“This isn’t one of the sisters,” she said to Noah. “May I see the chart?”
Vasquez dropped the sheet, leaving only her face exposed, and handed Lucy a file. “I made you a copy, but it’s preliminary—we’re waiting for lab work and, of course, an ID.”
“Doctor,” Noah said, “why did you cut open her abdomen?”
“I didn’t.”
“She was found like that?”
The doctor nodded. “Someone performed a very rudimentary but proficient C-section on this girl, but she was either dead or dying at the time. She had preeclampsia—I’m nearly positive, but have to await the lab results before I can confirm. She went into shock and should have been brought immediately to a hospital. Based on her hormone levels and the size of the placenta—which was still inside her body—I believe she was between thirty and thirty-two weeks into the pregnancy.”
“What’s preeclampsia?” Noah asked.
“A condition during the third trimester that is characterized by high blood pressure. It’s routinely screened for during prenatal care, and there are some effective treatments, but the only surefire way to treat it is delivery. When I removed the placenta, the signs of preeclampsia were obvious to me, but I went ahead and ordered additional tests to confirm. In severe cases, the doctor will induce labor early to avoid seizures and dangerously high blood pressure in the mother.”
“Doctor,” Lucy asked, “do you think someone attempted to induce labor because of her condition?”
“No. There was no sign of any of the standard drugs to induce labor, and those would be difficult for just anyone to procure—a medical professional would be able to get them, but most are used intravenously and under controlled conditions. There were no signs that she had an IV, no sign of any lifesaving procedures. There are indications that she had a seizure—which can happen in severe cases of preeclampsia—based on her brain tissue, and she bit off the tip of her tongue. She was either unresponsive or already dead when they cut open her uterus to remove the fetus.”
“But the baby was alive.”
“I have no way of knowing that. Except—someone cut the umbilical cord, and I would presume that was to save the baby. Otherwise, why not leave him with his mother?”
“Doesn’t a premature baby need special medical attention?” Noah asked.
“Yes. The dangers are primarily in lung development. At thirty weeks, the baby could be as much as three pounds, which is dangerous but survivable with proper medical care. The older the baby, the better his chances.”
“His?” Lucy asked.
“I took DNA and blood samples from the mother and the womb. The baby is male.” Vasquez took off his glasses and rubbed his eyes.
Lucy turned to the final page of the report. “You should have led with this, Doctor.”
“Excuse me?”
“She was shot?”
“I’m sorry, I assumed Adam had told you. Jane Doe died immediately before, during, or after the delivery of her baby. Then someone put a pair of twenty-two-caliber bullets in the back of her head. I suppose they wanted to make certain she died. But she was already deceased.”
Lucy handed the file to Noah. Few things made her feel physically ill, but right now she was on the edge.
Someone had cut out this woman’s baby, killing her in the process, and then, just for good measure, shot her, too.
Noah said, “You indicate here that whoever delivered the baby had some medical training.”
“That is my opinion, yes. An amateur would have a difficult time cutting into the uterus and not injuring the fetus. The uterus is a very strong muscle. The incision was vertical, not horizontal, indicating an emergency delivery. There were no hesitation marks, telling me whoever cut into her had performed this surgery before, likely several times. Therefore, they have medical training. They could be a doctor, a nurse, maybe a midwife.”
Lucy stared at the woman’s face. She closed her eyes and mentally flipped through the photographs she’d been looking at over the last two days. “Noah,” she said quietly, “we need to bring Siobhan in here.”
“It’s not one of her friends.”
“I think it’s the girl from the house—the one she tried to help. I can’t be sure because of the angle of the photo Siobhan took, but Siobhan saw her close up.”
“Fuck.” Noah ran his hands through his hair.
“I’ll bring her in,” Lucy said and left the room.
First, she needed a minute alone.
She found the bathroom, took off her gloves, and splashed cold water on her face.