An incredibly moving novel about the emotional side―and consequences―of open adoption from the author of Pictures of You.

In this heart-wrenching story of an open adoption gone wrong, Caroline Leavitt's Girls in Trouble reveals the astonishing power of family bonds and maternal love. Sara, sixteen, is in denial about her pregnancy and too far along for an abortion. Her once-devoted boyfriend has disappeared so Sara decides her only option is an open adoption with George and Eva, a couple desperate for a child. After the birth it's clear Sara has a bond with the child that Eva can't duplicate and Eva and George make a drastic decision, with devastating consequences for them all.