In Trouble is a novel born of author Ellen Levine's interviews with women who came of age in the late 1950s and early 1960s, including those who knew what it was like to be a teen facing a horrible choice. In the decades before Roe v. Wade, a young woman "in trouble" had very few options and all of them meant shame, isolation, and maybe much worse. Jamie and Elaine's stories are just two among the thousands of stories of teenagers facing unplanned pregnancies.