Annie's life is deliciously full as the Christmas season approaches. She helps her husband, Samuel, attend to the community's minor medical needs. She occasionally assists Belinda, the local midwife, and most days, she finds herself delivering the buggy to her brother Adam. Annie's sister-in-law Leah is due to deliver their first child before Christmas morning, and Annie is determined to finish a crib quilt before the boppli arrives.

With six weeks to go, she should have no problem. . . but God may have a different plan. Leah is rushed to the English hospital when the infant arrives early, and Annie discovers the Christmas quilt may hold a far greater significance than she ever imagined.