In a time when the traditional ways of medicine are constantly being questioned by new doctors fresh from medical school, midwife Martha Cade tries to balance her life's calling with the demands of her family. Recently reunited with her estranged seventeen-year-old daughter, Martha finds herself torn between guiding her child and allowing her to be an adult. At the same time, she must decide whether she'll risk reopening the heart she'd long closed off to love.

Though a small town, Trinity, Pennsylvania, is fraught with secrets, and as a midwife, Martha moves among its people. She knows which homes are filled with light and love, which families have slipped into grief, which wives are unhappy, and which husbands dare to cross lines...As Martha struggles with the conflicts of being a mother, a midwife, and a woman, she learns the greatest lessons of all--that hope can shine even in the darkest hours, and that faith has a way of making the impossible possible.