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Even as she had asked the question, Mary Lou had known exactly what she meant. She had been stuffing envelopes all day, putting the same colour photocopy of that twisted child into a crisp, white envelope, sticking on a label from their national mailing list, then running it through the postage meter so that the letter would get there as soon as possible.

'Mrs Riddle,' the doctor had said, using the name Mary Lou had given him. 'I don't think you understand. You're in your third trimester.'

'Yes,' she had said, wondering what the problem was.

The doctor had got haughty. 'Third trimester abortions are illegal in the state of Georgia, Mrs Riddle.' Then, he had gone on to tell Mary Lou that he did not think he would have time to see her as a regular patient and suggested someone else across town.

She had kept her hand on the receiver long after putting it down, dumbstruck by the doctor's words. Third trimester abortions were routinely performed all over America. She had over ten thousand pamphlets on her desk talking about cases around the nation where viable foetuses – infants, children, really – had been aborted in the womb, their skulls punctured so they could collapse, their brains sucked out through little vacuum hoses so their parts could be sold to medical researchers. Partial-birth abortions were the scourge of the United States. They were as common as night and day.

After a moment's thought, Mary Lou had locked her office door and sat on the floor behind her desk with the Atlanta phone book. Routinely, the church organized protests where they all piled into the church van and, barring unexpected rain, picketed in front of different abortionaries in Atlanta. They carried signs that said, 'MURDERERS!' and 'STOP KILLING BABIES!'. The doctors who worked at the clinics were so ashamed they could not look at the church members. They kept their heads down, their ears covered as the chanting began. 'Save the babies! Kill the doctors!'

Mary Lou had called these places first. When they had all explained to her the same thing that the doctor had earlier said, she had moved on to the yellow pages, trying all the gynaecologists whose names looked like they might be open to helping her out. She had started with the Jewish doctors, followed by a couple of Polish-sounding ones, then a Hispanic doctor's office where the woman answering the phone barely spoke English, yet managed to convey to Mary Lou that not only was what Mary Lou was asking illegal, it was against God's law.

Those names exhausted, Mary Lou had called the obvious places, the clinics with the word 'women' in their names, then the 'feminist' centres. She had searched the Internet and found numbers for places relatively close by in Tennessee and Alabama, but all of them, down to the last, had told her in no uncertain terms that such a procedure could not be performed. One woman who sounded sympathetic had told her that there were a handful of states that did allow abortions this late in the term, but there had to be clear evidence that the mother's life was in danger.

Mary Lou had considered the phrase, finally coming to the conclusion that her life was in danger. She could not continue working at the church as an unwed mother. There was barely enough money to feed William and herself, let alone a child. What's more, babies were always sick, always needing medicine and office visits and God; the thought of it made her feel as if she had swallowed glass. The church was exempt from the law that would have required them to give her health insurance and the private plan she had looked into years ago was six hundred dollars a month. After paying the mortgage and car insurance so she could drive to work, Mary Lou barely had six hundred dollars left over from her pay cheque. The visit to the doctor across town had meant peanut butter and jelly sandwiches for two weeks.

The last phone call she had made to a clinic nearly sent her over the edge. The woman on the other end of the line had actually preached to her, said there were good Christian organizations that would help her through this difficult time. Mary Lou had bitten her tongue to keep from screaming that she was part of that Christian organization, and she would be out on the street if they found out.

Instead, she had slammed down the phone, furious. She was not a crack addict, for God's sake. She was not like those women who used abortion for birth control. She wasn't some career minded whore who did not have time for a child. She loved children. She volunteered at the church nursery the last Sunday of every month. She was a mother.

Tears sprang into her eyes, and she found herself putting her wrist to her mouth, sucking it as she had done as a child. The charms on the bracelet chattered against her teeth, and the metallic taste burned her throat. She worked each charm into her mouth, sucking it as if to draw some sort of power. She had always seen the thing as evil, a nasty reminder of her sin, but now she found herself counting off the charms – the locket, the ballet slippers, the lighthouse, the cross – like a rosary.

Mary Lou had been teasing the cross with the tip of her tongue when it had occurred to her that of course these places would refuse to say anything incriminating over the phone. She could be anyone, after all. A state regulator, a detective, a pro-life activist trying to trap them into saying something while the phone call was secretly being recorded. Mary Lou would have to go in and meet them face-to-face. She had no doubt that they would help her then. They would see she was not someone out to trick them, but someone who genuinely needed their help.

Stephen had seemed surprised when Mary Lou had asked for a day off. She was given a certain number of sick days every quarter, but at that point in time she had taken no more than a handful of them over the course of her ten years at the church. Still, he had given her a look that said, 'Don't make a habit of this.'

She could have said something about the affair then, something that would have given her the upper hand, but they both knew she would not do it. The church was all that she had left. It was literally her life. She worked here and worshipped here and what few remaining friendships she had were through the church. Mary Lou spent more hours in this place than she did in her own home. If the affair got out, it would not be Stephen they blamed. They would all point the finger at her. Even when Brian had left her, cheating on her in such an obvious way that his own mother had called him worthless, people had still blamed Mary Lou. What had she done to make her husband stray? Was she not a good wife? Surely the fault could not lie with Brian. He was a good man who always provided well for his family, right up until the day he left them.

Much the same logic would come to the defence of Stephen. Not only was he a married man with two adorable children, neither of them insisting they be called Pud, he was a man of God, a learned man. Stephen Riddle had attended Seminary in Atlanta. He had a doctorate in biblical studies. He was not the type to be hurt by this kind of exposure. Knowing the congregation, Mary Lou suspected they would love him even more for having been through such a trial while still remaining loyal to his family. She could even imagine the sermon he would get out of it. 'God tested me, and I failed,' he would say, spreading the blame even as he waited for his sins to be washed away.

Regret bit into her every time she thought about the way Stephen had treated her as she stood in his office, asking for what was rightly hers. The groundwork giving him all the power had been laid that very moment, and unsurprisingly he had been a much more skilful engineer. When he had challenged her with a curt, 'Is that all?' Mary Lou had been unable to do anything but nod. He had then looked down at his desk, at his open bible, dismissing her with the top of his head.