The novel, “Midwives,” 20 years later: What was the early reaction to the novel like? Has it changed over time?


By Chris Bohjalian

Republished from

It was twenty years ago that Midwives was published: 1997. Seinfeld was still on the air. The Spice Girls had two of the year’s biggest hits. The Dow Jones closed for the first time at. . .7,000.

What was early reaction to Midwives like? Has it changed over time?

Let’s start with the midwives, those remarkable individuals who work with moms (and dads) and catch babies.

When the novel was first published, there were a lot of midwives who thought I was the antichrist. The Hollywood flyover of the novel was this: a midwife performs a cesarean section in a homebirth that goes tragically wrong, and the mother dies. The midwife is tried for manslaughter. And, oh by the way, the daughter becomes an OB/GYN.

I remember at one of my events in downtown Boston, there were midwives protesting the book. There were midwifery conferences in which midwifery activists discouraged midwives from buying the book, checking the book out of the library, or even talking about the book. They just wanted it to disappear.

But the wonderful thing about midwives is this: when a midwife is concerned about something, she asks questions. When she is very concerned, she asks a lot of questions. I had so many wonderful exchanges with midwives when the book was originally published, even with those midwives who were very troubled by it.

Eventually, as more and more midwives read the novel, they begin to like it very, very much. They understood that I had never meant to write a book about an incompetent midwife; my intention all along was to write a novel about an immensely competent midwife who is beleaguered by a medical and judicial system beyond her ken.

How supportive of the book did they become in the end? A year and a half after the novel was published, when Oprah Winfrey picked it for her book club, the Midwives Alliance of North America actually linked their site to the novel’s page at Amazon.

I also was thrilled by the way general readers gravitated quickly to the story, and how many readers were sharing with me their “amazing” birth stories from the very beginning. I felt like a talk show host at many of the events on the hardcover and paperback book tours, because woman after woman would stand up during the Q and A and volunteer some powerful or poignant or outrageously funny moment from when she was in labor.

And Midwives was my first national bestseller. And then, months after it had fallen off the bestseller lists, a year and a half after it was published, Oprah Winfrey would select it for her book club and return it to the bestseller lists — where it would remain for a long time.