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Jakob thinks coming to America and reuniting with his beautiful Rachel is a dream come true, but he soon realizes America's streets aren't lined with gold and that people who don't quite fit in aren't always treated very nicely. As he struggles to adjust to life in America, Rachel struggles with insecurities over how her husband is little more than a stranger.

Just when it seems her heart is no longer in turmoil, a new struggle arises--finding a midwife in a country where hospital birth has become the norm. Her search for a midwife isn't helped by the conformist young wives' social club she's been roped into joining, full of women who already look down on her for keeping her surname, wanting to go to college, and enjoying sex.