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The term, maranomi, is taken from the Biblical account of Ruth and Naomi and means bittersweet. It is used as a label for parents who have lost a child or children, just as orphan is a term used to label children who have lost their parents. The book, Maranomi: The story of Paxton Cole and Carys Rainn is a true story about exploring faith in God and finding peace and joy in the midst of pain and sorrow after one twin is diagnosed with anencephaly, a fatal birth defect at 16 weeks gestation.

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