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And What’s This? More Birth Quotes!

I decided to split my most recent Facebook quote sharing into two posts, because it was becoming overwhelmingly long. These are the quotes I’ve shared on the Citizens for Midwifery Facebook page since April. While I realize that I don’t “own” these quotes—other people said them, not me!—I do have quite a bit of legwork invested in seeking and sharing these quotes (I mostly get them from my own reading) and if you re-post one or more of them on your own Facebook page, blog post, or book, I really appreciate acknowledgement and/or link back to this site or to my FB page, that this is where you originally got the quote!

‎”When a woman births without drugs…she learns that she is strong and powerful…She learns to trust herself, even in the face of powerful authority figures. Once she realizes her own strength and power, she will have a different attitude for the rest of her life, about pain, illness, disease, fatigue, and difficult situations.” –Polly Perez

“It is a curious commentary on our society that we tolerate all degrees of explicitness in our literature and mass media as regards sex and violence, but the normal act of breastfeeding is taboo.” – American Academy of Pediatrics (via Baby Bloom Doula Service)

“The way a society views a pregnant and birthing woman, reflects how that society views women as a whole. If women are considered weak in their most powerful moments, what does that mean?” –Marcie Macari

“Attempting to fulfill an idea of the ‘perfect’ mother can only prove soul-destroying, as no such person exists.” –Adela Stockton

“In the sheltered simplicity of the first days after a baby is born, one sees again the magical closed circle, the miraculous sense of two people existing only for each other.” –Anne Morrow Lindbergh

Giving birth is an experience carried not only into the first days of motherhood but also throughout life, having far-reaching effects on the mother’s self-esteem and confidence.” –Gayle Peterson

‎”I think one of the best things we could do would be to help women/parents/families discover their own birth power, from within themselves. And to let them know it’s always been there, they just needed to tap into it.” –John H. Kennell, MD

“As doulas, midwives, nurses, and doctors, it’s important to never underestimate how deeply entrusted we are with someone’s most vulnerable, raw, authentic self. We witness their heroic journeys, see them emerge with their babies, hearts wide open…” –Lesley Everest (MotherWit Doula)

“…advocates of home birth have never suggested that *all* women should give birth at home, only that it is a reasonable choice for some women. Given that rather modest claim, the force and vehemence with which home birth is opposed by ACOG seems out of all proportion.” –Elizabeth Armstrong (Princeton University)

“Few healthy, low-risk mothers require technology-intensive care…Yet…the typical childbirth experience has been transformed into a morass of wires, tubes, machines and medications that leave healthy women immobilized, vulnerable to high levels of surgery and burdened with physical and emotional health concerns…” –Maureen Corry (quoted in Lamaze International‘s journal)

“At a time when Mother Nature prescribes awe and ecstasy, we have injections, examinations, and [cord] clamping… Instead of body heat and skin to skin contact, we have separation…Where time should stand still for those eternal moments of first contact as mother and baby fall deeply in love, we have haste to deliver  the placenta and clean up for the next ‘case.'” –Sarah Buckley

“Who am I to be brilliant, gorgeous, talented, fabulous? Actually, who are you not to be?” – Marianne Williamson

“…celebrate ourselves for our courage to birth. The real question becomes not, ‘Have you done your breathing exercises?’ but rather, ‘Can you love yourself no matter how you birth, where you birth, or what the outcome?'” –Claudia Panuthos

“Whenever a woman has a problem, I believe that she herself can find the answer, provided she is given adequate information and support. I firmly believe in women’s strength and resourcefulness; I’ve witnessed these time and again. Women care about the continuation and continuity of life; they are intrigued by relationships, how things fit together.” –Elizabeth Davis

“Deep relaxation, surrender, letting go: when midwives are asked to disclose the secret of giving birth with relative ease, these are the words we choose. More than metaphors for coping, these responses are based on physiological imperatives…” –Elizabeth Davis

“The greatest joy is to become a mother; the second greatest is to be a midwife.” –Norwegian Proverb

‎”Brick walls eventually crumble precisely because people keep busting their heads against them.” –Barbara Wilson-Clay (IBCLC)

“Some midwives pull women up the hill and say I will get you through this. Other midwives walk behind quietly and gently say, ‘I believe in you.'” -Patricia M. Couch (via Wellpregnancy Childbirth Educator Trainings and Childbirth Classes)

