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A Publishers Weekly Best Book of 2016 and Philip K. Dick Award Winner
When she fell asleep, the world was doomed. When she awoke, it was dead.
In the wake of a fever that decimated the earth’s population—killing women and children and making childbirth deadly for the mother and infant—the midwife must pick her way through the bones of the world she once knew to find her place in this dangerous new one. Gone are the pillars of civilization. All that remains is power—and the strong who possess it.
A few women like her survived, though they are scarce. Even fewer are safe from the clans of men, who, driven by fear, seek to control those remaining. To preserve her freedom, she dons men’s clothing, goes by false names, and avoids as many people as possible. But as the world continues to grapple with its terrible circumstances, she’ll discover a role greater than chasing a pale imitation of independence.
After all, if humanity is to be reborn, someone must be its guide.
- Sales Rank: #39006 in Books
- Published on: 2016-10-11
- Released on: 2016-10-11
- Original language: English
- Dimensions: 8.25" h x 1.00" w x 5.50" l, .0 pounds
- Binding: Paperback
- 300 pages
From Publishers Weekly
Elison's gripping and grim first novel, which won the Philip K. Dick Award in its previous, small press publication, tells the story of an unnamed woman who survives a plague that wipes out most of humankind in just weeks, leaving 10 male survivors for every woman. The story is beautifully written in a stripped down, understated way, though frequently gruesome in its depiction of rapes, murders, and stillbirths. The protagonist, who sometimes calls herself Karen, or Dusty, or Jane, is beautifully realized as a middle-aged, bisexual woman with considerable skills, an indomitable will, and great adaptability, though she suffers considerably and is far from a superwoman. A prologue and an epilogue set long after the events of the main narrative (and reminiscent of the concluding chapter of Margaret Atwood's The Handmaid's Tale) hint at a positive future, leaving the reader with a glimmer of optimism in the midst of despair. This fine tale should particularly appeal to readers of earlier feminist dystopias such as The Handmaid's Tale, Suzy McKee Charnas's Walk to the Edge of the World series, and P.D. James's The Children of Men.
From Booklist
Recovering from a mysterious and nearly fatal disease, the unnamed female protagonist of Elison’s debut novel must adapt quickly in order to survive a new and brutal world. This mysterious disease swiftly wiped out a majority of the female population and has made healthy birth impossible for survivors in its wake. Elison’s unnamed protagonist has made it her mission to use her previous medical experience as a midwife, providing birth control to any women she meets during her travels. Men were left almost entirely untouched by the disease, though, and much of the remaining male population has degenerated into gangs of rapists and slavers, hunting and selling the remaining women they find. Cutting her hair and donning male clothing, will the protagonist be able to save the women she encounters? Does civilization still exist in this new postapocalyptic world? Elison takes readers on an exciting and often excruciating journey, navigating issues of gender and sex in a scorched, disease-ridden world.
Review
“The science fiction analog to the Zika crisis.” —Slate
“As her debut novel, The Book of the Unnamed Midwife captures the spirit of Elison’s artistry. The human capacity to survive is something authors have explored for as long as science fiction has existed as a genre, but Elison brings to it her own definitions of sexuality, resourcefulness, and determination.” —The Daily Californian
“Elison paints a world so empty of long-term hope and driven by short-term desperation that you'll be haunted by it even when not flipping the pages, yet the barest glimmer of light on the future's horizon will keep you moving forward.” —Adrian Liang, Amazon Book Review
“Meg Elison’s exploration of femininity and women’s inequality is unflinchingly honest. She doesn’t hold back when considering the differences between men and women, those that naturally exist and those that are constructed. Particularly, I appreciated Elison’s ability to examine the ways in which women are treated when the laws that protect them are gone. In other words, Elison shows that it wouldn’t take much for society to regress. That the progress we’ve made is an illusion unless people enforce it themselves.” —Word After Word
Most helpful customer reviews
39 of 43 people found the following review helpful.
The worst of humanity comes out during the worst of times
By Amazon Customer
Every so often, I pick up a book that - literally - cannot be put down. Nothing gets in the way of the story, and I can't stop reading until I've finished the last page. This is one of 'those' books.
