V.I. Warshawski knows her friend Consuelo's pregnancy is already risky--she's sixteen and diabetic--but when the baby arrives prematurely, suddenly two lives are at stake. Despite V.I.'s efforts to provide Consuelo with proper care, both mother and daughter die in the local hospital. Suspecting malpractice, V. I. begins an investigation--and a reluctant romance with an ER doctor. But deadly complications arise when a series of vicious murders and an attack on a women's clinic lead her to suspect a cold-blooded cover-up. And if V.I. isn't careful, she just might have delivered her final case...