The writer faces the prospect of giving birth to a child at 23 weeks—when the odds are slimmer that the baby will survive, and the family must look for clear answers on what’s medically possible to save the child:

“We learned her gender in week 16, cataloged her anatomy in week 20. I scrubbed the baseboards in the spare bedroom and stopped buttoning my jeans. I tried to imagine her as a real child, in my hands and in my life. I drew, in ballpoint pen, her cartoon outline on my skin — with big eyes, a sprout of hair, and an umbilical tether to my navel that made her look like a startled space walker. That was the extent to which I understood her: only in outline, the details waiting to be filled in.

“Suddenly there was blood. Blood on my hands. Blood on a thin cotton hospital gown. Blood in red rivulets and blood in dark clumps. Bright beads of blood on the doctor’s blue latex gloves. Blood in such startling quantity we could only imagine there was no life, no baby, not anymore.”