The book is a series of letters that Karen wrote to her son, Gabriel Michael, who was born prematurely and died two hours after birth. Karen expresses the bond between mother and child with incredible tenderness and love. Through her lived experience and deep faith, Karen makes a bold and profound statement about the gift of life, family values, the bond between parent and child, the grieving process and the paradox of suffering. What began as a normal pregnancy for Karen ended with serious difficulties just as her husband Rick Santorum (Republican – Pennsylvania) was leading the charge against partial birth abortion in the U.S. Senate.