Learn more
These promotions will be applied to this item:
Some promotions may be combined; others are not eligible to be combined with other offers. For details, please see the Terms & Conditions associated with these promotions.
Audiobook Price: $18.90$18.90
Save: $5.91$5.91 (31%)
Your Memberships & Subscriptions

Download the free Kindle app and start reading Kindle books instantly on your smartphone, tablet, or computer - no Kindle device required.
Read instantly on your browser with Kindle for Web.
Using your mobile phone camera - scan the code below and download the Kindle app.
The Birth House: A Novel (P.S.) Kindle Edition
In this breathtaking debut novel, Ami McKay has created an unforgettable portrait of the struggles that women have faced to control their own bodies and to keep the best parts of tradition alive in the world of modern medicine.
The Birth House is the story of Dora Rare—the first daughter in five generations of Rares. As apprentice to the outspoken Acadian midwife Miss Babineau, Dora learns to assist the women of an isolated Nova Scotian village through infertility, difficult labors, breech births, unwanted pregnancies, and even unfulfilling sex lives. During the turbulent World War I era, uncertainty and upheaval accompany the arrival of a brash new medical doctor and his promises of progress and fast, painless childbirth. Dora soon finds herself fighting to protect the rights of women as well as the wisdom that has been put into her care.
A tale of tradition and science, matriarchy and paternalism, past and future, The Birth House is "a dazzling first novel." (Library Journal), and a story more timely than ever.
- LanguageEnglish
- PublisherHarperCollins e-books
- Publication dateOctober 13, 2009
- File size5.3 MB
Customers who bought this item also bought
Editorial Reviews
From Publishers Weekly
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
From Booklist
Copyright © American Library Association. All rights reserved
Review
From the Back Cover
An arresting portrait of the struggles that women faced for control of their own bodies, The Birth House is the story of Dora Rare—the first daughter in five generations of Rares.
As apprentice to the outspoken Acadian midwife Miss Babineau, Dora learns to assist the women of an isolated Nova Scotian village through infertility, difficult labors, breech births, unwanted pregnancies, and unfulfilling sex lives. During the turbulent World War I era, uncertainty and upheaval accompany the arrival of a brash new medical doctor and his promises of progress and fast, painless childbirth. In a clash between tradition and science, Dora finds herself fighting to protect the rights of women as well as the wisdom that has been put into her care.
About the Author
From the Hardcover edition.
Excerpt. © Reprinted by permission. All rights reserved.
My house stands at the edge of the earth. Together, the house and I have held strong against the churning tides of Fundy. Two sisters, stubborn in our bones.
My father, Judah Rare, built this farmhouse in 1917. It was my wedding gift. A strong house for a Rare woman, he said. I was eighteen. He and his five brothers, shipbuilders by trade, raised her worthy from timbers born on my grandfather’s land. Oak for stability and certainty, yellow birch for new life and change, spruce for protection from the world outside. Father was an intuitive carpenter, carrying out his work like holy ritual. His callused hands, veined with pride, had a memory for measure and a knowing of what it takes to withstand the sea.
Strength and a sense of knowing, that’s what you have to have to live in the Bay. Each morning you set your sights on the tasks ahead and hope that when the day is done you’re farther along than when you started. Our little village, perched on the crook of God’s finger, has always been ruled by storm and season. The men did whatever they had to do to get by. They joked with one another in fire-warmed kitchens after sunset, smoking their pipes, someone bringing out a fiddle . . . laughing as they chorused, no matter how rough, we can take it. The seasons were reflected in their faces, and in the movement of their bodies. When it was time for the shad, herring and cod to come in, they were fishermen, dark with tiresome wet from the sea. When the deer began to huddle on the back of the mountain, they became hunters and woodsmen. When spring came, they worked the green-scented earth, planting crops that would keep, potatoes, cabbage, carrots, turnips. Summer saw their weathered hands building ships and haying fields, and sunsets that ribboned over the water, daring the skies to turn night. The long days were filled with pride and ceremony as mighty sailing ships were launched from the shore. The Lauretta, The Reward, The Nordica, The Bluebird, The Huntley. My father said he’d scour two hundred acres of forest just to find the perfect trees to build a three-masted schooner. Tall yellow birch, gently arched by northwesterly winds, was highly prized. He could spot the keel in a tree’s curve and shadow, the return of the tide set in the grain.
