Martha Cade is a midwife in the town of Trinity in 1830s Pennsylvania. Recently reunited with her estranged 17-year-old daughter, Martha finds herself torn between guiding her child and allowing her to be an adult. And the town of Trinity itself if fraught with secrets: As a midwife, Martha knows which families are troubled, which wives are unhappy, and which husbands have crossed the line from discipline to abuse...As Martha struggles with the conflicts of being a mother, a midwife and a woman, she learns the greatest lesson of all - that hope can shine evening the darkest hours, and that faith has a way of making the impossible possible.