I’ve had Midwives, Chris Bohjalian’s fifth novel, on my to-read list for quite a while, but I resisted reading it until now because of some personal baggage: my only son was born, perfectly healthy, in a hospital; but the labour was prolonged, resulting in life-threatening complications that brought me back to the hospital in isolation for almost three weeks during which I was not even allowed to hold my own newborn child.
Midwives is a story about a pregnancy that goes wrong, but not in a hospital: in a home. The novel is mainly told through the eyes of Connie, the daughter of midwife Sibyl Danforth. Each chapter begins with an entry from Sibyl’s diary. Connie’s narration does require a degree of concentration from the reader. Bohjalian takes us back and forward in time, from Connie telling the story as an adult, going back to when she was fourteen. And because she was the point-of-view character, Connie had to overhear many, many conversations. Once I had the narrator, and the author’s narrative technique, firmly fixed in my mind, I was able to settle in to reading this compelling novel.
For years Sibyl enjoyed a thriving career as a “catcher” of babies. And then, one cold winter night, after a difficult and lengthy labour, Sibyl realizes she needs to get the mother, Charlotte to the hospital. But the phone lines are down, and Sibyl drives her car into a snow bank. She returns to continue to assist in the birth, and then Charlotte collapses. Believing Charlotte has had a stroke, Sibyl attempts CPR, and after some time, concludes that the mother has died – but that there may still be time to save the baby. She performs a caesarian section, and saves the baby, but did she kill Charlotte in the process? Sibyl’s inexperienced apprentice, Anne, and Charlotte’s husband, Asa, later contend that she did: that Charlotte was still alive before Sibyl performed the operation. The coroner comes to the same conclusion, and Sibyl is charged with involuntary manslaughter. The book is the story of the trial and the events leading up to it.
As I read this novel I was never bored; and as I approached the end it became, for me, more and more of a nail-biting page-turner. I found the trial and the complementary battle outside the courtroom – medical community against midwifery – very interesting reading. Throughout the story Bohjalian casts doubt even as he leads the reader – sometimes “astray” – to certain assumptions. For example, Charlotte hid her medical history from Sibyl. Did this contribute to her prolonged labour and resulting collapse? Then there’s our discovery, before the end of the book, that Connie is now, as an adult, a certified OBGYN. We must assume that this is because of her mother’s experience. Finally, we never really know what happened that night until the very end of the book. Clearly that was Bohjalian’s intention, and he pulled it off very well.
Read Midwives with an open mind, and you’ll form your own ideas about why and how Bohjalian decided to write this story. He certainly did his research, and he makes us think: the major issues surrounding midwifery and the dangers associated with any birth are presented without the author taking sides.
For myself, in the end, I feel I didn’t so much read Midwives, as ingest it. Looking back, I think that if I had had a certified midwife, along with a doctor, working with me during my pregnancy, things might well have turned out better. Interestingly, Chris Bohjalian himself has been quoted as saying that “in a heartbeat” he and his wife would be comfortable having a baby at home, or using a nurse-midwife at the hospital.