Georgian filmmaker Dea Kulumbegashvili follows her striking debut feature Beginning (NYFF58), which told the story of a wife and mother persecuted for her religious beliefs in a provincial village, with this tenebrous, provocative drama about the precarious social position of a woman living in an isolated community. When a newborn baby dies after an otherwise routine delivery, obstetrician Nina (Ia Sukhitashvili) falls under suspicion for negligence, her standing in the small town further jeopardized by people’s knowledge that she also provides illegal abortion services to local women. Shot by Arseni Khachaturan (Bones and All), balancing long-take realism and nightmarish expressionism, April is a complex and disquieting depiction of a caregiver in crisis, rich with haunting, metaphorical imagery that feels emanated from its maker’s subconscious. A Metrograph Pictures release.