‎”In our own world today, motherhood is rarely sufficiently honored. One day each year, there are brunches and corsages and little gifts of love. But the rest of the time? As a culture, we do not respect the great gift of mothering. Women’s work in raising the next generation is taken for granted. Yet it is a vital service to humanity, one that deserves to be acknowledged continually.” –Patricia Monaghan

‎”Becoming a mother does not need to rob you of your selfhood. Stay away from martyrdom. Martyrs never make good mothers; what is gained in giving is taken away in guilt.” –Gayle Peterson

“The midwife cannot be skilled without being caring. She cannot be truly caring without being skilled.” –Sheila Kitzinger

“The two most beautiful sights I have witnessed in my life are a full blown ship at sail and the round-bellied pregnant female.” –Benjamin Franklin

“When you have a baby, your own creative training begins. Because of your child, you are now finding new powers and performing amazing feats.” –Elaine Martin

“…in a time lacking in truth and uncertainty and filled with anguish and despair, no woman should be shamefaced in attempting to give back to the world, through her work, a portion of its lost heart.” –Louise Bogan

“If the baby’s body is a joy and a delight in the mother’s arms, that same body will become a joy and a delight to its owner later on.” –English & Pearson

“Even if I am simply one more woman laying one more brick in the foundation of a new and more humane world, it is enough to make me rise eagerly from my bed each morning and face the challenge of breaking the historic silence that has held women captive for so long.” –Judy Chicago

“Children are the power and the beauty of the future. Like tiny falcons we can release their hearts and minds, and send them soaring, gathering the air to their wings…” –Skip Berry

“Mama exhorted her children at every opportunity to ‘jump at de sun.’ We might  not land on the sun, but at least we would get off the ground.”- Zora  Neale Hurston (via Literary Mama)

“That they can strengthen through the empowerment of others is essential wisdom often gathered by women. “—Mary Field Belenky (via Applaud Women)

“Since beliefs affect physiologic functions, how women and men discuss the process of pregnancy and birth can have a negative or positive effect on the women that are involved in the discussion. Our words are powerful and either reinforce or undermine the power of women and their bodies.” –Debra Bingham (I was inspired to share this quote today by a conversation with Kerry Tuschhoff 🙂

“Learn to respect this sacred moment of birth, as fragile, as fleeting, as elusive as dawn.” ~ Frederick Leboyer (via From Womb to Cradle Doula Services)

‎”It takes force, mighty force, to restrain an instinctual animal in the moment of performing a bodily function, especially birth. Have we successfully used intellectual fear to overpower the instinctual fear of a birthing human, so she will now submit to actions that otherwise would make her bite and kick and run for the hills?” –Sister Morningstar (in Midwifery Today)

“Birth is women’s business; it is the business of our bodies. And our bodies are indeed wondrous, from our monthly cycles to the awesome power inherent in the act of giving birth.” –Sarah Buckley

“When a man is truly ‘present’ for the birth of his child and allows himself to be touched by the mystery unfolding before his eyes, he will have an unquestionable experience that can catapult him into the next phase of his development as a mature human being. His encounter with the power of birth…can connect him to his partner and his child in ways that sustain him for the rest of his life.” –John Franklin

“When he becomes a father, a man leaves behind his life as a single individual and expands into a more inclusive role. He becomes a link in an unbroken chain. And in doing so, he himself undergoes a birth process–the birth of himself as a father.” –John Franklin (FatherBirth)

‎”We are volcanoes. When we women offer our experience as our truth, all the maps change. There are new mountains. That’s what I want to hear–to hear you erupting. You Mount St. Helenses who don’t know the power in you–I want to hear you…If we don’t tell our truth, who will?” –Ursula K. Le Guin

“For most people, modern life meanders along a path of ups and downs, by and large devoid of high-voltage experiences that have the power to alter our lives in significant ways…The birth of a child is one of those significant experiences.” –John & Cher Franklin (FatherBirth)

“Pregnancy and labor are periods of vulnerability. This vulnerability is not weakness, but softness, which later contributes to adjustment to motherhood. Feeling dependent may open you to your need for help, and the ability to accept help from others can increase your strength and endurance for labor. Each of us must come to terms with our own feminine strength and our need for protection.” –Gayle Peterson (An Easier Childbirth)

“Labor is also teamwork. It is a mother and baby learning together how to push and how to be born, how to yield and separate from the union of pregnancy. You are not in control nor are you out of control during labor. The best way to approach labor is with an attitude of learning rather than controlling.” –Gayle Peterson (An Easier Childbirth)

“Midwifery calls upon you to be the best you can be: the best advocate, guide, healer, counselor, mother, comrade, and confidant of the women seeking your care.”— Anne Frye

