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The Baby Farm

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Something is very wrong in the town of Shelter, Kentucky.

Deep in the hills of Appalachia, someone is stealing babies. Without a trace or a reasonable explanation, pregnant women are disappearing, targeted for the precious commodity they carry.

Emma Weston is a modern midwife in the tradition-bound town. Raised in Shelter, she understands the women she's trying to help. And when her best friend seems involved and her own sister becomes endangered, Emma is determined to reveal the truth.

There's only one man she can trust. Though their views of modern medicine clash, Griff Cusak, the new town doctor, and Emma share one thing: a deep sympathy for their patients. Battling resistance from a town locked in the past and an increasing danger from an unknown enemy, the two stumble into a dark world of terror in an effort to expose... the baby farm.

399 pages, Mass Market Paperback

First published January 1, 2000

3 people are currently reading
465 people want to read

About the author

Karen Harper

105 books1,499 followers
A New York Times and USA Today bestselling author, Karen Harper is a former college English instructor (The Ohio State University) and high school literature and writing teacher. A lifelong Ohioan, Karen and her husband Don divide their time between the midwest and the southeast, both locations she has used in her books. Besides her American settings, Karen loves the British Isles, where her Scottish and English roots run deep, and where she has set many of her historical Tudor-era mysteries and her historical novels about real and dynamic British women. Karen's books have been published in many foreign languages and she won the Mary Higgins Clark Award for 2005. Karen has given numerous talks to readers and writers across the county. Her most recent books include THE SOUTH SHORES TRILOGY (CHASING SHADOWS, DROWNING TIDES and FALLING DARKNESS.) Her latest historical is THE ROYAL NANNY. Please visit her website at www.KarenHarperAuthor and her fb page at www.facebook.com/KarenHarperAuthor

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5 stars
115 (22%)
4 stars
159 (31%)
3 stars
153 (30%)
2 stars
52 (10%)
1 star
25 (4%)
Displaying 1 - 30 of 57 reviews
Profile Image for Dolores.
34 reviews
November 7, 2014
It was an interesting story, with a disturbing topic:
Newborns being abducted from the poor, and sold to the wealthy. I enjoy Medical Thrillers in all fields of Medicine.
Normally I don't mind if it takes me awhile to figure out "who the bad guys are," but when there are TOO MANY characters in the mix; it becomes too convoluted for me to remember WHO is WHO, and WHO did WHAT-- and I get extremely frustrated having to flip back to previous chapters to remind myself. I almost gave up and tossed the book because of this problem. Good plot, good storyline...but sadly, I struggled to get through it.
Profile Image for Read With Chey.
659 reviews1 follower
December 6, 2025
I was a little skeptical of this at first but I ended up really loving it! I loved the setting and the push-pull relationship between the hero and heroine. The topic was creepy and mysterious and kept me fully engrossed. I just wish the epilogue had been a bit longer, I wanted to fully enjoy the HEA!
Profile Image for Jesse Harvey.
38 reviews1 follower
March 30, 2023
Good idea, but awful execution. There’s a reason it took me almost 4 months to read.
Profile Image for Julianna.
Author 5 books1,343 followers
March 20, 2023
Reviewed for THC Reviews
The Baby Farm is a stand-alone suspense novel that follows Emma, a midwife in rural Appalachia. She grew up in the tiny town of Shelter, Kentucky and after training as a midwife, she moved back to the place of her roots to serve the women there. Lately she’s been running up against opposition from Griffin, the new doctor who runs the local health clinic. They clash over child-birthing methods, but after Emma reluctantly calls Griff to help with a difficult delivery, he gains a new appreciation for her skills. The two begin to catch feelings for one another, but Emma is embroiled in the disappearance of two of her patients. The more she searches for them, the more evidence she turns up of a possible black market adoption ring in which the poor women of her community are being preyed upon and pressured to give up their babies. She doesn’t feel comfortable taking her concerns to the local sheriff, because he’s had it in for her family for years. She also feels she can’t go to the state police or FBI without more solid proof, so she continues the investigation on her own. Eventually she comes to trust Griff enough to let him in on her suspicions and he offers to help. But when it looks like her own sister may have fallen prey to the kidnappers and that they won’t hesitate to kill in order to keep their operation a secret, Emma finds herself in a race against time to save her sister’s life and keep her baby from the clutches of the evildoers, all while hoping not to get killed in the process.

