At age 36, Patience Murphy is a widow and union sympathizer whose radical past has sent her into hiding. When the Great Depression arrives, Patience is living in West Virginia, working as a novice midwife until the death of her mentor forces her to attend births alone. With the help of a nearby veterinarian and an African American girl, Bitsy, Patience keeps the wolves from her door. Called out at any hour of the day to the homes of both the poor and the not-so-poor, she slowly earns respect for her midwifery skills, if not much in the way of cash. Penning journal entries of each birth, as well as colorful back stories of the time she spent with anarchists and the two men she loved, Patience strives to make sense of her life.
VERDICT Memoirist Harman (Arms Open Wide; The Blue Cotton Gown), herself a certified nurse-midwife, takes readers back to hardscrabble times and adds plenty of medical drama and a dash of romance, to offer an uncommonly good piece of American historical fiction. [For a contemporary take on midwives, see Bridget Boland's The Doula, coming in September from Gallery Books—Ed.]
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