Born in West Africa in the mid-eighteenth century, Maryam Prescilla Grace--a.k.a "Momma Grace" will live a long, wondrous life marked by hardship, oppression, opportunity, and love. Though she will be "gifted" various names, her birth name is known to her alone. Over the course of 100-plus years, she survives capture, enslavement by several property owners, the Atlantic crossing when she is only eleven years of age, and a brief stint as a pirate's ward, acting as both a spy and a translator. Maryam learns midwifery from a Caribbean-born wise woman, whose "craft" combines curated techniques and medicines from African, Indigenous, and European women. Those midwifery skills allow her to sometimes transcend the racial and class barriers of her enslavement, as she walks the razor's edge trying to balance the lives and health of her own people with the cruel economic mandates of the slave holders, who view infants born in bondage not as flesh-and-blood children but as investment property. Throughout her triumphant and tumultuous life Maryam gains and loses her homeland, her family, her culture, her husband, her lovers, and her children. Yet as the decades pass, this tenacious woman never loses her sense of self.