A pregnant woman named Ava sneaks out in the middle of the night. She has a flashback to getting into grad school for theatre at an expensive college and hiding the letter from her abusive boyfriend, Shane. Shane shames Ava and beats her while she is pregnant.Ava gets out with the help of her friend, Kyle. He gives her a car and sends her off alone in the night. At night, Ava drives through a storm while on her cellphone, leaving a voicemail for her sister, Lila. She gets into an accident in the woods.William and Valerie are by Ava's bedside when she wakes up. William is a Doctor and she's being attended to. They tell her they saved her from the crash and that the roads are still flooded, so they will have to take care of her in their strange-looking house. Ava tells Valerie that she is in an abusive relationship, and then they bond over architecture.Shane tracks down Kyle and beats him into telling him where Ava went. When Kyle stands up for himself and Ava, Shane freaks out and stabs Kyle with a screwdriver, killing him.Meanwhile, even though she is alone and isolated, Ava isn't concerned about being locked in William and Valerie's home. She casually talks about her baby and wonders if the phones will ever start working. Ava takes a walk around the grounds and finds a stairway.At dinner, Ava talks about her estranged relationship with her parents and family. They don't even know that she is pregnant. Then the topic moves towards baby names. Ava is waiting to meet her baby before naming her.Convinces she heard William on the phone, Ava begins to doubt her caretaker's stories and snoops around the house in the middle of the night. She finds the phone lines have been cut, a cellphone hidden in an office, and some pills and files on a young boy named William.Lila, Ava's sister, gets a voicemail that Ava left and grows concerned when her sister never shows up. She treks out to find Ava and is followed by Shane.Ava spends the rest of the movie trying to sneak out of the house. First, William catches her as he gets out of the shower. Ava kisses him while he is in a towel. Honestly, Then she tries to steal their car and is caught by the couple and taken back to bed while having contractions brought on by stress.Ava goes into labor and is being sedated by William. Ava learns the baby was stillborn.Lila finds Ava's abandoned car, cellphone, and, unfortunately, her abusive/jerk boyfriend, Shane. Shane emotionally manipulates Lila into helping him find Ava. (Shane also brings along his screwdriver.) Shane can't hide his abusive behavior and yells at Lila. She doesn't ignore the red flags.William and Valerie continue to manipulate Ava and convince her that they are there to help, not hurt, her. William even opens up about his and Valerie's trouble to conceive and promises to help Ava on her path to her new life. It almost works until Ava hears a baby cry.William chloroforms Ava, and she wakes up restrained to the bed. Valerie tells Ava that she will be a better mother and says that Ava can't even take care of herself. Valerie forces Ava to take drugs to keep her sedated until they figure out what to do with her. (Ava does not swallow the pills, but spits them out as soon as the couple goes out of the room, and pretend to be sedated.)Ava recovers quickly, and she uses her feet to pick up a scalpel and try to free herself. She tries to reason with William, who blames himself. He was addicted to drugs, which ruined his medical practice when he killed a child operating on drugs. He feels that he owes Val for ruining their chances at adoption. Ava sweet-talks William into loosening her restraints. Then she cuts herself free slowly with her foot scalpel. Then she crushes pills with a glass while Val and William have sex. Ava times the pill grinding to the sex sounds.The following day, Ava receives breakfast in bed and asks William to share a drink with her. Little does he know she slipped the crushed-up pills into his glass. William loses up and talks about wanting to be a rock star when he was a teenager. Then he passes out, and Ava rushes to find her baby.Valerie isn't going to let that happen and confronts Ava with a gun.Meanwhile Lila and Shane show up asking questions. (They have made a list of the nearby houses and planned to question each house as to see anything they saw or heard of Ava) They hear Ava shout out for help and bum-rush the door. Shane stabs William with his screwdriver while Lila rescues her sister. They take the baby and run into the woods. Valerie shoots at them wildly and chases the sister through the woods.Ava throws the baby at Val, and she drops the gun to catch the baby. It turns out to just be a blanket, and Ava grabs the gun. Val isn't going down that easy and grabs a rock, but rock is no match for a gun, and Ava shoots her dead.The sisters hug, until Shane comes running up with a gun, demanding to see the baby. Lila tackles Shane catching him off guard and giving Ava a chance to get away with the baby.In the kitchen, Ava grabs a knife to defend herself from her verbally and physically abusive boyfriend. William jumps up and stabs Shane with his screwdriver, giving Ava a second chance. Both men die on the floor together.Ava takes her baby out of the house and leaves with her sister, who has suffered a slight bullet wound. Ava names the baby Hope. Ava goes on to direct theatre, which was her dream. (thanks to lifetimeuncorked)