Men wagered their lives with the sea for the honour of these vessels. Each morning they watched for the signs. Red skies in morning, sailors take warning. Each night they looked to the heavens, spotting starry creatures, or the point of a dragon’s tail. They told themselves that these were promises from God, that He would keep the wiry cold fingers of the sea from grabbing at them, from taking their lives. Sometimes men were taken. On those dark days the men who were left behind sat down together and made conversation of every detail, hitching truth to wives’ tales while mending their nets.
As the men bargained with the elements, the women tended to matters at home. They bartered with each other to fill their pantries and clothe their children. Grandmothers, aunts and sisters taught one another to stitch and cook and spin. On Sunday mornings mothers bent their knees between the stalwart pews at the Union Church, praying they would have enough. With hymnals clutched against their breasts, they told the Lord they would be ever faithful if their husbands were spared.
When husbands, fathers and sons were kept out in the fog longer than was safe, the women stood at their windows, holding their lamps, a chorus of lady moons beckoning their lovers back to shore. Waiting, they hushed their children to sleep and listened for the voice of the moon in the crashing waves. In the secret of the night, mothers whispered to their daughters that only the moon could force the waters to submit. It was the moon’s voice that called the men home, her voice that turned the tides of womanhood, her voice that pulled their babies into the light of birth.
My house became the birth house. That’s what the women came to call it, knocking on the door, ripe with child, water breaking on the porch. First-time mothers full of questions, young girls in trouble and seasoned women with a brood already at home. (I called those babies “toesies,” because they were more than their mamas could count on their fingers.) They all came to the house, wailing and keening their babies into the world. I wiped their feverish necks with cool, moist cloths, spooned porridge and hot tea into their tired bodies, talked them back from outside of themselves.
Ginny, she had two . . .
Sadie Loomer, she had a girl here.
Precious, she had twins . . . twice.
Celia had six boys, but she was married to my brother Albert . . . Rare men always have boys.
Iris Rose, she had Wrennie . . .
All I ever wanted was to keep them safe.
Part One
Around the year 1760, a ship of Scotch immigrants came to be wrecked on the shores of this place. Although the vessel was lost, her passengers and crew managed to find shelter here. They struggled through the winter – many taking ill, the women losing their children, the men making the difficult journey down North Mountain to the valley below, carrying sacks of potatoes and other goods back to their temporary home, now called Scots Bay.
In the spring, when all who had been stranded chose to make their way to more established communities, the daughter of the ship’s captain, Annie MacIssac, stayed behind. She had fallen in love with a Mi’kmaq man she called Silent Rare.
On the evening of a full moon in June, Silent went out in his canoe to catch the shad that were spawning around the tip of Cape Split. As the night wore on, Annie began to worry that some ill had befallen her love. She looked across the water for signs of him but found nothing. She walked to the cove where they had first met and began to call out to him, promising her heart, her fidelity and a thousand sons to his name. The moon, seeing Annie’s sadness, began to sing, forcing the waves inland, strong and fast, bringing Silent safely back to his lover.
Since that time, every child born from the Rare name has been male, and even now, when the moon is full, you can hear her voice, the voice of the moon, singing the sailors home.
–A Rare Family History, 1850
1
Ever since I can remember, people have had more than enough to say about me. As the only daughter in five generations of Rares, most figure I was changed by faeries or not my father’s child. Mother works and prays too hard to have anyone but those with the cruellest of tongues doubt her devotion to my father. When there’s no good explanation for something, people of the Bay find it easier to believe in mermaids and moss babies, to call it witchery and be done with it. Long after the New England Planters’ seed wore the Mi’kmaq out of my family’s blood, I was born with coal black hair, cinnamon skin and a caul over my face. A foretelling. A sign. A gift that supposedly allows me to talk to animals, see people’s deaths and hear the whisperings of spirits. A charm for protection against drowning.
