Abortion continues to be a hot topic in politics, women's rights, and medical practice. But for the eight to ten million American Christian women who have had one, abortion is a spiritual issue as well, raising questions of life and death, heaven and hell, grief and loss.

Writing from her own experience, Kim Ketola sheds light on one of the darkest and most neglected personal issues of our time: the widespread need for healing and spiritual recovery after abortion. "After abortion brought the worst trouble into my life I had ever known," writes Ketola, "I just couldn't see my way free to...