“The birth of a baby is the birth of family. Myriad births take place at once: Women become mothers, husbands become fathers, daughters become sisters, and sons become brothers. One birth ripples through generations, creating subtle shifts and rearrangements in the family web.” –Gayle Peterson

“The family’s trust in the midwife and the midwife’s trust in the competence of the family members are the basis of caring that has the power of magic.” ~ Mary C. Howell (from Midwifery Today e-news)

“Birth is not a cerebral event; it is a visceral-holistic process which requires all of your self–body, heart, emotion, mind, spirit.” –Baraka Bethany Elihu (Birthing Ourselves into Being)

“Fear is completely intertwined with what we experience as labor pain…And it is the fear in our physicians and nurses as much as the fear within ourselves.” –Suzanne Arms (Immaculate Deception II)

“There is no place for ideology in birthing. Each birth has its own story and we must respond to what the baby tells us.” –Spinning Babies.com (via Kelly Caldwell)

I do think there is a place for ideologies/philosophies about birth and as guides for humane care/practice and as guides for making prenatal care and birth care decisions (before the birth), but in the actual moment, release of attachment is often necessary.

“To be pregnant is to be vitally alive, thoroughly woman, and undoubtedly inhabited.” ~Anne Buchanan (via CAPPA)

“Your doc/friend/mother-in-law may be saying, ‘Don’t be a hero, get the epidural!’ But this isn’t about heroics, this is about protecting your body…” –Jennifer Block (via @Spirited Doula Services)

“Giving birth in ecstasy: This is our birthright and our body’s intent. Mother Nature, in her wisdom, prescribes birthing hormones that take us outside (ec) our usual state (stasis), so that we can be transformed on every level as we enter motherhood.” –Sarah Buckley

“The mystery of life and birth is a profound invitation to be authentic as you trust and tremble your way through labor’s Gates of doubt and fear. It is possible that you will become more intuitive during labor than at any other time…Allow your body to guide you in your breathing, in your unique movement, in knowing …what to do…even when you don’t know what to do.” –Pam England (The Labyrinth of Birth)

“Every great dream begins with a dreamer. Always remember, you have within you the strength, the patience and the passion to reach for the stars to change the world.” ~ Harriet Tubman (via Midwifery Today e-news)

“Midwives can create a spirit of beauty at a birth or they can desecrate it. They can create a sacred space around a birthing woman that drives out fear & inspires the mother’s belief in herself, which ultimately determines the outcome of the birth. Midwives can be a channel of Grace in ways they never imagined & in doing so they create a spirit of reverence. Reverence in these days and times is not a common thing.” Caroline Wise, Birthing with Reverence (Midwifery Today)

Re: “advice” for someone who is pregnant: “…if you know that you are pregnant and if you know when you conceived your baby and you think that everything’s okay, doctors can probably do nothing for you. Women need to realize that the role of medicine in pregnancy is very limited…What’s important is for a mom-to-be to be happy, to eat well, to adapt her lifestyle to her pregnancy, to do whatever she likes to do…I think that’s what we have to explain to women. They have to realize that doctors have very limited power.” –Michel Odent (in Optimal Birth)

The Future

I enjoyed reading an article called “The Future of Midwifery” by Judith Rooks and Kitty Ernst in the December 1999 edition of the IJCE (another find from the previously referenced big binder of back issues). The conclusion of the article was as follows:

It is said that the best way to predict the future is to create it. Creative forces come from our souls, our beliefs, our values, our moral and spiritual strength, and from the scientific evidence available to us at any given time. If we are to meet the challenges ahead, each of us must weigh authoritative pronouncements and popular opinions against the available scientific evidence, temper it with our own beliefs and values, and chart a course drawing on our collective moral and spiritual strengths. Change is often shaped not only by what we do but by what we do not do. The future of midwifery and our children’s care in childbirth is in our hands today. To be silent is to speak. To do nothing is to take action. (emphasis mine)

Sometimes it seems as if I am saying the same things over and over and trying to reach people who may or may not want to be reached. I found the above quote a good reminder that continuing to pursue change in birth practices is a worthwhile endeavor.

Interview with Elizabeth Stein, CNM

Recently I had the opportunity to interview certified-nurse midwife, Elizabeth Stein, CNM, MSN, MPH. Elizabeth practices in New York and has experience with high-risk populations. Visit her at her website: Ask Your Midwife.

