A carved box with two locks of hair, the title to property in Switzerland, and a burning desire to learn about her biological family lead nurse midwife Lexie Jaeger from Oregon to Pennsylvania. There Lexie pledges to help her biological Aunt Melia, a lay midwife who has been charged with manslaughter after an Amish client and her baby die. Lexie always knew she was adopted, and when she finally meets her birth grandmother, she feels she has come home-until secrets begin to unravel.secrets that could tear her birth family apart.

Lexie learns the true meaning of the Pennsylvania Dutch word demut, which means "to let be" as she changes from a woman who wants to control everything to a woman who depends on God.

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