Jewel is a novel by Bret Lott, and was chosen as an Oprah's Book Club selection.
When the child is finally born, it seems that Cathedral's prediction was empty: the baby appears normal in every way. As the months go by, however, Jewel becomes increasingly afraid that something is wrong with little Brenda Kay--she doesn't cry, she doesn't roll over, she's hardly ever awake. Eventually husband and wife take the baby to the doctor and are informed that she is a "Mongolian Idiot," not expected to live past the age of 2. Jewel angrily rebuffs the doctor's suggestion that they institutionalize Brenda Kay. Instead the Hilburns shoulder the burdens--and discover the unexpected joys--of living with a Down syndrome child.