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The Last Midwife

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Feminist dystopian thrillers have been hitting eerily close to reality lately, and The Last Midwife brings that discomfort home.

‘I’m going to snuff out the old witches–every last one of them!’

Childbirth in England is a state-controlled procedure. Midwives have been outlawed for decades. Only a handful remain, risking everything to help mothers give birth in secret, but now their very existence is under threat.

When young nurse Chiara arrives from Sicily, her dreams are quickly shattered by the horrifying truth behind the pristine walls of the Genesis Centre. Meanwhile, Rava, the privileged wife of a government official, finds her perfect life unravelling when her pregnancy fails to meet her husband’s requirements.

Their worlds collide in a desperate fight for life, choice, and humanity against a system determined to control the future, one baby at a time.

Audible Audio

Published March 3, 2026

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Karen Lawrence

52 books7 followers

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5 stars
20 (37%)
4 stars
26 (48%)
3 stars
8 (14%)
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Displaying 1 - 5 of 5 reviews
Profile Image for Holly MacBean.
28 reviews
June 2, 2026
‘Midwives are warriors. We don’t give up. We don’t bow to the powers that be. Women and their babies rely on us - you might say life itself depends on us. So we keep fighting - warriors till our last breath. Don’t forget that, Chiara.’


really enjoyed this book, a scary reminder of what is at stake if we lose sight of midwifery, autonomy, and our individual integrity.
Profile Image for Jenna.
111 reviews3 followers
June 7, 2026
A dystopian future that doesn't feel all that far away.

Through the eyes of two women on opposite sides of the bread line, both with a desire to protect the things they love, this book takes us along an emotional rollercoaster.

I read this on the edge of my seat, hoping that everything would go the way of good.
Profile Image for kt.
10 reviews
June 7, 2026
i really wanted to LOVE this because the premise had so much potential, and i did enjoy the historical setting and darker/dystopian atmosphere, but it just felt a bit flat for me at times.

some parts were really gripping and emotional, then others dragged on and lost me a little. i also wish the characters had a bit more depth because i never felt fully attached to anyone
3 reviews
August 6, 2026
I loved this book ! It was really good and clever and really got you thinking,
Displaying 1 - 5 of 5 reviews