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The Birth House: A Novel (P.S.) Kindle Edition

4.2 4.2 out of 5 stars 3,098 ratings

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.

Editorial Reviews

From Publishers Weekly

Canadian radiojournalist McKay was unable to ferret out the life story of late midwife Rebecca Steele, who operated a Nova Scotia birthing center out of McKay's Bay of Fundy house in the early 20th century; the result of her unsatisfied curiousity is this debut novel. McKay writes in the voice of shipbuilder's daughter, Dora Rare, "the only daughter in five generations of Rares," who as a girl befriends the elderly and estranged Marie Babineau, long the local midwife (or traiteur), who claims to have marked Dora out from birth as her successor. After initial reluctance and increasingly intensive training, 17-year-old Dora moves in with Marie; on the eve of Dora's marriage to Archer Bigelow, Marie disappears, leaving Dora her practice. A difficult marriage, many difficult births, a patient's baby thrust on her to raise without warning and other crises (including WWI and the introduction of "clinical" birthing methods) ensue. Period advertisments, journal entries and letters to and from various characters give Dora's voice context. The book is more about the texture of Dora's life than plot, and McKay handles the proceedings with winning, unsentimental care. (Sept.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Booklist

When Dr. Gilbert Thomas, self-proclaimed expert in hygienic, pain-free childbirth, opens a practice in a Nova Scotia coastal village during the World War I years, it sets the stage for a classic conflict between long-held traditions and modern medicine. Seventeen-year-old Dora Rare, the only Rare daughter within five generations, improves her lot in life by becoming the apprentice of Marie Babineau, the independent but caring Acadian midwife who helped bring several generations of Scots Bay residents into the world. The women of the village (not to mention their husbands) grow bitterly divided when Dr. Thomas calls the health and safety of expectant mothers into question. His vengeful actions toward Dora herself--a young woman looking for guidance with her own love life--turn particularly personal as well. McKay has fashioned what she terms a "literary scrapbook," reproducing and re-creating historical news clippings, advertisements, and letters within the text. This sensitively written novel of women's birthing rituals, strengths, and friendships will appeal to readers who enjoy gentle humor and plenty of homespun wisdom. Sarah Johnson
Copyright © American Library Association. All rights reserved

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
  • Customer Reviews:
    4.2 4.2 out of 5 stars 3,098 ratings

About the author

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Ami McKay
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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

4.2 out of 5 stars
3,098 global ratings

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Customers 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

377 customers mention "Readability"363 positive14 negative

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

154 customers mention "Interest"144 positive10 negative

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

126 customers mention "Heartwarming story"105 positive21 negative

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

119 customers mention "Character development"112 positive7 negative

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

119 customers mention "Writing quality"102 positive17 negative

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

99 customers mention "Enlightened content"99 positive0 negative

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

51 customers mention "Strength of women"51 positive0 negative

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

27 customers mention "Birth experience"24 positive3 negative

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

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Top reviews from the United States

  • Reviewed in the United States on March 21, 2019
    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. 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.
    12 people found this helpful
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  • Reviewed in the United States on June 16, 2013
    I 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.
    12 people found this helpful
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  • Reviewed in the United States on February 2, 2020
    The 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, 2010
    I'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.
    2 people found this helpful
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Top reviews from other countries

  • Diane C.
    5.0 out of 5 stars book
    Reviewed in Canada on August 18, 2024
    very interesting read but upsetting at the same time
  • M. Hooley
    5.0 out of 5 stars Loved this book
    Reviewed in the United Kingdom on December 16, 2013
    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 .
  • Laurel
    4.0 out of 5 stars Definitely one for the women!
    Reviewed in the United Kingdom on October 25, 2014
    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 Brunyate
    4.0 out of 5 stars An Engaging Scrapbook
    Reviewed in Canada on March 27, 2012
    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.
  • Pal
    5.0 out of 5 stars Great addition to my collection
    Reviewed in the United Kingdom on December 31, 2018
    I like the story...how it weaves and takes you along. Lovely book

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