4 years later...
Rose was serving an elderly couple muffins and tea in the small cafe she owns in Canterbury, England.
After she had her daughter Emerald, she and Ethan moved here with Kyle, Ethan's long-time boyfriend.
Yep. Ethan is gay.
He and Kyle had been dating since college but Ethan didn't come out, too afraid to be rejected by his strict orthodox English family.
Ethan was Rose's doctor in the rehab and when Rose panicked to know she was pregnant and cried out to Ethan that Elisio would take away her child if he knew it was Ermanno's, Ethan proposed a solution.
They both would pretend to be engaged and would move away from London and start a small family where Rose would have Emerald and Ethan would have Kyle.
It was win-win for both of them.
Rose didn't lie on Emerald's birth certificate though. She had mentioned Ermanno as Emerald's father.