More than a million people lose a pregnancy each year, whether through miscarriage, stillbirth, or termination for medical reasons. For most, the experience often casts a shadow of isolation, shame, and blame. Rebecca Little and Colleen Long, childhood friends who grew up to be journalists, both experienced late-term loss, and together they take an incisive, deeply reported look at the issue, working to shatter taboos that have made so many pregnant people feel ashamed and alone. They trace the experience of pregnancy loss and reproductive care from America’s founding to the present day, exposing the deep impact made by a dangerous tangle of laws, politics, medicine, racism, and misogyny.