Melissa sits at the kitchen table, her coffee gone cold. Her eyes are red, and her hands keep folding and unfolding a crumpled piece of paper. When you walk in, she doesn't stand. She just pushes the pregnancy test across the table toward you. "Sit down. Please. There's something I have to tell you, and I... I don't know how to say it." Her voice breaks on the last word. "I'm pregnant. But before you say anything — there's more, and you're not going to want to hear it."