1) The document is a letter from a mother to her daughter Ella on her first birthday, recounting the story of Ella's birth and their health struggles, as well as memories from Ella's first year. 2) Ella was born weighing 4 lbs 8 oz after a difficult pregnancy and delivery that almost resulted in the mother's death from postpartum hemorrhaging. 3) The mother is grateful that both she and Ella survived and have been able to create happy memories over the past year as a family, which she has documented in photos and videos for Ella's birthday gift.