When one of Laird Jessup’s Highland heifers gave birth to a three-legged albino calf, talk followed and people tried to guess what could have made such a creature. In the end, most people blamed me for it. I had witnessed the cow bawling her calf onto the ground. I had been the one who ran to the Jessups’ to tell the young farmer about the strange thing that had happened. Dora talked to ghosts, Dora ate bat soup, Dora slit the Devil’s throat and flew over the chicken coop. My classmates chanted that verse between the slats of the garden gate, along with all the other words their parents taught them not to say. Of course, there are plenty of schoolyard stories about Miss B. too, most of them ending with, if your cat or your baby goes missing, you’ll know where to find the bones. It’s talk like that that’s made us such good friends. Miss B. says she’s glad for gossip. “It keep folks from comin’ to places they don’t belong.”
Most days I wake up and say a prayer. I want, I wish, I wait for something to happen to me. While I thank God for all good things, I don’t say this verse to Him, or to Jesus or even to Mary. They are far too busy to be worrying about the affairs and wishes of my heart. No, I say my prayer more to the air than anything else, hoping it might catch on the wind and find its way to anything, to something that’s mine. Mother says, a young lady should take care with what she wishes for. I’m beginning to think she’s right.
From the Hardcover edition.
Product details
- ASIN : B000W93CH2
- Publisher : HarperCollins e-books; Reprint edition (October 13, 2009)
- Publication date : October 13, 2009
- Language : English
- File size : 5.3 MB
- Text-to-Speech : Enabled
- Screen Reader : Supported
- Enhanced typesetting : Enabled
- X-Ray : Enabled
- Word Wise : Enabled
- Print length : 432 pages
- Best Sellers Rank: #80,890 in Kindle Store (See Top 100 in Kindle Store)
- #620 in Contemporary Literary Fiction
- #672 in Women's Literary Fiction
- #688 in Small Town & Rural Fiction (Kindle Store)
- Customer Reviews:
About the author

AMI McKAY is the author of three bestselling novels–The Birth House, The Virgin Cure, and The Witches of New York—as well as the novella, Half Spent Was the Night. Her memoir, Daughter of Family G was named a CBC Best Book of 2019. McKay is also a playwright, composer, and essayist. Born and raised in the Midwest, she now lives in Nova Scotia.
Customer reviews
Customer Reviews, including Product Star Ratings help customers to learn more about the product and decide whether it is the right product for them.
To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Instead, our system considers things like how recent a review is and if the reviewer bought the item on Amazon. It also analyzed reviews to verify trustworthiness.
Learn more how customers reviews work on AmazonCustomers say
Customers find the book enjoyable and engaging. They describe the story as heartwarming and feel-good. Readers praise the well-developed characters and empathy for the main character. They appreciate the luminous prose and poetry-like writing style. The content is thought-provoking and explores human emotions and beliefs at a specific period of time.
AI-generated from the text of customer reviews
Customers enjoy the book's readability. They find the story engaging and the author's debut novel remarkable. The book is described as an interesting historical fiction tale set in the early 20th century. Readers praise the lyrical writing style and folktale-like storytelling that draws them into the story.
"I read The Witches of New York last year and enjoyed it immensely. The Birth House, Ami McKay's first novel did not disappoint either...." Read more
"...But, overall the story was enjoyable for me and did make me curious about how things changed from back then to nowadays where midwives are treated..." Read more
"...Very beautiful." Read more
"I'll reiterate what several other reviewers have mentioned: an interesting story, written with an easy prose style...." Read more
Customers find the book engaging and enlightening. They appreciate the insight into women's lives and the setting of a small village for a young woman learning a difficult skill from an interesting practitioner. The story of a young woman learning to be a healer, herbalist, and learn about her own life gives readers pause to reflect on their own lives.
