Elsa slumps back as soon as she hears the noise.

But she can't rest, not yet. This time it's harder, or it feels that way. She's distantly aware of the nurses around her, of Anna holding the baby. She looks over to them, and it's hard to see them through the tears and pain.

It takes a half-dozen more pushes before the second baby is out. There's no cry, and she can't look. Not until Anna squeezes her hand and says softly, "It's okay, Elsa. Do you want to hold your baby?"