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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

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Book ID Asin: B01DAD218C
Book Title: The Book of the Unnamed Midwife (The Road to Nowhere 1)
Book Author: Meg Elison
Book Format and Price:
Book Format Name: Kindle
Book Format Price: $0.00
Book Format Name: Audiobook
Book Format Price: $0.00
Book Format Name: Paperback
Book Format Price: $9.59
Book Format Name: MP3CD
Book Format Price: $9.99
Book Price: $3.60
Book Category: Kindle Store, Kindle eBooks, Literature & Fiction and unknown
Book Rating: 2,401 ratings

The Book of the Unnamed Midwife (The Road to Nowhere 1) by Meg Elison Book Review

Name: Carrie Kellenberger
Rating: 5.0 out of 5 stars
Title: One of my favorite reads in 2018. Fantastic dystopian novel with a strong female protagonist.
Date: Reviewed in the United States on December 27, 2018
Review: The Book of the Unnamed Midwife is about death, survival, lust, power, pain, hope, and hopelessness.

A woman gets sick with a high fever from an autoimmune disease, and wakes up to find the world population has been decimated. An autoimmune disease has killed 98% of Earth's population of men and 99% of Earth's population of women. There are very few children left.

Women who were pregnant when they got sick delivered stillborn babies and most women die during childbirth. There are only a handful of survivors left and the men hold all the power. The odds of surviving a pregnancy have gone to zero with no children being born in the year after the disease wiped everyone out. Women are scarce and those who have been found are chained and used for sex and breeding.

Amongst the chaos, an unnamed midwife who was a former nurse picks her way through the ruins of a world that is dead and in utter chaos. She knows instinctively that it is dangerous to be a woman right now. She does as much as possible to look like a man. She learns to move like a man, binds her chest, lowers her voice, wears men's clothing, darkens her jaw line, answers to many different names, and avoids as many people as possible.

"Walk tall, keep hips straight. Don’t sway. Feet flat. Hunch a little, arms straight down. Don’t gesture. Stare down. Make fists while talking. Sit with knees apart. Adjust. Don’t tilt your head. Don’t bite your lip. Interrupt. Laugh low.

Rub jawline. Don’t look down. Stand in front of the mirror. Have a dick. Great big dick. Fear me. Always right. Kick your ass. No right to stand in my way. Who’s gonna stop me? Like that, bitch? Yeah.

Bitch, I am a man. Females. Talk too much. Quit crying. So emotional. Be a man. Man up. Nut up. Jump shot, gunshot, cum shot, money shot. Posing but not to be sexy. Scare me. Lean a little forward. Invade my space. Quit crying. Give you something to cry about."

This is one of the most interesting and absorbing books I've read in a long time. The protagonist of the story, an unnamed midwife, is a gutsy woman who only wants to survive. She doesn't want to hope, but finds that hope keeps creeping in despite the fact that she has tried her best to harden her heart against the thought of future generations.

Despite the fact that the odds are against humanity, she creates a written history of her journey in a post-apocalyptic world that will survive her for generations to come.

The main theme of The Book of the Unnamed Midwife is seen in its emphasis on giving women birth control options and keeping them safe. One of the first things the midwife does after she leaves San Francisco is to create an arsenal of birth control. She carries as much birth control and Depo-Provera shots as she can and gives them to the leashed women she meets on the road by masquerading as a man and 'bargaining or trading' with medicine and food for sexual favors from these chained women.

When she gets them alone, she gives them birth control so that they do not get pregnant and die during childbirth or deliver stillborn babies.

Readers should know there are a lot of traumatic events that happen in this book starting with rape and murder, abuse, genital mutilation, sex trafficking, stillbirths, and more. It is a grim tale that isn't full of a lot of hope. But, there is some hope in how she survives and helps others to survive.

I loved how we got to see how gender roles play out in this book as well, since the protagonist is constantly pretending she is a man. She meets women on the road who are safe with her and as soon as they come across other men who seem friendly and open to protecting them, the women leave her to go off with their knight in shining armor, only to meet with disaster later.

Our unnamed midwife continues to avoid people in general and stays away from getting sucked into groups of people, mainly because she has good cause to be suspicious of everyone.

She is also open about her sexuality, identifying as bisexual. During her journey across the country, she also meets a few people who can be trusted and she learns that everyone reacts differently to the new world around them. These people make an impact on her life, despite her efforts to avoid human contact.

I loved the harsh, beautiful writing and realism presented in this novel. The Book of the Unnamed Midwife is one of the scariest dystopian books I've read. It's also very thought-provoking and meaningful in its stark and very dark narrative.

The Book of the Unnamed Midwife was one of my favorite reads of 2018. It's $3.99 on Amazon Kindle right now.

