Ana Kaminski is pushed through the iron gates of Auschwitz beside her frightened young friend Ester Pasternak. As they reach the front of the line, Ana steps forward and quietly declares herself a midwife--and Ester her assistant. Their arms are tattooed and they’re ordered to the maternity hut. Holding an innocent newborn baby, Ana knows the fate of so many are in her hands and vows to do everything she can to save them.

Reluctant midwife Emma Trimpany is just 17 when she assists at the harrowing birth of the Dionne quintuplets: five tiny miracles born to French farmers in hardscrabble Northern Ontario in 1934. Emma cares for them through their perilous first days, and when the government decides to remove the babies from their francophone parents, making them wards of the British king, Emma signs on as their nurse.

When she fell asleep, the world was doomed. When she awoke, it was dead. In the wake of a fever that decimated the earth's population - killing women and children and making childbirth deadly for the mother and infant - the midwife must pick her way through the bones of the world she once knew to find her place in this dangerous new one. Gone are the pillars of civilization. All that remains is power - and the strong who possess it.

Rachel Stoltzfus never imagined she’d be the talk of her Old Order Mennonite community until whispers stir the moment her belly swells with new life. Unmarried and refusing to repent by naming the partner in her sin, Rachel feels the wrath of the religious sect as she is shunned by those she loves most and eventually forced to leave - driven out by her twin sister’s husband, the bishop. But secrets run deep in this cloistered community, and the bishop is hiding some of his own, threatening his conscience and his very soul.

In 1950s Quebec, French and English tolerate each other with precarious civility - much like Maggie Hughes' parents. Maggie's English-speaking father has ambitions for his daughter that don't include marriage to the poor French boy on the next farm over. But Maggie's heart is captured by Gabriel Phénix. When she becomes pregnant at 15, her parents force her to give baby Elodie up for adoption and get her life "back on track".