"Superbly crafted and astonishingly powerful. . . . It will thrill readers who cherish their worn copies of To Kill A Mockingbird." --People

With a suspense, lyricism, and moral complexity that recall To Kill a Mockingbird and Presumed Innocent, this compulsively readable novel explores what happens when a woman who has devoted herself to ushering life into the world finds herself charged with responsibility in a patient's tragic death.

The time is 1981, and Sibyl Danforth has been a dedicated midwife in the rural community of Reddington, Vermont, for fifteen years. But one treacherous winter night, in a house isolated by icy roads and failed telephone lines, Sibyl takes desperate measures to save a baby's life. She performs an emergency Caesarean section on its mother, who appears to have died in labor. But what if--as Sibyl's assistant later charges--the patient wasn't already dead, and it was Sibyl who inadvertently killed her?

As recounted by Sibyl's precocious fourteen-year-old daughter, Connie, the ensuing trial bears the earmarks of a witch hunt except for the fact that all its participants are acting from the highest motives--and the defendant increasingly appears to be guilty. As Sibyl Danforth faces the antagonism of the law, the hostility of traditional doctors, and the accusations of her own conscience, Midwives engages, moves, and transfixes us as only the very best novels ever do.

Oprah Book Club® Selection, October 1998: On a violent, stormy winter night, a home birth goes disastrously wrong. The phone lines are down, the roads slick with ice. The midwife, unable to get her patient to a hospital, works frantically to save both mother and child while her inexperienced assistant and the woman's terrified husband look on. The mother dies but the baby is saved thanks to an emergency C-section. And then the nightmare begins: the assistant suggests that maybe the woman wasn't really dead when the midwife operated:

Did she perform at least eight or nine cycles as my mother said, or four or five as Asa recalled? That is the sort of detail that was disputable. But at some point within minutes of what my mother believed had been a stroke, after my mother concluded the cardiopulmonary resuscitation had failed to generate a pulse or a breath, she screamed for Asa and Anne to find her the sharpest knife in the house.

In Midwives, Chris Bohjalian chronicles the events leading up to the trial of Sibyl Danforth, a respected midwife in the small Vermont town of Reddington, on charges of manslaughter. It quickly becomes evident, however, that Sibyl is not the only one on trial--the prosecuting attorney and the state's medical community are all anxious to use this tragedy as ammunition against midwifery in general; this particular midwife, after all, an ex-hippie who still evokes the best of the flower-power generation, is something of an anachronism in 1981. Through it all, Sibyl, her husband, Rand, and their teenage daughter, Connie, attempt to keep their family intact, but the stress of the trial--and Sibyl's growing closeness to her lawyer--puts pressure on both marriage and family. Bohjalian takes readers through the intricacies of childbirth and the law, and by the end of Sibyl Danforth's trial, it's difficult to decide which was more harrowing--the tragic delivery or its legal aftermath.

Narrated by a now adult Connie, Midwives moves back and forth in time, fitting vital pieces of information about what happened that night like pieces of a jigsaw puzzle into its complicated plot. As Connie looks back on her mother's trial, she is still trying to understand what happened--not on the night of the disaster--but in the months and years that followed. --Margaret Prior

In the pastoral community of Reddington, Vermont, during the harsh winter of 1981, Sibyl Danforth makes a life-or-death decision based on fifteen years of experience as a respected midwife -- a decision intended to save a child, a decision that will change her life forever.