1. Please tell me a little bit about your services as a midwife:

My private practice provides obstetrical care, which includes prenatal care, labor and delivery, postpartum and breast feeding. After delivery, women are seen 6 weeks postpartum. Alternatively, women who had a cesarean delivery are seen for an incision site check at 10-14 days post partum and once again at 6 weeks.

GYN care includes an annual GYN exam, which includes a Pap smear, STD testing and treatment, breast exam, urine test and blood work. I also address common GYN complaints, such as family planning/birth control, basic infertility, and pre/ postmenopausal care. I provide primary care and stress the importance of being proactive.

2. How long have you practiced?

I have been a certified nurse midwife 25 years and have delivered more than 2600 babies.

3. What inspired you to become a CNM?

I was an EMT before I was a nurse. On one occasion, I was working in the emergency room when the director told me to go upstairs to L & D to learn how to do a delivery, since that would be helpful while working in the ER. The female doctor I worked with was so beautiful, calm and relaxed, yet very attentive. She calmly and gently delivered the baby. Instantly, I knew this was what I should be doing!

4. What are the top questions you are asked by expectant mothers?

Is my baby ok? Is it a girl or boy? Where will I deliver? When can I have a sonogram? When is my next appointment? How much weight should I gain? Do I have to take prenatal vitamins? How will I know if the water breaks? How will I know when labor starts?

5. What are your thoughts on current bioethical issues in maternity care? (particularly elective cesarean section)

  • Elective cesarean delivery (maternal request)
  • TOL/VBAC (trial of labor-vaginal birth after cesarean) versus repeat cesarean delivery
  • Home births
  • Circumcisions
  • Cord blood collection (fetal stem cells)
  • Chorionic villus sampling (CVS) and amniocentesis
  • Oocyte and embryo storage (prepregnancy)
  • 6. Any tips for women planning a natural hospital birth?

    The hardest yet most rewarding day of your life! Natural means vaginal versus abdominal (surgical).

  • Baby’s going to come, when the baby’s going to come (doesn’t read the sonogram report or prenatal chart). Baby is in charge.
  • Stay home as long as possible (exceptions: rupture of membranes, group b strep positive, vaginal bleeding, other medical or obstetrical reason to come right in)
  • Your birth plan is a wish list, not a guarantee!
  • Don’t start labor exhausted! Rest!
  • Eat and drink (you may vomit later)
  • Know who will deliver you
  • Know  when to go to labor and delivery
  • Beware of unrealistic expectations. Go with the flow of your body. Be flexible and open minded.
  • Know how you may labor…..in bed, on the ball, walking, on the fetal monitor, in the shower
  • You may have to bail out……and have a cesarean delivery….it’s not a failure, just another route of delivery
  • It’s your baby……everyone wants the baby in the first 5 minutes! Bonding is ongoing and forever
  • Breast feeding is not as easy as it sounds but everyone will help you
  • Nobody is judging you! Once you are a mom, you wear the badge MOM.
  • Whatever pregnancy and birth experiences it took to make you MOM should remain a memory and should not haunt you.

    Enjoy your baby!

    Thank you for sharing your expertise with my readers, Elizabeth!

    Book Review: Brought to Earth by Birth

    Book Review: Brought to Earth by Birth

    By Harriette Hartigan
    Motherbaby Press, 2008
    ISBN 978-1-890-44642-0
    93 pages, softcover, $25.95

    www.motherbabypress.com

    Reviewed by Molly Remer, MSW, CCCE

    Written by well-known birth photographer Harriette Hartigan, Brought to Earth by Birth is a lyrical ode to the power of birth and babies. The book feels like an extended “poem” expressed in both word and image. The emphasis of the book is the black and white photos of pregnant women, families, and newborns that grace the pages. There are several photos of women in labor and a couple of breastfeeding images. Surrounding the photos are carefully chosen quotes and gentle words.

    Brought to Earth by Birth is separated into six “chapters” and contains several birth photos, but no crowning photos or any other photos that some may consider “graphic.” The book is short—under 100 pages—and some photos were familiar to me (cover images in birth publications). The concluding emphasis is on the newborn, the one who is, after all, “brought to earth by birth.”

    The book would make a nice gift for a midwife, doula, or childbirth educator and is a nice “waiting room” book to browse through. It would also make an inspirational mother blessing gift. As the author states, “The experience of birth is vast. It is a diverse tapestry woven by cultural customs, shaped in personal choices, affected by biological factors, marked by political circumstances. Yet the nature of birth itself prevails in elegant design of simple complexity.” Brought to Earth by Birth is a lovely glimpse of some strands of that elegant tapestry.

