苏联解体前夕的1987年，其时还是社会主义国家的罗马尼亚仍有明确法律禁止堕胎。布加勒斯特被男友抛弃的女大学生Gabita意外怀孕，她的室友兼好友Otilia（Anamaria Marinca）决定帮她秘密堕胎。通过朋友的介绍，两人联系到了愿意做手术的医生，并估算着筹集到了一笔数目不小的钱。
不想，她们所筹的钱无法满足医生的要求。在做手术的地点——一家廉价旅馆里——医生提出用Otilia的身体做交换。为彻底帮助Gabita，Otilia答应了医生的要求，事后，她开始思考自己同男友的关系，并提出假设：如果她意外怀孕，男友会是怎样的态度？而影片名字“四月三周两天”，正是Gabita从怀孕到堕胎的时间总长。

"After all, a dictator is simply an artist who is able to fully put into practice his egotism. It is a mere question of aesthetic level, whether he turns out to be Baudelaire or Bolintineanu, Louis XVI or Nicolae Ceausescu." Andrei Ujica. From a formal point of view, The Autobiography of Nicolae Ceausescu proves that it is possible to only use existing images to yield films focused on recent history, yet with an epic vein similar to that of the historical fiction cinema - such as, most notably, the ample period pieces dedicated by American cinema to the Vietnam War generation. This is an eminently syntactic endeavor, where montage plays a twofold part: mise-en-scene, as it builds scenes that do not exist as such in the rushes, and classical editing, connecting scenes together. We may be witnessing the birth of a new film genre.

影片改编自记者塔蒂亚娜•尼古列斯库•布恩的报告文学。该报告文学讲述了一个在2005年驱魔仪式之后去世的老修女的故事。
在影片中，有两个主角，一个叫做阿丽娜，另一个叫做维克琪雅。她们在同一个孤儿院长大。成年之后，维克琪雅觉得修道院是自己心灵的庇护所，于是便去做了一个修女； 而阿丽娜则去了德国。她们已经很久没有联系了，但是她们的命运却因为一桩意外而重新连结到了一起。