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Private eye V.I. Warshawski knows her friend Consuelo's pregnancy is already risky-she's sixteen and diabetic. Despite V.I.'s efforts to provide Consuelo with proper care, both mother and daughter die in the local hospital. Suspecting malpractice, V.I. begins an investigation- and a reluctant romance with an ER doctor. But deadly complications arise when a series of vicious murders and an attack on a women's clinic lead her to suspect a cold-blooded cover-up. And if V.I. isn't careful, she just might have delivered her final case...