Emma grew up in the Appalachian mountains and knows the people there well. Her father and older brother were abusive, and ended up murdering a neighbor, a crime for which her father is currently in prison, but her brother has recently escaped, leaving Emma worried that he might come after her or her younger sister, Sissy. Their actions left Emma’s mother to raise her and Sissy alone, but she died shortly thereafter in a tragic accident. After that, they were taken in by local heiress, Delia Lowe, who finished raising them, but she was a controlling and manipulative woman who expected loyalty in return for helping them. She and Emma aren’t on good terms because Emma decided to become a midwife and open her own practice rather than a registered nurse working for Delia’s new health center. Delia brought in Griff, a city doctor whose ideas about childbirth clash with Emma’s more holistic approach. However, Emma is dedicated to doing what’s best for her patients, and when presented with a possible breech delivery, she asks for Griff’s assistance. The experience gives them a new appreciation for one another, which leads to an acknowledgment of an attraction and the beginnings of a romance. Meanwhile, though, two of Emma’s patients have disappeared on her. When she brought her concerns about the first woman, who was also her best friend, to the local sheriff, he all but dismissed her, and since he harbors a grudge against her family from years ago, she feels like she can’t take any evidence she finds to him. With Griff becoming the only person she feels she can trust, she sets about investigating on her own with his help. It leads to all sorts of intrigue, danger, and possible suspects that she’ll have to sort through in order to find the culprit. But when Sissy, who is pregnant, appears to be the baby snatcher’s next target, it will take all of Emma’s skill to keep her alive during a high-risk delivery, save her baby from being kidnapped, and keep herself from getting killed, too.

Emma is a tough lady who’s been through a lot in her life, but rather than running from the place that brought her so much pain, she dedicated her life to helping the women in her hometown. She not only assists them with delivering their babies safely, but she also counsels them in hopes of keeping them out of situations like the one she grew up in. I had no doubt that she always had the best interests of her patients top of mind. That also extends to trying to figure out what’s going on when her clients seem to be targets for what looks like a suspicious, underground adoption ring that appears to be selling babies to rich families. I thought the author did a good job of offering plausible reasons why a mere midwife would be doing her own sleuthing, given her history with local law enforcement and how skeptical the state police were when she first contacted them. It made the amateur investigator aspect of the story more believable. She also heroically risked her life to save her sister and the baby from the kidnappers’ clutches. Overall, I thought Emma was a strong and likable heroine.

Griffin is ostensibly the hero of this story, but his POV scenes are few in comparison to Emma’s. He was brought to Shelter by Delia to run her new health center. He has a mysterious past that makes his reasons for moving from the big city to the middle of nowhere murky. When Emma first finds out what Griff is keeping from her, she isn’t sure if she can trust him anymore, but ultimately it isn’t as bad as it seems at first glance. Initially Griff is a little bit of a jerk when it comes to not trusting Emma’s child-birthing skills. The book is set in 1995 and was published in 1999. I had both of my children during that time frame, one of which was attended by a midwife, so I know that they were definitely growing in popularity around that time. Not to say that midwives didn’t experience discrimination by doctors, but at times, it seemed a little overblown. After all, she isn’t just a lay midwife, she’s been fully trained in nursing school, so Griff’s distrust in her was a little annoying at times. However, he did lighten up after assisting with the difficult birth. Even after their relationship gets off the ground, he, at times, seemed a little less than supportive about both her practice and her investigation, but he does come around. Once that happened, I liked him a lot better, but between his irritating behavior early in the story and him being a somewhat underdeveloped character, he won’t go down as a favorite hero.

