When Meaghan O’Connell got accidentally pregnant in her twenties and decided to keep the baby, she realized that the book she needed — a brutally honest, agenda-free reckoning with the emotional and existential impact of motherhood — didn’t exist. So she decided to write it herself.

And Now We Have Everything is O’Connell’s exploration of the cataclysmic, impossible-to-prepare-for experience of becoming a mother. With her dark humor and hair-trigger B.S. detector, O’Connell addresses the pervasive imposter syndrome that comes with unplanned pregnancy, the fantasies of a “natural” birth experience that erode maternal self-esteem, post-partum body and sex issues, and the fascinating strangeness of stepping into a new, not-yet-comfortable identity.