A pretty amazing picture of midwestern life. Beautifully written. There was a pretty intense depiction of preeclampsia and the death of a child, but it was done in a way that most books can't pull off. It didn't feel exploitative (still tough to read, especially if you've had any personal experience with traumatic pregnancies), and I appreciated the way it handled the couple's difficulties dealing with it while also not making it the centerpiece of the novel.