The Motherhood Medal is a 5-way medal with the top image being St. Gianna Beretta Molla, the Patron Saint of Mothers. On the left is St. Gerard, the Patron Saint of Expectant Mothers. On the right is the Guardian Angel. At the bottom is St. Anne, also the Patron Saint of Mothers. Finally, on the right is Our Lady of Guadalupe, the Patroness of the unborn. This beautiful gold filled (1/10 14KT gold) medal comes with a 18-inch gold filled chain.