What do you think?
Rate this book


420 pages, Kindle Edition
First published March 3, 2015
She spent over a decade in the sixties and seventies in her wild youth living in rural communes in Washington (Tolstoy Farm), Connecticut (The Committee for Non-Violent Action) and Minnesota (Free Folk). During the Vietnam years, she and her husband, Tom Harman, traveled the country, often hitch-hiking, as they looked for a place to settle. In 1974 they purchased a farm with a group of like-minded friends on top of a ridge in Roane County, West Virginia. Here on the commune, they built log houses, dug a pond, grew and preserved their own food and started the Growing Tree Natural Foods Cooperative.
It was during this time that Patsy attended her first home birth, more or less by accident. "Some people are destined," she has written. "I was staying at a woman friend's commune when she went into labor and I ended up delivering my first baby." Soon after, Harman traveled to Austin, Texas to train with a collective of home-birth midwives. When she returned, she became one of the founding members of The West Virginia Cooperative of Midwives. Her passion for caring for women and babies led her to become an RN as the first step in getting licensed as certified nurse midwife. In 1985, with her children, a yowling cat and her husband she traveled north, pulling a broken down trailer to begin her training at the University of Minnesota where she received her MSN in Nurse-Midwifery.
For the past twenty years, Ms. Harman has been a nurse-midwife on the faculty of The Ohio State University, Case Western Reserve University and most recently West Virginia University. In 1998 she went into private practice with her husband, Tom, an OB/Gyn, in Morgantown, West Virginia. Here they devoted their lives to caring for women and bringing babies into the world in a gentle way.
When, in 2003, the cost of liability insurance for Obstetrics sky-rocketed from $70,000 a year to $110,000, the Harman's decided to give up deliveries. Though many loyal patients grieved the loss of their favorite mid-wife/physician team, the change in life style gave the author time to begin writing her first book, The Blue Cotton Gown: A Midwife's Memoir.
Patricia Harman still lives and works with her husband, Ob/Gyn Thomas Harman, in Morgantown, West Virginia at their clinic, Partners in Women's Health Care. Though she no longer attends births, she provides care for women in early pregnancy and through-out the life span. She brings to this work the same dedication and compassion she brought to obstetrics."
1. Dr. Blum, while not my favorite character in the beginning of the book, makes this incredible transformation as a character throughout the story. I'm not only talking about his physical transformation, but I'm talking about his entire character development. By the end of the story, I love him as much as I love Daniel Hester, the vet, from the first book. So, so good.
2. Speaking of Daniel the vet: he and Patience the midwife have an enormous role in this story. This isn't one of those series where the previous main characters just happen to show up in one scene in the following books. Patience and Daniel are HUGE in this story. So if you have read the first book and love them, you'll be OVER THE MOON with the continuation of their story in this installment. If you haven't read the first book, what are you waiting for? They are absolutely delightful. Truly. I adore them both.
3. While I have a special interest in birthing and midwifery, it really does not take up as much of this book as you would think given the title. So I think this book has a much broader appeal to people that aren't as interested in, you know, birthing scenes. There are still some in here, but I think the overall nursing and medical portions of this book are largely situated on taking care of people with limited resources and/or away from a medical facility. Becky is "reluctant" because midwifery isn't her first choice of work in the nursing field.
4. I still love the Depression-era West Virginia setting. Very well done.
5. The journal entries. If you read it, then you know.