The Baby Farm is classified as a romantic suspense (it says so right on the spine). However, the romance is extremely subdued and only accounts for perhaps about ten percent of the entire story. Griff and Emma basically start out as enemies, since they don’t really get along. Then they rapidly become friends with little transition into that. They only share one moment that I could call a date and it was just getting some food at the local Tastee-Freeze. There are few getting-to-know-you moments before Emma thinks that she’s in love with Griff. There are no on-page love scenes and very little sexual tension. Their relationship just wasn’t well-developed at all and I felt virtually no emotional connection between them. It’s almost like the author wasn’t really comfortable writing romance and only included a touch of it to make the book marginally qualify as a romantic suspense. The only positive thing I can say on that front is that Griff and Emma share a few kisses and their relationship has an HEA ending.

I honestly think the book would have been better served if classified as a women’s fiction suspense, because those elements were quite strong and the reason I was still able to give it four stars despite being disappointed with the romantic aspects. Ever since having my own children, I’ve had an interest in childbirth and midwifery, so I enjoyed those parts of the story very much and could tell that the author had done her homework to present some realistic pregnancy and birthing scenarios in a fair amount of detail. These elements would lend themselves well to the women’s fiction genre. The suspense portion was also very well done. The author set up quite a number of suspicious characters that kept me guessing throughout as to who was guilty. I didn’t start to figure it out until very near the end and even then I didn’t correctly guess everything. These parts engaged my attention well and I found them to be quite enjoyable. If the book hadn’t been called a romantic suspense, then my expectations about the romance wouldn’t have been so high and I probably could have given it a better rating. But as is, I feel like I would be doing a disservice to my fellow romance readers by not pointing this out. This was my first read by Karen Harper, and I liked it well enough to be open to reading more of her books in the future. I’ll just have to lower my expectations when it comes to the romance.
Profile Image for Charlene.
1,209 reviews69 followers
February 5, 2014
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.

Profile Image for Mistydawn Thrash.
46 reviews10 followers
November 2, 2012
One of the things I appreciated about this book when I picked it up was the setting in the Appalachian Mountains, one of the poorest areas in the United States and often neglected. Any spotlight upon it, whether fictional or not, could have a benefit of opening the eyes towards the Appalachian people.

That being said, the book was well written. It had a nice mixture of "mountain" vs "city"...."Poor" vs "Wealthy"...."Old ways" vs "New ways". As a mother, the idea of an illegal adoption ring is terrifying. Knowing that illegal adoption rings ACTUALLY EXIST is devastating and I think that the emotional and romance aspect of this book did not diminish the underlying reality that the unspeakable does happen. Babies are stolen and sold every day. To me, that makes this book all the more suspensful, knowing that somewhere in a metropolis city or a trailer in the mountains, people have the ability to take a new life and sell it to the highest bidder.

This book kept the pages turning and it was not one that I had figured out in the first few pages. Great read. I think you'll enjoy it.
Profile Image for Jennifer.
15 reviews2 followers
April 27, 2010
As soon as I saw in the bio that the author usually writes romance novels, I knew I was in for it. I cannot stand romance novels. :P Other than the syrupy parts, the book wasn't too bad.
Profile Image for Rissy.
74 reviews1 follower
January 28, 2016
I didn't like it. I read a few other peoples reviews, giving it three stars but pretty much capturing the way I felt about it with their words. The story was slow to progress, and you could tell who you weren't supposed to like and who you were.

The stranger from out of town, looking for vengeance about her adopted baby, was stupid to me. Like what really did she think she was going to do/accomplish from this trip.

