After years in a disappointing childless marriage, and now widowed at only twenty-six, Amish midwife Sarah Mast moves to Pleasant Valley for a fresh start. But unpleasant surprises beset Sarah when she joins her aging aunt's dwindling midwife practice. Signs of her aunt's decline suggest that she may no longer be capable of the rigorous demands of her work. With Sarah's last dollar now invested in the birthing center, can she help her aunt face the truth and run the center alone?

Aaron Miller, Sarah's neighbor, counts himself among the skeptics until he witnesses the dedication and love she has for her patients. But when an English doctor files a complaint against Sarah, Aaron's misgivings resurface--just as his own sister faces a birthing crisis.

In the midst of such tribulations, Sarah prays for the strength to defend her practice, care for her patients, and win the hearts of the community she has grown to love.