"...It's an engaging read and it is worth your money if you are interested in these kinds of topics." Read more
"...book to Anne of Green Gables another, although much more innocent, feminist novel, set in the same era and also in Atlantic Canada...." Read more
"..."The Birthhouse" does not compare to that excellent book, I found it interesting and enjoyed the development of the characters, especially the main..." Read more
"...Miss B practices medicine with experience and an uncanny understanding of women...." Read more
Customers find the story heartwarming and feel-good. They describe it as a wonderful, fluid tale about midwifery. The characters are well-defined and readers feel their emotions. The writing is poetic and real at times, creating an exciting page-turner. Overall, customers find the book satisfying and well-written.
"...Ms. McKay is a fabulous story teller with engaging plots and interesting characters...." Read more
"So well written and satisfying. A much more subtle book than I was expecting but I loved it!!..." Read more
"...She was multifaceted and passionate. Unfortunately, the male characters were charicatures and I felt that many characters were there for a reason...." Read more
"This novel moved me deeply. It outraged, saddened and delighted...." Read more
Customers find the characters well-developed and engaging. They feel empathy for the main character and love for the midwife. The characters stand up for what they believe in, and are non-stereotypes.
"...Ms. McKay is a fabulous story teller with engaging plots and interesting characters...." Read more
"...A feminist novel with strong characters. Mother and Marie Babineau know who they are but Dora must follow her fate and become herself...." Read more
"...to that excellent book, I found it interesting and enjoyed the development of the characters, especially the main character, Dora Rare -- indeed a "..." Read more
"Couldn't put it down. Love the characters. Ill have to see what else she's written! One of the better books I've read recently." Read more
Customers find the writing quality satisfying and easy to read. They appreciate the luminous prose and well-drawn setting. The book provides a sound account of life as a midwife in days gone by.
"...The writing is wonderful. The book contains various fliers and advertisements that are typical of that time period...." Read more
"...other reviewers have mentioned: an interesting story, written with an easy prose style...." Read more
"So well written and satisfying. A much more subtle book than I was expecting but I loved it!!..." Read more
"...The novel is written in a scrap book fashion, with Dora's diary entries, thoughts, letters, newspaper clippings, home remedies, and advertisements...." Read more
Customers find the book enlightening and thought-provoking. They appreciate the author's addition of humanness and mysticism to the story, exploring the emotions and beliefs of people at a specific period of time. The book covers fascinating topics like natural healing and women's rights. It is well-researched and set in Nova Scotia.
"...She also helps the women with difficult childbirth, infertility, unwanted pregnancies, and sexual problems...." Read more
"...Overall, this is a very interesting book...." Read more
"...Well-researched and set in Nova Scotia, the life of a rural midwife and healer is explored...." Read more
"...McKay gives us an insightful glimpse into the mysterious world of midwifery...." Read more
Customers appreciate the strong women characters in the book. They find the stories inspiring and heartwarming, with a focus on women's empowerment and standing up for their rights. The account of women's lives in a small coastal region resonates with current issues of women's autonomy.
"...surprised at how well McKay blended women's rights and feminism within the narrative...." Read more
"...and protector of pregnant women, a delight that resonates against current issues of women's autonomy." Read more
"...recommend it to anyone who likes to read a book featuring a strong female lead...." Read more
"...was also plenty of fascinating stuff about natural healing and women's rights, and how they were thought about at the time...." Read more
Customers enjoy the book about childbirth. They find it interesting and informative, making them reflect on their own experiences and those of others. The book provides useful information about childbirth before hospitals, including early midwifery practices and the battle to keep birth natural. It is an excellent choice for readers who like reading about situations where women fought to keep birth a natural process.
"The Birth House was an unexpected delight, not only because of the setting, a remote coastal village in Nova Scotia, but because of two..." Read more
"...Uses for herbs presented were generally accurate. While The Birth House was enjoyable, the preview of "The Virgin Cure" did not cause me to..." Read more
"This is one of THE BEST books I have ever read. It is my go-to gift book...." Read more
"...herbal remedies chosen for every aspect of childbearing and birth very interesting. The setting in Halifax was beautiful...." Read more
Reviews with images

Top reviews from the United States
There was a problem filtering reviews right now. Please try again later.
