The Land in Winter by Andrew Miller

Local doctor Eric Parry, mulling secrets, sets out on his rounds, while his pregnant wife sleeps on in the warmth of their cottage. Across the field, funny, troubled Rita Simmons is also asleep, her head full of images of a past life her husband prefers to ignore. He’s been up for hours, tending to the needs of the small dairy farm where he hoped to create a new version of himself, a project that’s already faltering.