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Raised up from poverty by a determined single mother, gifted and beautiful twin sisters Christa and Cara Parravani were able to create a private haven of splendor and amusement that they shared between themselves. They earned their way into a prestigious college, established careers as artists (a photographer and a writer, respectively), and entered young marriages. But plagued by their father's early rejection of them and further damaged by being raped as a young woman, Cara veered into depression, drugs, and a shocking early death.

In 2017 Christa Parravani had recently moved her family from California to West Virginia and was surviving on a teacher's salary and raising two young children with her husband, screenwriter Anthony Swofford. Another pregnancy, a year after giving birth to her second child, came as a shock. Christa had a history of ectopic pregnancies and worried that she wouldn't be able to find adequate medical care. She immediately requested a termination, but her doctor refused to help.

Christa Parravani was 40 years old, in a troubled marriage, and in bad financial straits when she learned she was pregnant with her third child. She and her family were living in Morgantown, West Virginia, where she had taken a professorial position at the local university. Haunted by a childhood steeped in poverty and violence and by young adult years rocked by the tragic death of her identical twin sister, Christa hoped her professor’s salary and health care might set her and her young family on a safe and steady path.