- Reviewed in the United States on March 21, 2019I read The Witches of New York last year and enjoyed it immensely. The Birth House, Ami McKay's first novel did not disappoint either. Her second novel, The Virgin Cure, is on my TBR stack. Ms. McKay is a fabulous story teller with engaging plots and interesting characters. So far, her books are about brave women practicing medicine or midwifery in the early 20th century. However, the two books I read are not boilerplate and tell unique stories.
The Birth House takes place during WWI in Nova Scotia. Dora Rare is the first daughter born in five generations of Rare sons. This is not the only thing that makes her special. She is singled out by the colorful Miss Babineau an Acadian midwife and healer who takes care of most of the people in their village. She also helps the women with difficult childbirth, infertility, unwanted pregnancies, and sexual problems. Dora assists her and is being groomed to take over. Things are going smoothly until Dr. Gilbert Thomas arrives in town with plans to build a modern and sterile maternity hospital. He hopes Miss Babineau will go away quietly and his threats exposing her "illegal activity" escalate when she continues to assist with births. The bulk of the story is about how Dora comes into her own as a midwife and continues to practice despite Dr. Thomas' threats. It is also about her unhappy marriage to a philandering, irresponsible, but wealthy husband. Despite knowing how to help other women with their troubles, Dora is ill-prepared for marriage. At one point, Dora is treated for "hysteria" by Dr. Thomas with a vibrator. Dora becomes part of a small community of women who help each other and work to protect her midwife practice.
As I said in the beginning, Ms. McKay is an excellent story teller. The writing is wonderful. The book contains various fliers and advertisements that are typical of that time period. I am particularly drawn to the story line about women struggling to gain control of their bodies and their right to make decisions about medical treatment, finances, and career. This would be a great book for a book club discussion.
- Reviewed in the United States on June 16, 2013I gave it 4 stars simply because reading this on my phone for the Kindle app wasn't exactly the greatest thing, plus there were a few spelling errors that I noticed. Overall, this is a very interesting book. I liked it simply because it shows what starting happening in the early 1900's and how midwives started to become phased out by doctors and hospitals. It also shows how back in those days, medicine wasn't advanced and many OB doctors starting out had no real idea as to what a normal birth really was.
I liked how the author really drew the readers into the novel. It became more than just words on a page. You actually felt like you were there in the story, living just as Dora Rare and feeling every single thing she felt. You felt her pain, you felt her love and you felt her strength. But, overall, for me, the main character did seem a bit flat and dull to me at times. Several other characters were pretty one dimensional, the doctor being one of them. He was strictly the bad guy, never a single good quality about it. He seemed dull and lifeless sort of speak. He's focused on trying to gather up as many pregnant women as possible and trying to make a quick buck by having their husbands pressure the young ladies into going to the hospital to deliver.
A lot of it sounds like historical fiction than anything for me. She didn't go into too much detail about "modern" medicine that was available back then, and just mentioned one scene in which she somewhat described what a laboring woman was going through. I was more curious about what exactly were the practices back then for OB doctors and while I had a question or two somewhat answered, we never really see much else beyond the battle between midwives and the doctors.
Overall, for it being debut novel, it was decent. I wish the author had fleshed the characters out more, double checking to make sure that they were just the normal, flat and dull one dimensional characters and making extra sure to flesh out the plot and make it something that readers won't forget. But, overall the story was enjoyable for me and did make me curious about how things changed from back then to nowadays where midwives are treated like they are. It's an engaging read and it is worth your money if you are interested in these kinds of topics.
- Reviewed in the United States on February 2, 2020The theme of this unusual novel is finding who you are and being true to yourself. A feminist novel with strong characters. Mother and Marie Babineau know who they are but Dora must follow her fate and become herself. Well-researched and set in Nova Scotia, the life of a rural midwife and healer is explored. Dora's lack of identity and money at age seventeen leads her to an early marriage to a wealthy but spoiled man. Although abandoned by him, Dora finds consolation in the love and frankness of close friends and in her love of birthing babies. I couldn't help but compare this book to Anne of Green Gables another, although much more innocent, feminist novel, set in the same era and also in Atlantic Canada. The midwifery of Marie was fascinating, as well as, her deep mystical beliefs derived from her life in Louisiana. I cried, I should say sobbed, as I read, finding passages so true and heartbreaking to a woman's life. Very beautiful.
