A young midwife in the Virginia mountains is pursued by two unlikely suitors and caught between feuding families until she discovers that her past is the key to unlock hearts.

Esther Cherrett comes from a proud line of midwives and was trained by her mother to take over the family calling. But when a scandal threatens all she holds dear, Esther takes a position as a teacher in the western mountains of Virginia instead. There she finds herself in the midst of a deadly family feud and courted by two men on opposite sides of the conflict. When it seems as though her past has followed her all the way into the mountains, all she wants is to run away again. In this gripping story of trust, deception, and bittersweet loss, a young woman learns the true meaning of choices of the heart.