The story is about two women, sisters-in-law, named Helen and Rose. Helen is a mother of four boys and feels a little left out in a house full of men. Rose is a mother of three girls and feels that her husband would love her more if she could give him a boy. The women live together in the two family house and spend all of their time together and are best friends. When they become pregnant at the same time both feel that their luck will change and they will have what they want this time around. They go into labor the same night during a blizzard and give birth at home with the help of a midwife and make a decision that will change not only their lives, but the lives of their families forever.
The story is told from various points of view. The narrators include Helen, Abe (Helen's husband), Rose, Mort (Rose's husband), Natalie (Helen's daughter) and Judith (Rose's daughter). By changing the narrator the author not only provides different points of view for the story but keeps things interesting.
This is a story of love, loss and poses the age old question of if the grass is greener on the other side of the fence.