I'm called to assist with a cesarean delivery. In forty seconds, the baby is delivered. The other obstetrician and I close without saying much. We close and inspect every layer in detail. There's a steady flow to closing the patient's abdomen. I'm a little tired, but each step prompts another and before long we are at the skin. Afterwards, the doctor thanks me for helping because it can be hard to find help on a case, "You know given the mother's condition." I just nod. This doctor is known to take the moms with HIV.

Shortly after surgery, when the mom dies leaving no verifiable next of kin for her newborn daughter, the baby becomes an orphan. Sensing an opportunity to do something in a situation far greater than herself, the ob-gyn, engaged in her own battle with infertility and undiagnosed depression, endeavors to adopt the little girl.

A gay man who lost his partner to HIV, the ob-gyn's brother connects her with an attorney specializing in adoption for non-traditional families. Desperate and driven, the ob-gyn fosters the infant and names her Hope. The brother moves in to assist in welcoming her new baby home. Hope soon becomes ill, giving her new mother and uncle what seems to be an insurmountable obstacle.

Intentionally refraining from naming her main characters, JACH MD's debut explores this highly charged, emotional terrain without labels. In doing so, she precludes the blame and judgment so often associated both socially and personally with issues like this and instead puts her laser focus on this transformative human journey - and does so to stunning effect. Transcending stereotypes and ascending to a higher plane of understanding and acceptance, Nameless, Blameless Reproduction is a miraculous tale of healing that is as spellbinding as it is inspiring.