Best Takeaway Quotes

"Dusty did not want to hope. She tried to keep hope out of her, shutting all the doors and locking them with the keys of reason and evidence and precedent. Still, she could feel it seeping in, incorporeal and deathless, refusing to be refused." ~Meg Elison

"Some people had been waiting their whole lives to live lawlessly, and they were the first to take to the streets. Some people knew that would happen; they knew better than to open their doors when they heard cries of help. Others didn’t. What disease cannot do, people accomplish with astonishing ease." ~Meg Elison

“Yeah, but what if you found some people? A guy who could take care of you? He could defend you, hunt for food so you don’t have to? What are you gonna do when canned goods run out and you gotta shoot deer to live?” I just shot six guys. Did she just forget that?" ~Meg Elison

“I’m never going to get married. Neither are you. Neither are any of the brothers here, unless the missionaries bring home girls. Those kids can marry each other, have kids of their own. Nobody can get in the way of that. They’re the only thing we have that looks like a future.” His eyes blazed as the room warmed up. He closed the door to the little stove and stared her down, daring her to argue. Hidden children. Flowers in the attic." ~Meg Elison

“I would be happy to defend you ladies,” Duke said with a shine in his eyes. Every man on Earth thinks his dick is magic." ~Meg Elison

The library had been painstakingly collected and was maintained by people who cared for books beyond all things. No books could leave that building; reading could only be done there. ~Meg Elison

Name: Susan Aylworth
Rating: 5.0 out of 5 stars
Title: Wow. That's all. Just wow.
Date: Reviewed in the United States on November 13, 2022
Review: This is not normally my kind of book. It's foul, with lots of potty-mouthed people who live by a different moral code than my own. It diminishes faith, which is an important element in my life. It features a narrator I often didn't like much. And I couldn't put it down.

Two years of pandemic have prepared the world for a story like this one. We know now that what this book proposes could happen. That horrible reality fascinates and had me reading this whole book in one day.

Name: Johanne B.
Rating: 5.0 out of 5 stars
Title: Loved it!
Date: Reviewed in the United States on November 19, 2022
Review: Kept me invested right out of the gate. I enjoyed this book because the tone was perfect and the narrator created a sense of calm in the middle of chaos, pain, suffering, madness and fear.

Name: CAP
Rating: 4.0 out of 5 stars
Title: Amazing book! Highly recommend.
Date: Reviewed in the United States on October 14, 2022
Review: The book was amazing. The only thing I didn't like was the font for the journals - very hard to read. Had to wear my glasses AND make the text as large as possible. Was reading in my phone, so your experience may vary depending on the device used.

Name: Adrienne
Rating: 5.0 out of 5 stars
Title: I had to DNF not because it's bad but because it's too real.
Date: Reviewed in the United States on February 13, 2022
Review: This is one of the many books I bought immediately after reading a sample, especially since it was only $1.99.  The trope of "last people at the end of the world" is common, of course, but the writing was so raw and realistic, I couldn't help but be intrigued.  The "end" comes due to a pandemic (...) but it kills more than 90% of the population, mostly women and children, utterly destroying any semblance of civilization...and I mean that literally with regards to the term "civilized."

The titular midwife learns to perform toxic masculinity in order to survive unmolested, and while part of me wants to believe things wouldn't turn out like this, another more realistic/pessimistic part of me knows it's true: if there were no institutional pillars to curtail it, r*pe and forced birth would be a horrifying reality for the survivors.   I mean it already is for a large portion of the population, so imagine if there weren't any laws against it (granted those laws only protect a certain swath of victims, but that's a whole other discussion).

While I was very much engaged with the midwife's story and crusade to provide birth control, I had to DNF after the section titled "The Book of Roxanne."  It describes a harrowing experience of childbirth and is absolutely gutting.

So I, in now way, did not finish this because it's poorly written.  I had to DNF because it was too real.  Meg Elison has written one of the most realistic depictions of the world after an apocalyptic pandemic since The Last of Us (don't @ me...I mean the response to it not the cause), though in Elison's  story it works along assigned gender lines.  It's nightmarish if you have a uterus, and yet nothing in either history or current events makes it ring untrue.  The unnamed midwife's goal is to give out birth control, because that's the only thing she can offer: the ability to (possibly) curtail birth, not the assault that would cause it.

This book contains r*pe/sexual assault, graphic descriptions of childbirth/death in childbirth, genital mutilation, suicide, disease, and is just generally grimdark.  It's an important book that needs to be in the zeitgeist, but no one should harm themselves by reading something potentially damaging.  I do highly recommend it if you're able to stomach it.

I'm going to check out other books by this author and follow her here and elsewhere on the internet.