a body.”

“Planting herbs.”

“In the dark?”

“It’s not dark. There’s a full moon, which is when these herbs must be planted.”

Maybe she wasn’t as different from her parents as he’d thought. “Oh? What kind?”

“Blue cohosh, for one.”

He frowned. “It grows wild all around here. You only have to walk into the woods and pick it.”

“I’d rather have it close by and if I grow it myself I can ensure the quality.”

She was watching his face carefully. Nate felt as if he was trying to communicate in an unknown language.

“And you need these for cooking?”

“No, for pregnancy, labor and delivery. Tincture of blue cohosh stimulates labor.”

Nathan went very still as those words sank in, the facts lining up before him as if they were printed on the very air.

“You’re a midwife.” His tone was flat.

* * *

GEMMA WHITMIRE STARED at the sudden stiffness in his face, the way his brown eyes had narrowed. Alarm bells clanged in her head, but she spoke calmly. “Yes, I am.”

“And you’re planning to open a birthing center?”

“Yes, in your father’s old offices next to the hospital.” She lifted her chin, held his gaze. There had been a time when she would have backed down, apologized, tried to explain her position. Those days were gone. “Exactly as you plan to establish a family practice and reopen the hospital.”

“Not exactly.”

“Both facilities are for people’s health.”

“No, the hospital cures people and keeps them well—”

“Fortunately, giving birth isn’t an illness.”

Their eyes met—hers defiant, his resolute. Gemma’s heart sank as she imagined the swirl of objections that were about to come at her. She’d heard them all before, fought them all before. Somehow, it was disappointing to know she was about to hear them from Nathan.

She hadn’t recognized him at first when he’d startled her and she’d thrown him to the ground. He’d been a small, skinny guy in high school, with dark hair worn long in defiance of his parents. He must have grown a good six inches since she’d seen him last, topping out at six feet, with wide shoulders and muscled arms. His hair was cut short, probably for the sake of convenience. But those eyes hadn’t changed. Deep-set and steady, they looked at her as if he was trying to see into her soul.

She had admired him when they were growing up, and had a major crush on him by the time they were in high school. She’d been crazy about his good looks, his serious gray eyes and the way his thick brows came to a slight peak as if he was gently surprised by life. Whereas the other guys she’d known had been jocks or cowboys, he’d been focused and smart. Apparently, he still was.

But he was also wrong.

“Giving birth is fraught with risks. Risks that are best handled in a qualified medical facility.” His voice was firm, as if he thought that stating his case strongly would have her immediately caving.

Not a chance. “Giving birth is a natural process, which women have been handling very well for quite a while now.”

“That’s true, but why take risks with women’s lives when excellent medical facilities and qualified personnel are available?”

“It’s not a risk and I am qualified personnel. I’ve been a registered nurse for ten years and a midwife for six. I’ve worked in every type of medical situation, every type of neighborhood you can imagine, even some pretty bad ones, which is why I know self-defense moves. Many times, a birthing center is the most affordable option for families, and you may not be aware of this, but Reston County isn’t exactly overflowing with wealthy people who can afford hospital births and care. Our new birthing center is the only option for expectant mothers since we don’t know when the hospital will be reopened, anyway.”

“It will be soon...”

“Besides that, more than ninety percent of this country’s births are in a hospital and we have such high maternal and infant mortality rates in the United States. It’s appalling.”

“I agree, but I can’t believe that dragging home births back from the past is going to improve the situation.”

“Which is exactly why they’re not being dragged back from the past. Nonhospital births are proven safe on a daily basis, both at home and in birthing centers across this country.”

He raised a skeptical brow. “Your birthing center has to have a transfer agreement with a hospital no more than thirty minutes away and a licensed doctor as medical director.”

“I’m working on both of those things with the hospital in Toncaville until you get the Reston County Hospital reopened.” She clapped her hands onto her hips. “And once our hospital is reopened, if you choose not to be the medical director for the birthing center, I’ll respect that and continue with a doctor from Toncaville—no matter how inconvenient that might be.”

He frowned, obviously not liking her tone. “You’ll have to be on duty twenty-four hours a day.”

“I know that.”

“You think one nurse-midwife is going to be enough for the whole of Reston County?”

“Of course not. I’ll be hiring other qualified personnel.”

“Good luck with that.” He jerked a thumb toward town. “I’ve got forty vacancies to fill in order to reopen the hospital.”

“I have my own sources for finding qualified people for the birthing center.”

“Oh? How? Did you send out flyers by Pony Express? Ask any of the locals who’ve ever helped bring a calf into the world to sign up?”

Gemma felt her temper heating up. Her chin, always ready to lead her into trouble, lifted. “I’ve hired people and will continue to hire people who lost their jobs when Reston Community Hospital closed eight years ago. My new employees are excellent, qualified people who live in this town and wanted to continue working here but couldn’t because their livelihood was snatched away. They’ve spent eight years driving to jobs in neighboring towns. They’ve missed their kids’ baseball and football games, school plays, band concerts, and birthday parties because they couldn’t make it home in time.”

Gemma watched emotions chase each other over his face—annoyance, anger and then shame.

Nathan’s eyes were fierce as he said, “And those people could have kept their jobs, continued to work here in Reston, if my father, the hospital administrator, hadn’t bankrupted the place and absconded with the money.”