Probably more like a 3.5 stars, so I rounded up; 398 pages, new hardcover version from library.
This book addresses a very serious topic -- baby snatching (at birth) and selling the newborns as if they were legal adoptions. The location is Appalachian rural Kentucky, where there are so many characters and suspects that one could get lost in the small town feuds alone.
The presenting situation of the book is of the trained and certified midwife whose mentor was against the "old ways," who wanted her to go into straight nursing instead. The mentor has established a medical clinic in the mountain town and the new doctor and the midwife are set against each other with respect to childbirth practices.
There is a lot of danger, suspense and quite a bit of mystery to be solved. Unfortunately, I had difficulty believing the midwife would try all on her own to discover who was behind the disappearances of local pregnant women and/or their babies. She has been directly attacked several times already, but she does not trust local law enforcement (see feuds above, etc.). At some point the doctor joins the midwife in the quest for truth -- but then the wheels keep spinning mud with almost no resolution until quite late in the story.
I did read this book in one day, so it obviously held my attention. I think a book group could find good material for discussion, as well.
THE BABY FARM is a completely different genre from the "Home Valley Amish" trilogy I recently read by this author.