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As a midwife running her own home birth practice, Audrey Novak deals with pressure like a superhuman. Until, that is, she meets her handsome and arrogant neighbor, Dr. Ammon Parker. Ammon, who believes only in modern medicine, is just as unprepared for the infuriating---and inconveniently beautiful---midwife. When the two are repeatedly called to the same labor and delivery unit, their clashing ideals and fiercely independent personalities threaten to derail both their professional goals and their pride.
Outside of work, Audrey is a passionate rock climber, tantalized by a secret route she's heard about in an online forum. Her hunt for the climb's location leads her to the intriguing BelayingonofHands, a man who claims to have set the route. Soon their anonymous virtual flirtation and witty exchanges deepen into a true connection. But when Audrey discovers the man from online is actually Ammon, she's blindsided. It seems they have more in common than she could have imagined, but will their differences keep them from making the climb to true love together?