- Reviewed in the United States on March 25, 2010I'll reiterate what several other reviewers have mentioned: an interesting story, written with an easy prose style. BUT: one-dimensional characters with a predictable story-line, and the author threw in so many historical events that she wasn't able to do justice to most of them. We covered WWI, the Halifax explosion (without knowing what caused it), the Boston Molasses flood, the flu epidemic, the sufragettes, the women's sexuality movement....that's in addition to the whole birthing story. Where in the world was the editor?? This book had a great setting and much promise but someone let it all run away.
Top reviews from other countries
- Diane C.Reviewed in Canada on August 18, 2024
5.0 out of 5 stars book
very interesting read but upsetting at the same time
- M. HooleyReviewed in the United Kingdom on December 16, 2013
5.0 out of 5 stars Loved this book
Im a big fan of the old remedies and teas that women used before scientific medicines took over.There must have been some truth in the stories. many women and children survived the impossible with using natural home grown remedies.it's a lovely heart warming , informative , thought provoking read.makes you value the importance of friendships and the bonding that takes place with generations and communities of females that make us rich within ourselves. I would recommend this novel to all females .
- LaurelReviewed in the United Kingdom on October 25, 2014
4.0 out of 5 stars Definitely one for the women!
An absorbing period tale of women, tradition and their lives in a past time. Touches of spirituality and superstition with gentle humour also. A good read particularly for groups as it contains much for discussion.
- Roger BrunyateReviewed in Canada on March 27, 2012
4.0 out of 5 stars An Engaging Scrapbook
It is easy to see why this charming book has become a Canadian best-seller. It takes readers back to a time and place where life was simpler, though more elemental, and introduces a most attractive heroine in young Dora Rare, who becomes the midwife to her small community. The place -- a real one -- is Scots Bay, Nova Scotia, a small fishing and shipbuilding village at the tip of a rocky peninsula in the Bay of Fundy, isolated from the larger town of Canning by an intervening mountain. The time is roughly that of the First World War, and though the munitions explosion in Halifax and the Spanish Flu epidemic in Boston both play a part in the story, its focus is mainly on the women remaining in the village after the men have left.
Among these is Dora, reputedly the only girl child ever born to a Rare man. As a girl, she strikes up a friendship with Marie Babineau, an old Acadian woman who subsists on the charity of the local women in return for her services as a herbalist, healer, and midwife, "catching" babies as they come into the world, or occasionally undoing their conception; her only aim is to help. Dora becomes her apprentice while still in her early teens, and eventually takes over, although she also keeps a foot in the more normal social life of the village. The contrast between old half-superstitious wisdom and modern science is one of the few plot tensions in the book, especially with the arrival of Dr. Gilbert Thomas, a practitioner of obstetrics and an early form of for-profit managed care. McKay tilts the playing-field, however, by making Thomas all too ready to bring out the chloroform, forceps, and scalpel, and showing him totally blind to the emotional needs of his patients. While she paints a valuable picture of the early feminist struggle for autonomy in women's health, it is hard not to read this as a polemic for her own day also.
McKay, who lives in a former birth house herself, has done an impressive amount of research into social, medical, and maritime history, herbalism, and folklore. There is even a beautifully-illustrated herbiary at the end of the novel. Her book is a treasure-trove of tidbits of knowledge. The problem with this, however, is less her few inaccuracies (such as mentioning transistor radios three decades before their time) than the difficulty of maintaining narrative tension while writing essentially in scrapbook form, with vignettes, journal entries, letters, and newspaper clippings intercutting the mainly first-person account. This is especially true at the end, where the novel settles down gracefully into a series of glimpses. Though similar in subject and setting, it has none of the wildness or tension of Michael Crummey's GALORE. It is not a book I shall want to keep on my own shelves, but I shall certainly send it to my pregnant daughter, in some confidence that she will like it.
- PalReviewed in the United Kingdom on December 31, 2018
5.0 out of 5 stars Great addition to my collection
I like the story...how it weaves and takes you along. Lovely book