A/N This story will deal with a few sensitive subjects, teen pregnancy, large age gaps in relationships, and adults in relationship with minors among them, so please be aware of that. Nothing I write is meant to offend so I apologize in advance if anything upsets you. Hopefully, it shan't.

The idea for this fic is a little weird, but hopefully it'll be enjoyable anyway.

Please enjoy and review!

EDIT: Minor pairings include: Spain/Romano, France/England, Germany/Italy, Lithuania/Poland, and Russia/America.

When Matthew Williams had moved to a town called Circle Valley to start practicing obstetrics, he had anticipated a quiet, normal life. With such a quaint name and scenery, he had expected his job to be fairly regular. Even after his brother had moved to the same town and started his residency in the same hospital, he had expected that his life would continue in a normal vein. Matthew would have never guessed that after only six months in town, his life would change forever, and all because of an appointment with a brash teenager. One brash teenager who was sitting at his desk and currently bouncing in his chair. His favorite, custom-built, very expensive chair.

The girl's long, white hair was one of the first things he noticed about her, the second being that she was rifling through the papers on his desk. Matthew's eyebrow twitched in annoyance at the breach of personal space and privacy; he cleared his throat loudly and the girl looked up and finally stopped bouncing.

"Uh, Miss–" He checked her chart. "Miss Beilschmidt?"

"Yeah?" she answered, changing from bouncing to spinning in the chair. Matthew fought back another wave of exasperation.

"Would you get off of my chair?"

"Hey, I'm the pregnant one here, I think I deserve the nicer chair," the teenager argued, coming to a halt and sitting still. Matthew suppressed a groan of vexation and decided to just get this appointment over with the annoying girl out of his office as quickly as possible. He flipped to the last page of her charts, drew up a stool in front of her, and sat down. With his pen poised to takes notes, he started asking the routine questions.

"How are you feeling today, Miss Beilschmidt?"

"Like crap," she answered. "I've been puking all morning."

"I'm sorry to hear that," Matthew said, starting to feel a little bad for the girl, despite his irritation with her. Getting the flu was bad enough. He couldn't imagine what several months of nausea felt like. "Try eating crackers and Jell-O. That tends to help my other patients."

She nodded.

"So tell me," he continued, "How old are you?"

"Seventeen. Almost eighteen."

He scribbled the answer, a little surprised, but kept his face blank.

"And how long have you been sexually active?"

The girl paused, counted on her fingers, and then answered:

"Two-ish years."

"Okay. How long has it been since you've engaged in sexual intercourse?"

"These questions are creepy. You're not some kind of pedo, are you, Doc?"

Matthew could feel his eyebrow twitching again. She noticed, and begrudgingly answered.

"A month ago."

"Have you been using contraceptives?"

"Yeah, but the cheap bastard I was with always bought really shitty condoms."

"I see," Matthew noted. "And you're certain that you're pregnant?"

"Yup. I haven't had my period in two months and I took five of those pee-stick tests and they all came out positive."

"Okay," Matthew muttered as he scribbled down notes. "Those are all pretty good indicators that you are pregnant, probably somewhere between ten and twelve weeks along. Still, we should run a few tests to be absolutely certain–"

"I'm pretty damn sure," the teenager butted in annoyingly. Matthew's grip tightened on his pen before he took a deep breath and decided to ignore her.

"And after that, we need to start prenatal care: vitamins, for one thing, and we need to run an ultra–"

"Stop right there," the girl interrupted him again. "I don't want any of that."

Matthew looked up from his notes in surprise.

"Miss Beilschmidt," he started, concern for the baby overshadowing his exasperation with the girl. "Prenatal care is very important. It's been proven to limit consequences such as–"

"Just call me Gil. 'Miss Beilschmidt' makes me feel old and that's not awesome."

"All right then, Gil," Matthew ground out, sick of the constant interruptions. "Prenatal care is vital for your baby's health. Why wouldn't you want that?"

Gil looked away from him and bit her lip.

"I'm not interesting in having the thing. I want an abortion."

Matthew set down his clipboard and pen on his desk and frowned.

"Miss Beilschmidt, I'm an obstetrician. That means my job is to help women maintain their pregnancies, not terminate them."

"I know that," Gil said, rolling her eyes. "But since you know what keeps the thing alive, then doesn't that mean you know how to get rid of it, too?"

"No, it doesn't!" Matthew snapped. "And even if I did, abortion is illegal in this state! I wouldn't do it!"

A tense pause followed before Matthew took another deep breath to clear out the lingering anger from Gil's request.

"Why don't you just put the child up for adoption?" he asked, trying his hardest to be gentle.

"I can't," Gil said quietly. "If my grandpa ever found out that I'm pregnant he'd get a wire hanger and take care the thing himself. Probably kill me, too, while he's at it." Abruptly, she stood up from Matthew's chair. "But whatever. You're not the only doctor in town. I'll find someone. Thanks for nothing."

And with that she stormed out of the office before Matthew could stop her.

Matthew was still thinking about Gil even after he had seen all of his patients and gone home. Sitting on the couch with a bowl of ramen, he couldn't help but feel a growing concern about the girl. Her conviction that her grandfather would attempt an illegal abortion on her was upsetting. It made him worry that she might actually go to some other illegal practitioner of abortions and permanently injure herself. He was fairly certain that none of the other doctors in the community would be willing to do an abortion. Some back-alley butcher would be her only choice.

Sighing, he rinsed out his empty bowl and settled back on his couch for a House marathon. Around eleven o' clock, someone knocked on his door. Puzzled, Matthew got up to answer the door. Had he forgotten that Alfred was coming over? He went to go open the door, expecting his brother.

"Al, if you've come here to complain about Dr. Braginsky again I…"

His words trailed off when he recognized the girl standing in his doorway with two suitcases and a duffel bag slung over her shoulder.

"'Sup, Doc?"

*Obstetrics: the branch of medicine dealing with prenatal care and childbirth.

*Gilberte is genderbent Prussia's full name. It means almost the same thing as Gilbert, which is why I went with it. I'm pronouncing it as "Gihl-behrt". She doesn't like her name and so goes by Gil or Gilly.

*The father of the baby is a Hetalia character, but he won't be revealed for a while.

*House is an amazing medical show on the Fox channel.

*There might be a few other genderbent characters, but I have yet to decide whether there will be any others besides Prussia.

*I've never been pregnant, so my knowledge on this whole subject is somewhat limited. If I make a mistake, please point it out.