For a moment there, I thought I was re-reading His Pregnant Royal Bride by Amy Ruttan (my review here). Prince who is also a doctor, check. Has a one-night-stand with a commoner, check. Gets her pregnant, check.
From there on in, though, the stories are wildly different, and in the best possible way. Elias is everything one could want in a man who's had new fatherhood sprung on him in the worst possible way - having to deliver his own premature daughter - and he handles the whole situation magnificently, not dumping any of his burdens on Beth's already overloaded shoulders. He and Beth were wonderful together as they coped with having a premmie in the neo-natal ICU (very believably and poignantly written), somehow dealing with the fallout from their own relationship at the same time.
I won't spoiler this story any more for you, but I will say that it was an absolute delight. I may be changing my mind about the quality of modern-day Harlequins... or at least reserving judgement until I've read a lot more of them. Carol Marinelli is a master of the storytelling art and she's told an amazing tale here.
5 stars.
Disclaimer: I received a copy of this book for review through NetGalley.