Martha (Vanessa Kirby) and Sean (Shia LeBeouf) are a young and loving couple in Boston, awaiting their first baby. The room is ready. The expecting mother is radiant. Sean works in heavy construction, currently building a large bridge. When he comes home he becomes a doting husband and excited father to be. They are planning on a birth at their home, assisted by a midwife.

During the birth, things go unexpectedly wrong, and the baby dies minutes after birth. Their lives change as they are each independently trying to cope with the terrible loss. Her own mother, a domineering and challenging woman, meddles and makes Martha’s life even more impossible. Everything comes to the breaking point.

This movie is challenging to watch. The extensive birth section at a the beginning sets the stage. It is, by far, the most graphic and realistic birth scene I have ever watched. You’re right in the room with them, especially when the baby’s heartbeat starts slowing down.

I am not sure if I would recommend to young couples who are expecting childbirth to watch this, or not. I can say for sure, they’ll learn a lot.

The story is about the human spirit, and how it eventually transcends challenges. But it’s not a happy movie at all.