Amishwoman Sara Lapp, all but shunned for studying with the local doctor to become a midwife, is shocked that, after months of waiting, her first call comes from “Mad” Adam Zuckerman, a self-appointed outcast. Adam doesn’t want her to attend at a birth, but to tend to his children because his wife has died in childbed. Adam is afraid to love his children, because he might hurt them in the way his father hurt him. Without his late wife, Abby, to protect them, Adam must find someone else to care for the girls. He can think of only one woman brave enough, Spinster Sara Lapp, the little midwife whose passion for things beyond her control is greater than is good for her.
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