    Disclosure: I received a complimentary copy of this book for review purposes.

    In-Utero Practice Breathing

    During my pregnancy with my first baby I had a somewhat unique experience in that I was able to feel him practice breathing in the womb.  Babies practice breathing movements with increasing frequency towards the end of pregnancy, but usually this is only seen via ultrasound and the mother can’t feel OR see it happening.

    A mysterious sensation

    38 weeks pregnant with baby #1

    I was about 32 weeks pregnant when we had a prenatal visit (and I was up to a whopping 140 pounds—looking back, that seems very thin, but at the time I felt like I had gained  a lot of weight!) . Since 30 weeks I’d been feeling what I thought was the baby practicing breathing. My husband was able to feel it too, as well as occasionally physically see it—a rhythmic sort of pulsing sensation located where the baby’s back was and feeling like a rising/falling breath type sensation (like a cat under a blanket). I noticed it once or twice daily. Very different than the hiccups, which I also felt often. I wanted to mention it to the doctor to see if that was really what I was feeling, because lots of books and things say you won’t be able to feel those movements, but I didn’t want to be wrong and be embarrassed for having a kooky idea about feeling him breathe. (When we mentioned the feeling to my mom, she looked at us like we were quite nutty to think we could feel it!)

    A prenatal appointment and a doctor’s surprise

    At the prenatal appointment, I laid down to have my fundal height measured (32) and the baby’s heartbeat checked and he was conveniently doing the breathing thing at that exact moment! My husband asked the doctor about it and told her we thought it was breathing. She quickly disregarded the breathing hypothesis, saying it was unlikely we’d be able to feel that, but she was fascinated by the movements and listened with the Doppler trying to figure it out etc. She thought for a minute that it had something to do with my pulse and checked that, but it didn’t match, plus was just on one side of my belly where his back is. She also felt with her hands, etc. It was particularly strong that day—usually I felt a sort of pulsing and could also feel it with my hand. On this occasion, it was like the left side of my belly was rising and falling rhythmically in a very noticeable way. She said she’d never felt or seen anything like it before.

    Then (this was the weird part), she said that maybe I should have an ultrasound to see what the baby was doing in there. This doctor was a crunchy-mild-mannered-has-you-call-her-by-her-first-name-homebirth-attending -birth-center-low-intervention-doesn’t-break-your-water-unless-the-baby-is-born-in-the-sac sort of doctor, so I was really shocked by that. I said I really didn’t think that was necessary, because I wasn’t worried about it we just thought it was breathing (again, we get a look that vaguely implies that we are nutty). She kept saying she’d never seen it before and said she was going to call one of her consulting doctor friends, “just because I’m curious,” to see what he thought about maybe needing an ultrasound.

    After she left to call him, I started to feel nervous that something might actually be wrong. I knew how this doctor was and she did not seem like the type at all who would be calling other doctors unless she was a little worried about something. My husband kept saying that, “no, she is just curious about what it is,” but the “curious” wording felt to me like a don’t-want-alarm-the-mother-but-I-think-something-is-up type of doctor speak. Also, I knew her well enough to know that running off to call other people in the middle of an appointment wasn’t in character for her, especially since the mom (me) was saying it didn’t seem necessary. So, I briefly became petrified that the baby was having seizures or something.

    Trust the mother!

    She came back in a bit and had consulted with her ultrasound doctor friend who had said, “let me guess. This mom is thin and very healthy” and then confirmed that it was just the baby’s breathing movements we were seeing. He told her that you usually don’t see them on the outside, just via ultrasound, but it is still normal and just means that the baby is healthy and he is getting good practice. When she came back, the doctor also brought the practice’s midwife in to see, since the midwife had never seen anything like it either, but it had mostly stopped by then. This doctor has been in practice since 1992 and has had four kids of her own and the midwife has six kids and a 20-year practice. The doctor explained that she’d seen the breathing movements on ultrasound before, but they were always more like occasional gasp-type things, not steady and pulsing like that and not visible externally. She thanked me for teaching her something new 🙂

    I liked being right about what was going on (trust the mother! She usually knows what’s up!) and I liked that my pregnancy had something “new” or special to it to show to someone for whom pregnancy is quite routine. Being able to feel my baby breathe in the womb was one of the special things about this first pregnancy.

    (Side note: the doctor then said, “I’ll bet he comes out screaming” and as a matter of fact this baby did begin to cry when only his head was sticking out of my body!)

