Midwives Reading Guide & Discussion Questions

Midwives: Reading Guide & Q&A

Reading Guide
The questions, discussion topics and suggestions for further reading that follow are designed to enhance your group's reading of Chris Bohjalian's Midwives. We hope they will give you a number of new angles from which to consider this enthralling and provocative novel, a gripping combination of courtroom thriller, domestic drama, and novel of ideas that adds up to a lyrical and suspenseful work of art.

On an icy winter night of 1981 in the rustic community of Reddington, Vermont, seasoned midwife Sibyl Danforth is forced to make a life-or-death decision that will change her world forever. Trapped by the weather in an isolated farmhouse, cut off from the hospital or even the emergency squad, she takes desperate measures to save the life of a baby, performing a cesarean section on a woman she believes has died of a stroke during a long and painful labor. But what if the woman was still alive during the surgery? What if Sibyl herself inadvertently killed her? The hair-raising story of Charlotte Bedford's death and of the subsequent trial of Sibyl Danforth is hauntingly told by Sibyl's fourteen-year-old daughter Connie, now an obstetrician. She is remembering, and it is through her intelligent and watchful eyes that we witness the tragic effects of Charlotte's death and Sibyl's trial. And as Sibyl faces the antagonism of the law, the hostility of the medical establishment, and the nagging accusations of her own conscience, we are compelled to confront questions of human responsibility that are fundamental to our society. As with all of the very best novels, Midwives provides no easy answers; rather, it consistently engages, moves, and challenges our ways of thinking.



For discussion

1. By the time Sibyl was of college age, her daughter says, "She had already developed what was then a popular distaste for most traditional or institutional authority" [p. 31]. How does Sibyl continue to maintain an "anti-establishment" stance throughout her life? How does the legacy of the sixties continue to shape the lives, and the self-images, of Sibyl, Rand, and Stephen?
   


2. "My mother never came quickly or lightly to the decision that one of her patients should go to a hospital" [p. 62]. Why not? What does the act of home birth symbolize for Sibyl, her patients, and the other midwives?
   


3. Does Anne Austin do the right thing by calling Dr. Hewitt, or does she act out of hostility towards Sibyl? Why doesn't she call Sibyl before talking to the doctor? Should she have done so?
   

Unless otherwise stated, this discussion guide is reprinted with the permission of Vintage. Any page references refer to a USA edition of the book, usually the trade paperback version, and may vary in other editions.