
"Pregnant? How can?"
Amara was almost in disbelief when the doctor explained the news while showing a pregnancy test strip with two red lines, which declared her positive for pregnancy.
The middle-aged female doctor who served at the puskesmas frowned slightly at Amara's astonished reaction. He fixed the reading glasses perched on his nose as he tried to explain.
"Gini, yes, Amara Tea. I have said, indeed nausea vomiting is just as cheerful that complained of the same Teteh it could be a symptom of stomach acid. But, it was just that Tetehnya tau in his stomach already held like that. I told you Teteh was pregnant, still can't believe it. Now the test results line two like this, still do not believe it too?"
"But, Doctor, I haven't been in a month. Why get pregnant like this?"
"Hmm?" The doctor paused for a moment before then patiently asking, "When was HPHT—The First Day of Last Menstruation?"
Amara was stunned to hear the question. When was the last time he got his period? Amara forgets, but she remembers her period started after her first intercourse with Fabian, just as her divorce with Angga was five months old.
"July 13th" said Amara, hoping his memory would not miss.
"When was the last time you had a relationship?"
Amara's eyes closed for a moment, trying to remember again. Then, recalling his series of encounters with Fabian, and how many times they had sex could really count as fingers, namely: One week after his period when Fabian picked him up while he was filling out an event at Andip's villa, he said, then the following week when Fabian immediately dragged Amara to Villa one day after they officially married.
They had two intimate relationships in the villa, at night and at dawn. Then, the afternoon before Fabian came home on Friday night. After that, they did not have sex again because Fabian had failed to get an erection. So, Amara remembers exactly when they last had a relationship.
"July 31."
"If calculated based on the last menstrual day, in those dates the Tetang is again in the fertile period. The egg is still mateng-matengnya and ready to be fertilized," the doctor explained slowly, understanding that the patient in front of him may indeed be too young and did not understand how he could get pregnant.
"It is likely that the cell******* the father managed to penetrate the egg, and that's why now the Teteh is pregnant," continued the doctor, at first glance there is an amused look at the innocence of the patient in front of him, but as a doctor, of course he feels the need to explain it carefully.
"But, Doc, we only had one conversation .. mm—" Amara's words were interrupted when she suddenly felt ashamed about sexual relations. However, he also understood that the person before him was a doctor, who definitely discussed sexual matters from the medical side of the world, and was not a taboo thing to talk about.
"Come, Tea ... Fertilization usually occurs within 24 hours after the egg is produced," said the doctor, who understands Amara's appearance was awkward. "After one of the****** successfully penetrates the egg, the egg will change shape, also form a layer up to ****** other can not penetrate the entry. This is what is called the process of conception, and the occurrence of pregnancy."
Finally Amara nodded, understanding that she might have to completely accept the fact she was pregnant.
"How many months is the gestational age?" ask Amara again while holding her flat stomach. There was a shiver that suddenly made Amara's throat seem to be clogged with something.
The doctor looked at the folding calendar on the table before saying, "Now October 16th. If calculated based on HPHT, the gestational age of the Teteh has entered 14 weeks, or three months over two weeks. Pantsan aja or already feel the right hold. The time of the Teteh did not feel at all? Should there be movement?"
Amara was stunned to hear the doctor's explanation. Is she so indifferent to the condition of her change because it is too late and drowning in sadness because she has divorced her husband?
For the umpteenth time, a tear blocked Amara's throat. However, there was something else that scared him a little. However, there is a fetus that is now open only one two weeks, but three months.
"Mother Doctor," said Amara a little hesitantly. "If his mother has syphilis, can it be transmitted to the child he is in?"
"Cyphilis?" The doctor repeated cautiously, especially when he noticed that Amara's eyes were slightly foggy.
Amara nodded.
She scanned Amara's closed appearance, even wearing a black veil dangling over her chest. A little unsure if a young woman who looks well has syphilis? However, he knew Amara deserved an explanation of his question.
"What is continental syphilis?" amara asked increasingly anxious and agitated.
The doctor smiled gently, a little unbearable when he saw Amara's gaze. So, she lowered her voice as she explained, "Congenital syphilis is syphilis in babies. If left untreated, syphilis can cause miscarriage or death soon after the baby is born. Or, it could also cause complications that can be experienced by a living baby, such as: hearing loss, swelling of the liver and spleen, abnormalities of the nasal trunk and other bone parts, or brain disorders."
Amara's face turned pale, fear creeping more and more into her heart. And the panic reaction was apparently caught by the doctor, because the doctor spoke again.
"I'm sorry, Teteh .. Does the Teteh really have syphilis?"
Amara swallowed with great difficulty. Then shake your head. "I don't know" said Amara in a choked voice.
"If you don't know whether you're infected or not, why should you be afraid?" the doctor said slowly. "It's not better to know first for mastiin what is Teteh do not get syphilis or not?"
"How's it going?"
The doctor did not know if he should laugh or sympathize because the patient in front of him seemed completely ignorant of what he was asking.
"Gini, Tea" said the doctor patiently. "In this Puskesmas, the equipment is not complete to find out whether the Tetah is indeed infected with syphilis or not. But, Teteh can come to a hospital that has complete facilities, or come to Pr*dia— health laboratory network, which already clearly has a tool for the detection of various viruses, including, can even confirm the condition of the fetus."
A glimmer of hope emerged from Amara's eyes. True to what the doctor said, he could not assume that he had the disease based on Fabian saying that the man 'likely' contracted syphilis from Amara.
"Well tell the doctor what to check?" amara asked again innocently, because she believed that people who were ashamed to ask would be lost in the street.
"Actually, I'd like to recommend that the Teteh all the TORCH tests," said the doctor, satisfying Amara's curiosity. "It costs a little. However, the TORCH test is intended to detect disease or infection in pregnant women in order to prevent complications in the baby ..."
The doctor smiled gently when he saw Amara's seemingly interested enthusiasm. Then, the doctor continued, "TORCH term stands for Toxoplasmosis, Other diseases— infectious diseases such as Syphilis, HIV, Hepatitis B. Rubella, Cytomegalovirus (CMV), and Herpes."
"That's a package of everything?" amara asked with a little relief as long as it scared her.
"Yes, but it's expensive."
"How much?"
"Each hospital usually has a different price" the doctor replied. "Starting from 250 thousand, up to three million. Depends on what checks are being done. But, all the results will be balanced if it can prevent unwanted possibilities."
When Amara nodded in understanding, the doctor smiled as he shook his head and wrote the prescription medicine on a piece of paper.
"But, the Teteh can test it later fitting the age of the womb 18-20 weekly. Who knows if all the USGs want to see the sex of the baby, right?" said the doctor. "For now, I prescribe folic acid, a drug to reduce nausea just as dizziness ... Have you ever had a miscarriage before? If there is, I prescribe vitamin boosters. If it's not here, it can be found in another pharmacy later."
"There is, Doctor, ma'am" said Amara confidently with a line of smiles engraved on her lips. "This is the first pregnancy."
"Well, if the first pregnancy is usually anticipated by the newlywed couple," the doctor commented while rolling a pen on the paper. "Definitely his father's smile."
Amara's smile disappeared instantly. Once again the pain hit Amara's heart at the doctor's last words, who clearly did not know how strong the sentence made her impaled.
Does he have to tell Fabian? Would the man react as Amara now feels? Or, would the man believe that he was carrying his child?
Especially when reminded of Fabian's last conversation before the man dropped the talaq.