THE BOOK OF THE UNNAMED MIDWIFE

The first in a post-pandemic trilogy.

The midwife of the title is an obstetric nurse in San Francisco when an unknown disease strikes; it kills men but is more devastating to women. For women giving birth, it is a virtual death sentence for both mother and child. The nurse falls ill herself but ultimately wakes alone in a hospital bed, surrounded by bodies and her doctor boyfriend either dead himself or long gone. After an unpleasant year spent in a sparsely populated city sprinkled with male predators, she decides to move on in search of something better. Disguising herself as a man and taking many names to protect herself both physically and emotionally from anyone getting too close, she travels across the country, quietly offering birth control to the enslaved women she encounters and defending herself from scavengers and potential rapists. After a troubled interlude with a young Mormon couple fleeing their increasingly unstable community, she eventually finds her way to a small settlement on what remains of a military base, where she devotes herself to passing on her skills and attempting to deliver a surviving baby. Similarly to The Handmaid’s Tale and The Power, the book has a framing device set generations later in that same settlement, where the midwife’s journals are kept and she is venerated as a sacred figure. But confusingly, the story is not solely drawn from her journals; with no explanation, an omniscient narrator occasionally jumps in to reveal information that neither the midwife nor the future residents of the town could possibly know. While knowing the fates of the characters who pass out of the midwife’s life provides closure, it also undercuts the integrity of the story. The somewhat abrupt ending also feels somewhat unsatisfying; after a leisurely (if disturbing) account of the days and months of the midwife’s travels, the author suddenly packs years of her life into the last few pages.

Well written, but does not really rise much above the rest of the teeming post-apocalyptic pack.