The Hope Party's new laws have transformed Great Britain: the countryside rewilded, children's rights prioritised, and births on the rise. But freedom is fading. Karen has learned to navigate this new world, keeping her head down as her fertility is constantly monitored. As her husband's career thrives, while hers stalls. As her son is drawn into misogynist groups. Like everyone else, she's too frightened to speak up. Until her teenage daughter reveals a life-changing secret: she's pregnant. With abortion and contraception banned, her future has gone up in flames. But Karen won't let this happen - Charlotte is going to have the life she lost. Karen turns to her sister Isobel, a doctor who's initially reluctant to help. But when they learn Charlotte's pregnancy is ectopic and life-threatening, the stakes skyrocket. The three women go on the run, getting deeper into danger with every hour that passes. With powerful enemies on their tail, they will risk everything in a desperate fight for freedom, and for life.