    Note (added 3/2/2013):

    A lot of mothers come to this post because of concerns similar to my own…what if my baby is having seizures in the uterus? Of course I am not able to tell you with 100% certainty that your baby is not having seizures, but here are two things to pay attention to that may set your mind at ease and allow you to enjoy this special connection with your baby:

    • One way to help you feel confident that it is practice breathing is to pay attention to whether it happens at the same time(s) each day. There’s usually a pattern to it.
    • Another way to tell with almost total accuracy is to notice if the baby gets hiccups shortly after and “episode.” A lot of babies will practice breathe and then get hiccups from their practice.

    This post is modified from a message board posting that I made shortly after the events described above.

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    Film Review: Natural Born Babies

    Film Review: Natural Born Babies

    South Coast Midwifery, 2009
    DVD, 24 minutes, $24.95

    www.naturalbornbabies.com

    Reviewed by Molly Remer, MSW, CCCE

    This lovely short film produced by a midwifery service in California, is a great “ad” for the benefits of homebirth and of midwifery care. Natural Born Babies has a very clean, fresh, and contemporary feel and features a multicultural collection of homebirth families talking about their experiences in front of a white screen. Something that is particularly striking is that some of the people speaking with love and enthusiasm about their midwives and their birth experiences include a cardiologist, an anesthesiologist, and an ER physician!

    The first part of the film is titled Interventions and features both men and women speaking about birth, referencing how pregnancy and birth are treated like medical conditions and including a lot of discussion about the prevalence of cesareans. The point is made that, “no epidural can replace human touch.” The second part is titled The Birth Specialists and points out that OB/GYNS are pathology specialists, whereas midwives are trained in normalcy—“we take low-risk women, and keep them low-risk.” Midwives are specialists in normal pregnancy and birth. Because of the film’s emphasis is wholly on out-of-hospital birth and hospitals are critiqued very soundly, hospital-bound couples viewing the film may find that it causes their defenses to rise.

    Several of the parents are holding their babies as they speak and a CNM speaks briefly as well (citing both ACNM and MANA). The CNM manages Orange County’s only accredited birth center. I enjoyed the presence of a bio-physicist dad originally from Holland saying, “everyone I know was born at home” and noting that “you give birth the same way you live.” Several of the couples speaking do refer to the father as “delivering” the baby, which is a long-term pet peeve of mine.

    Special features include a 10 minute version of the film, an outtakes section, and a look inside the South Coast Birth Center. At the end of the film we see that one of the couples is the director/producer of the film.

    Natural Born Babies is a fast-paced film and though it is filmed in a “talking heads” format, it cuts quickly from person to person, thus keeping the viewer engaged. If you are looking for an informative video that is homebirth and midwifery friendly, but that does not include any birth footage, this would be a good addition to your library.

    Disclosure: I received a complimentary copy of the film for review purposes.

    Book Review: My Name is Mary Sutter

    Book Review: My Name is Mary Sutter

    By Robin Oliveira
    Viking, 2010
    ISBN 978-0670021673
    384 pages, hardcover, $26.95

    Reviewed by Molly Remer, MSW, CCCE

    My Name is Mary Sutter is a new novel about a young Civil War era midwife who longs to be a surgeon, but is denied entry to medical school because she is female. Historical fiction has always been a favorite genre of mine, but historical fiction about a midwife? The best! After some initial chapters involving midwifery and family life, the main character,  Mary Sutter, seeks work first as a nurse in desperately undersupplied and overworked Civil War hospitals and then directly on the battlefield following the soldiers with a cart of medical supplies. Mary is a strong female protagonist and there are some complicated male (doctor) characters as well. A couple of mild love stories serve as sub plots.

    Midwifery quickly takes a back seat in the saga as Mary becomes a nurse on the bloody battlefields of the Civil War. However, her work continues to be informed by her midwifery experiences–for example she uses memories of turning malpositioned babies as inspiration for finding the right spot to amputate wounded legs.

    Some famous historical figures like President Lincoln, Clara Barton, and Dorothea Dix make appearances in the tale. The slaughter on the (famous) battlefields is tightly wrought and makes you feel as if you’ve “been there.” The reader feels exhausted and battle weary right along with Mary. The novel is a third person narrative throughout, but it almost felt like a first person account—as if the author was writing from personal experience. Be prepared for a variety of personal losses for the main character.

    Riveting, well constructed, and tightly paced, My Name is Mary Sutter is a gripping story of one woman’s tenacious will and her drive both to learn and to serve.

    Disclosure: I received a complimentary copy of this book for review purposes.