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Content snapshot
Flag an inaccuracy →What's in this book, at a glance — five things readers want to know before they start.
Violence
Barely any
Miscarriage depicted; no physical violence
Language
Barely any
Mild profanity
Sexual Content
Some
A same-sex relationship; intimacy is present but not graphic
Substance Use
Barely any
Social drinking
Emotional Intensity
A lot
Pregnancy loss; religious pressure; custody battle; identity and self-acceptance
What this book is about
After miscarriages, infertility, and divorce, music therapist Zoe falls in love with a woman—and wants to use her frozen embryos. Her ex-husband, now born-again, fights to stop her. Picoult examines LGBTQ+ rights, reproductive law, and religious conviction with her characteristic multiple-narrator structure.
Notes for sensitive readers
Reader-flagged moments and themes that may affect your experience.
Miscarriage and pregnancy loss
Religious pressure and shame
Legal battle over reproductive rights
Reader Verification
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