At a meatpacking facility in Missouri, Dee-Dee and her coworkers kill and butcher 40,000 chickens in a single shift.

The work is repetitive and brutal, with each stab and cut a punishment to her hands and joints, but Dee-Dee's more concerned with what is happening inside her body. After a series of devastating miscarriages, Dee-Dee has found herself pregnant, and she is determined to carry this child to term.

Dee-Dee fled the Pentecostal church years ago, but judgment follows her in the form of regular calls from her mother, whose raspy voice urges her to quit living in sin and marry her boyfriend, Daddy, an underemployed ex-con with an insect fetish. With a child on the way, at long last Dee-Dee can bask in her mother and boyfriend's newfound attention. She will matter. She will be loved. She will be complete.

When her charismatic friend Sloane reappears after a twenty-year absence, feeding her insecurities and awakening suppressed desires, Dee-Dee fears she will go back to living in the shadows. Neither another miscarriage nor Sloane's own pregnancy deters her: she must prepare for the baby's arrival.