Make Your Selection: Harvesting the Heart by Jodi Picoult

Paige has only a few vivid memories of her mother, who abandoned her at five years old. Now, with dreams of art school and marriage to an ambitious young doctor, she finds herself with a child of her own. But her mother's absence and shameful memories of her past force her to doubt whether she could ever be capable of bringing joy and meaning into the life of her child, gifts her own mother never gave.