Alice Cohen was happy for the first time in years. After a difficult divorce, she had a new love in her life, she was rais-ing a beloved adopted daughter, and her career was blossoming. Then she started experiencing mysterious symptoms. After months of tests, x-rays, and inconclusive diagnoses, Alice underwent a CAT scan that revealed the truth: she was six months pregnant.

At age forty-four, with no prenatal care and no insurance coverage for a high-risk pregnancy, Alice was besieged by...