Lesbian partners Nicole Conn and Gwen Baba were so delighted by their adoption of a lively toddler that they decided to have another child by a surrogate mother, a process Conn sets out to document in this video. But the chronicle becomes unexpectedly wrenching when the surrogate's undisclosed medical ailments force doctors to deliver the child almost three and a half months premature. Weighing in at one pound, young Nicholas begins a jaw-dropping medical odyssey that Conn captures with unflinching frankness, including its emotional toll on the family. This is undeniably inspiring, but it also refuses to shy away from the harsh realities and moral quandaries surrounding the birth. 112 min.