This is a beautiful well-written book showing how the women and family members in the novel deal with Postpartum Depression. The description of the debilitating suffering, emotionally and mentally, is truly heartbreaking, while the love and compassion of a supportive family is truly and equally uplifting.
The book spans three generations. First, we are introduced to Beth who is clearly suffering PPD, although she is initially unaware of why she does not feel love and connection with her newborn infant. She is sad, exhausted, and full of morose (and guilt) at the absence of natural motherly love for her child. She cannot bear to lift the infant and she is neglectful, eager to leave the baby with her mother-in-law. Her husband, siblings, and mother-in-law never stop trying to understand and be helpful. She has an amazing, supportive family.
At the extended family’s weekly Sunday dinner we are introduced to Beth’s three older siblings, their spouses, and the patriarch of the family who raised the children alone after his wife’s death, from when they were toddlers. The father now suffers from advanced dementia and is severely deteriorated – this will be the last dinner before admitting him to a full-care health facility.
A decision must be made about the family home which may have to be liquidated to cover their father’s health care. Beth volunteers to go through her father’s belongings and to pack up the house. While doing so she finds some confusing messages written by her mother before her death. The pages tell the story of a woman plagued by PPD, unable to cope, and with no one to turn to but her sister.
When Beth's mother discovered that she was pregnant with a fifth child in four years, she resolved to take desperate action – one that would cause a fateful chain of events. Sadly, her mother had no income, no family support, and no emotional tools to cope with her illness. Her husband was ill-prepared for the responsibilities of family life. To be frank, he was a lout, but a lout who managed to straighten himself out, after the death of his wife, with the help of an unexpected ally. There are several family secrets that need to be uncovered and Beth’s father clearly wants to tell all, but he is now too far gone to do so. Eventually Beth will reconnect with an Aunt who will be able to fill in the blanks with a missing note, an explanation of her grandparents’ less than stellar behavior before and after her mother’s death, and information regarding her grandmother’s own medical history.
This book deals with only recently historical issues and repercussions of (among other things) unwanted pregnancies, Catholic prohibition of birth control, PPD, gender discrimination, anti-abortion laws, and illegal abortions. Although the book is sad in that respect, the loving and supporting relationships between the siblings and with their father is beautiful while the journey to learn the truths that were never told is fascinating.