The novel recounts the story of how a dead infant found on an Amish farm in
Pennsylvania rocks the entire community. As the police investigate the death, they discover that the baby was not
stillborn, but instead had died shortly after birth. Police were able to find cloth fibers in the infant's mouth and throat, including bruises on the mouth, which leads them to conclude that he was suffocated. An 18-year-old, unmarried Amish girl, Katie Fisher, is charged with the murder of her newborn son. However, Katie denies ever being pregnant. Ellie Hathaway, an experienced defense attorney and a distant relative of Katie, reluctantly accepts the case after a confrontation with her aunt (the relative who connects Ellie with Katie by marriage). As part of the bail conditions of the pre-trial hearing, Ellie has to remain on the farm with Katie prior to the trial—a period that lasts several months. A doctor is able to determine that the infant was born
prematurely, and could have died from natural causes due to
listeriosis, a bacterial infection that Katie contracted from drinking unpasteurized milk from their Amish
dairy farm. During that time, Ellie begins a relationship with her former lover Coop, a legal psychologist whom she trusts with Katie's interviews, and whom she had previously left years before. Coincidentally, on the first day of Katie's trial, Ellie finds out she is pregnant with Coop's baby. Coop then asks Ellie to marry him, but she defers. After the jury deliberates for several days, Katie instead chooses to settle for a
plea agreement and is sentenced to one year of electronic monitoring, which allows her to stay at the farm while wearing an electronic bracelet. Katie's mother, Sarah Fisher, gives Ellie the scissors that were used to cut the
umbilical cord, revealing that she knew Katie was pregnant and had gone to her the night she gave birth, though Katie didn't know. Ellie has an ethical obligation as an attorney to provide this evidence to the police, but instead, she opts not to because of Sarah's plea to her - mother-to-mother. The novel ends with Coop picking up Ellie from the Fisher dairy farm to begin their life together. ==Characters ==