The idea of stolen babies being sold, no matter the reasoning of it being to give them a better life or not, is horrible. That really does happen, I'm sure, and so many innocent people get hurt by this. The concept was interesting enough, but the story and characters were boring. Just no.
262 reviews1 follower
August 29, 2009
This book had a good and interesting storyline to it, I loved the way the author brought to light both the midwife way of things and the more conventional way of "birthin" and they would put it. The damper on this book was that it seemed to chaotic, to many characters and alot of stuff going on all at once, so it was hard to remember who was who and what they did and if they were the midwife's patient or the Dr.'s patient or if they were just a neighbor in the next "holler". So if you are the type that likes a little mystery, a little romance, and alot of characters this is a book you would enjoy!
711 reviews1 follower
June 26, 2015
The beginning seemed to drag for me, I almost gave up, but went back and finished it. Characters were very predictable to me, you dislike the bad guys right from the start. The book wraps up things neatly, with the good guys safe, even saying the heroine's sister was going to live. The you have the epilogue with hero & heroine married and working together. It also shows her brother-in-law holding his daughter, but no mention of his wife. Did she survive or not?
Profile Image for Emma.
147 reviews9 followers
July 26, 2013
The plot fell flat at times, but the writing was strong and the overall story well crafted but predictable: by page 52 I knew who the culprit was. But the most disappointing part of the book was the epilogue, which left out a character leaving many questions.
Profile Image for Andrea.
715 reviews28 followers
December 22, 2013
This was a good book and a pretty easy read. This book follows a midwife from the Appalachian area. She has a group of clients she is working with but when they begin to disappear, she becomes suspicious that there is something else going on.
Profile Image for Heather.
170 reviews13 followers
March 8, 2015
This book was just OK for me. The suspense that I wanted really wasn't there. I knew who all the players were fairly quickly and the romance just wasn't there. The writing style was good. Even with the epilogue I still have questions.
Profile Image for Shelley.
5 reviews1 follower
August 25, 2009
Compared to many other suspense books I have read, this one was okay. But I pretty much had this one figured out from the start.
Profile Image for Lisa H..
247 reviews14 followers
June 13, 2013
Shoddy writing, characterization, plotting. Awkward, clunky, flat, cheesy... Ugh.
Profile Image for Chrissy.
126 reviews6 followers
June 25, 2013
Kind of a weird book. I felt a bit like the characters were underdeveloped. I never really felt that attached to any of them.
Profile Image for Bill Stiefel.
666 reviews
January 3, 2014
Not my most favorite of novels. There were a few interesting things in the plot, just enough to keep you reading to see if it would get better, but it really never did.
Profile Image for Kelly Hunt.
50 reviews
January 12, 2015
This book was incredibly hard to get through but I never stop reading a book so I finished it. So glad to get it done.
1,684 reviews19 followers
July 13, 2019
About a mid-wife who services hillbillies for their child's births. She wants to have a relationship with the new local doctor. She is concerned that preggers women are somehow losing their babies, is she to blame? EVERY character has a sob story back story (which gets old) and every character is a potential suspect. Meanwhile, a woman who received a possible faulty baby has had the good fortune of locating the correct town that it may have come from and she aspire for some revenge.

EVERY ploy is used such as bed weather, a car wreck that causes memory loss, oh, AND a violent brother out for revenge. Glad to get DONE!

How about this story idea: A female gambling addict has children then adopts them out...for a fee!
Profile Image for Carol.
677 reviews13 followers
May 29, 2018
Deep in the hills of Appalachia some one is stealing Babies. Pregnant women are disappearing targeted for the baby that they carry. Emma is a modern midwife raised in Shelter she understands the women she is trying to help. When her best friend and her own sister become endangered Emma is determined to reveal the truth. There is only one man she can trust. Their views of modern medicine clash at times Griff Cusak the new town doctor and Emma share one thing A deep sympathy for their patients battling from a town locked in the past and an increasing danger from an unknown enemy the two stumble in to a dark world of terror. A really great read!!!! Love this author.
Profile Image for Darin.
58 reviews1 follower
January 8, 2022
Although this book had a slow start, it really picked up and had me on the edge of my seat and biting my nails the whole time. The pace was like the first part of a roller coaster where you’re slowly going up the first hill and then it’s just a straight drop. I appreciate the author incorporating real issues like baby snatching and lack of access to health care in rural areas. Overall, this book had amazing character development that made me feel like I knew Emma and Griff and their opposing values. If you love mysteries and medical drama you will love this book.
Profile Image for Laura.
223 reviews1 follower
December 2, 2020
Emma is a midwife and she loves her work. When Emma's pregnant friend goes missing and her cousin losses her baby and ends up in a come, Emma doesn't like the situation. With her sister being pregnant she is really worried. Dr. Cusak is the town doctor, with a past he is trying to move on from. Emma and Dr. Cusak develop a love/hate relationship.
I did enjoy this book is was very suspenseful. Cant wait to read more by this author.
198 reviews
June 16, 2020
Good story stealing babies in Kentucky and selling them/adopting them out.
Displaying 1 - 30 of 57 reviews

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