I kept asking myself "Is this really the barbaric way humans would act during the apocalypse?" and the answer is, easily, yes. Read the news coming out of parts of the Middle East and Africa. Those killers and rapists are not one bit different than the rest of us; extreme times lead to extreme behaviors. Easy for those of us with good educations, Western values and access to the latest technology to smugly assert that WE would act differently. Well, The Book of the Unnamed Midwife puts that arrogant concept in the grave.
No, sadly, many of us won't act any differently than the young terrorists running wild right now through Syria and the 'Stans. For further proof, take a look at what happened in Eastern Europe and parts of Asia during World War II. The author took an ugly chapter of all-too-human behavior and gave it a "what if" spin. The sad truth is that all the survivalist preparation in the world can't match simple luck, be it good or bad. Three pages into the story, and I was not reading but *living* through an America decimated by plague, death and hideous violence. The minute I'd finished the last page I ordered the follow-up book, due out in a few months.
This is NOT a book for children, but I'd highly recommend it to teenage and young adult readers, as well as adults convinced of our Western superiority. Could it happen here? It happened in parts of the American South during the Civil War. Our smugness allows us to forget that for our species the difference between civilized behavior and savagery is just 9 square meals, and death has never respected flags, borders or political parties.
15 of 16 people found the following review helpful.
Dark and Disturbing
By jcmulligan
I have been in a post-apocolytic reading frenzy lately and I have never read such a realistic depiction of what the world may look like then. The Unnamed Midwife is a nurse in San Francisco when a virus or something else breaks out and kills most of humanity. This particular virus seems to kill more women and children especially pregnant women and babies. The first chapter gets us right in there with an attempted rape on her once she returns to her empty home. It sets a dark tone of what behavior to expect throughout. However, the first part of the book introduces her to us through a teacher who is having little boy scribes copy the Book of the Unnamed Midwife which is actually a diary of her time after the apocalypse. The book takes us back and forth from what is currently happening to the diary. The world is now a dark and scary place which is only reinforced in her diary. She is unnamed because she refuses to give her real one to strangers she meets on her path.
I had such a guttural response while reading. Not a glossed over "romance" where our heroine meets a handsome alpha male. If anything, she does her best to stay away from men knowing that the truth of her gender will be found out. The author does a phenomenal job is describing the midwife's despair and hopelessness. She latches on to one goal or a way to help with the new reality by stocking up on birth control and giving any women in her path the option to live. She doesn't actively seek to find women but if she finds any she is bravely compelled to try to help them.
Most of her writings she is so very alone and lonely. We see the destruction, pain and unraveling of her through her writings. She meets up with some good people that she spends some time. She describes herself as sexually fluid - loving a person regardless of their gender and found herself attracted to men and women. However, this is not a romance nor did she have a romance but more was trying to kill the ache of loneliness inside her. Most people she came across were monsters. Men chaining women using them as slaves. Men fighting and killing each other over women or anything else. A small number of women found power through obtaining harems of men. The people adapted to the new reality but most adapted in a violent and awful way. Interestingly, I would consider this a pro woman or feminism read. Our heroine is strong and capable doing whatever it takes to survive. She wants to save her surviving sisters if possible. Women and babies are the only hope for a future.
I came across this book by accident and read it in one sitting. It was that compelling and that great. I would highly recommend it and can't wait for book 2.
46 of 49 people found the following review helpful.
This book will make you think.
By Bret Cherland
My best friend and I both read this book together and I am going to be honest, I got this text the first night "I'm half way through. Did you finish? I was just curious if you could get through it since it is kinda harsh." Oh my friend knows me so well! I don't do suspense and reading about violence against women will ruin my whole day - and this book had plenty of both. I skipped entire sections of "Gone Girl" by Gillian Flynn and I can never un-see what I imagined happened when I read "Girl with the Dragon Tattoo" by Stieg Larsson. But I read this whole book, and I really enjoyed it. In fact, I cannot wait for the sequel!
Elison imagined a world ravaged by pandemic that nearly obliterated females and children and then told her story from the point of view of a surviving woman. Fascinating, absolutely terrifying and honest - much of the story is told as journal entries and that really helped me connect to the heroine. A previous reviewer described Elsion's story as "gripping" and I can't come up with a better word to describe "The Book of the Unnamed Midwife." It's been days since I finished the story, and I still find myself thinking about the characters! Pick up this book, it is definitely a terrific read! - Laura
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