Drawn to the newly married seventeen-year-old Nit Spindle, who has moved to their small mountain Colorado town to escape the ravages of the Great Depression, octogenarian Hennie Comfort forges a friendship with the young woman based on shared hardships and secrets.

"It is 1880 and Gracy Brookens is the only midwife in a small Colorado mining town where she has delivered hundreds, maybe thousands, of babies in her lifetime. She is a gifted and important resource for the women of her hardscrabble community, a position earned through wisdom and trust. Most women in Swandyke couldn't even imagine getting through their pregancy and labor without Gracy by their sides. But everything changes when a baby is found dead...and...

Joining the ranks of emigrants responding to Brigham Young's edict to move to Salt Lake City with two-wheeled handcarts as their only mode of travel, four women share a grueling journey of survival that tests the bonds of their friendship and faith.