The Memory Keeper's Daughter - Kim Edwards

I absolutely could not put this book down, especially coming on the heels of a strange dream about bearing twins. It's the story of a couple who have twins, a perfectly healthy boy and a girl with Down's syndrome. The husband, a doctor, tells the nurse to take the girl to an institution and tells his wife that the baby girl died. The nurse can't give the child away and leaves the city to raise her on her own. This split-second decision has consequences for the rest of their lives and beyond, affecting them all in ways that noone ever anticipated.