Sisson is clear in the foreword that this book has a pretty narrow focus on the mothers that have relinquished their parental rights in private infant adoptions. I greatly appreciated the tight reporting and that the book is very focused. Sisson's reporting is methodical and very thorough. No only does she do initial interviews, but follows up with the women 10 years later. I particularly valued the first person narratives from the women that are interspersed throughout the book. The narratives represent a balanced variety of experiences the mothers have with placing their children for adoption.