TAKE MY HAND

It’s 1973 in Montgomery, Alabama, and when a Black nurse realizes her young patients are being shockingly mistreated, a lawsuit reveals the systemic horror taking place.

After graduating as a nurse, Civil Townsend starts work at a family planning clinic in pursuit of her dream of empowering poor Black women. Civil is assigned two young sisters, 13-year-old Erica and 11-year-old India Williams, as off-site patients—she’ll visit them at home periodically to give them injections of Depo-Provera. Civil becomes deeply invested in the Williams family, helping them move out of their squalid sharecropper cabin into an apartment and helping the girls’ widowed father find a new job that doesn’t require him to be literate. But soon Civil’s ex-boyfriend Tyrell Ralsey tells her that Depo-Provera hasn’t been approved by the Food and Drug Administration, and she starts looking into whether the clinic’s patients are being coerced into care without full information. Civil’s concern for the autonomy of others is juxtaposed against her secret choice to have an illegal abortion, which she’s never fully worked through emotionally despite Ty’s attempts at conversation. When the clinic’s White director takes over the Williams girls’ care and makes an irreversible decision, Civil is thrust into a world of lawsuits and Senate hearings in an effort to seek justice. Author Perkins-Valdez deftly balances an older Civil, now an OB-GYN, acting as the first-person narrator with a young Civil experiencing the emotional weight of these events in real time. The older Civil’s narration, as she tells the story in 2016 to her own daughter, not only explains the trauma that Erica and India experienced, but also allows her to explain why even though she returned to medical school and dedicated herself to a career focused on the intersections of race, class, ability, and reproductive choice, after more than 40 years she still feels she must return to seek the Williamses’ forgiveness. Inspired by real events, this work of historical fiction admirably balances moral complexity with affecting characters.

Vividly highlights the deep and lasting impact of injustice.