Midwife Ursalynn Wade is attending the most dangerous delivery of her career. The perfect couple her sixteen-year-old patient did not select as adoptive parents are not taking no for an answer, and now Howard Memorial Hospital is under siege.

Ursalynn is the only witness to the first birth of its kind in over a thousand years. More than one kind of family wants this baby. When her patient begs her to keep the extraordinary child safe from the sinister forces of the Magdalenes, Ursalynn must do the unthinkable. She must turn her back on everything she's worked hard for, and go on the run.