Tag: pregnancy

Three Review Books: Brian Kimberling, Jessica Pan & Francesca Segal

Three May–June releases: A fish-out-of-water comic novel about teaching English in Prague; and memoirs about acting like an extrovert and giving birth to premature twins.

 

Goulash by Brian Kimberling

“Look where we are. East meets West. Communism meets capitalism.” In 1998 Elliott Black leaves Indiana behind for a couple of years to teach English in Prague. The opening sequence, in which he discovers that his stolen shoes have been incorporated into an art installation, is an appropriate introduction to a country where bizarre things happen. Elliott doesn’t work for a traditional language school; his students are more likely to be people he meets in the pub or tobacco company executives. Their quirky, deadpan conversations are the highlight of the book.

Elliott starts dating a fellow teacher from England, Amanda (she “looked like azaleas in May and she spoke like the BBC World Service”), who also works as a translator. They live together in an apartment they call Graceland. Much of this short novel is about their low-key, slightly odd adventures, together and separately, while the epilogue sees Elliott looking back at their relationship from many years later.

I was tickled by a number of the turns of phrase, but didn’t feel particularly engaged with the plot, which was inspired by Kimberling’s own experiences living in Prague.

With thanks to Tinder Press for a proof copy to review.

 

Favorite passages:

“Sorrowful stories like airborne diseases made their way through the windows and under the doorframe, bubbled up like the bathtub drain. It was possible to fill Graceland with light and color and music and the smell of good food, and yet the flat was like a patient with some untreatable condition, and we got tired of palliative care.”

“‘It’s good to be out of Prague,’ he said. ‘Every inch drenched in blood and steeped in alchemy, with a whiff of Soviet body odor.’ ‘You should write for Lonely Planet,’ I said.”

 

Sorry I’m Late, I Didn’t Want to Come: An Introvert’s Year of Living Dangerously by Jessica Pan

Like Jessica Pan, I’m a shy introvert (a “shintrovert”) as well as an American in the UK, so I was intrigued to see the strategies she employed and the experiences she sought out during a year of behaving like an extrovert. She forced herself to talk to strangers on the tube, give a talk at London’s Union Chapel as part of the Moth, use friendship apps to make new girlfriends, do stand-up comedy and improv, go to networking events, take a holiday to an unknown destination, eat magic mushrooms, and host a big Thanksgiving shindig.

Like Help Me!, which is a fairly similar year challenge book, it’s funny, conversational and compulsive reading that was perfect for me to be picking up and reading in chunks while I was traveling. Although I don’t think I’d copy any of Pan’s experiments – there’s definitely a cathartic element to reading this; if you’re also an introvert, you’ll feel nothing but relief that she’s done these things so you don’t have to – I can at least emulate her in initiating deeper conversations with friends and pushing myself to attend literary and networking events instead of just staying at home.

With thanks to Doubleday UK for a proof copy to review.

 

Mother Ship by Francesca Segal

I’m a big fan of Segal’s novels, especially The Innocents, one of the loveliest debut novels of the last decade, so I was delighted to hear she was coming out with a health-themed memoir about giving birth to premature twins. Mother Ship is a visceral diary of the first eight weeks in the lives of her daughters, who were born by Caesarean section at 29 weeks in October 2015 and spent the next two months in the NICU, “an extremely well-funded prison or perhaps more accurately a high-tech zoo.”

Segal strives to come to terms with this unnatural start to motherhood. “Taking my unready daughters from within me felt not like a birth but an evisceration,” she writes; “my children do not appear to require mothering. Instead they need sophisticated medical intervention.” She describes with tender precision the feeling of being torn: between the second novel she’d been in the middle of writing and the all-consuming nature of early parenthood; and between her two girls (known for much of the book as “A-lette” and “B-lette”), who are at one point separated in different hospitals.

Spotted at Philadelphia airport.

As well as portraying her own state of mind, Segal crafts twinkly pen portraits of the others she encountered in the NICU, including the staff but especially her fellow preemie mums, who met in a “milking shed” where they pumped breast milk for the babies they were so afraid of losing that they resisted naming. (Though it was touch and go for a while, A-lette and B-lette finally earned the names Raffaella and Celeste and came home safely.) Female friendship is a subsidiary theme in this exploration of desperate love and helplessness. The layman’s look at the inside workings of medicine would have made this one of my current few favorites for next year’s Wellcome Book Prize (which, alas, is on hiatus). After encountering some unpleasant negativity about the NHS in a recent read, I was relieved to find that Segal’s outlook is pure gratitude.

With thanks to Chatto & Windus for the free copy for review.

 

 Would you be interested in reading one or more of these?

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Hard Pushed: A Midwife’s Story by Leah Hazard

“For fans of Adam Kay’s This Is Going to Hurt and Christie Watson’s The Language of Kindness,” the blurb on my press release for Leah Hazard’s memoir opens. The publisher’s comparisons couldn’t be more perfect: Hard Pushed has the gynecological detail and edgy sense of humor of Kay’s book (“Another night, another vagina” is its first line, and the author has been known to introduce herself with “Midwife Hazard, at your cervix!”), and matches Watson’s with its empathetic picture of patients’ plights and medical professionals’ burnout.

Hazard alternates between anonymized case studies of patients she has treated and general thoughts on her chosen career (e.g. “Notes on Triage” and “Notes on Being from Somewhere Else”). Although all of the patients in her book are fictional composites, their circumstances are rendered so vividly that you quickly forget these particular characters never existed. Visceral details of sights, smells and feelings put you right there in the delivery room with Eleanor, one-half of a lesbian couple welcoming a child thanks to the now-everyday wonder of IVF; Hawa, a Somali woman whose pregnancy is complicated by the genital mutilation she underwent as a child; and Pei Hsuan, a Chinese teenager who was trafficked into sex work in Britain.

Sometimes we don’t learn the endings to these stories. Will 15-year-old Crystal have a healthy baby after she starts leaking fluid at 23 weeks? What will happen next for Pei Hsuan after her case is passed on to refugee services? Hazard deliberately leaves things uncertain to reflect the partial knowledge a hospital midwife often has of her patients: they’re taken off to surgery or discharged, and when they eventually come back to deliver someone else may be on duty. All she can do is to help each woman the best she can in the moment.

A number of these cases allow the author to comment on the range of modern opinions about pregnancy and childrearing, including some controversies. A pushy new grandmother tries to pressure her daughter into breastfeeding; a woman struggles with her mental health while on maternity leave; a rape victim is too far along to have a termination. At the other end of the spectrum, we meet a hippie couple in a birthing pool who prefer to speak of “surges” rather than contractions. Hazard rightly contends that it’s not her place to cast judgment on any of her patients’ decisions; her job is simply to deal with the situation at hand.

I especially liked reading about the habits that keep the author going through long overnight shifts, such as breaking the time up into 15-minute increments, each with its own assigned task. The excerpts from her official notes – in italics and full of shorthand and jargon – are a neat window into the science and reality of a midwife’s work, with a glossary at the end of the book ensuring that nothing is too technical for laypeople.

Hazard, an American, lives in Scotland and has a Glaswegian husband and two daughters. Her experience of being an NHS midwife has not always been ideal; there were even moments when she was ready to quit. Like Kay and Watson, she has found that the medical field can be unforgiving what with low pay, little recognition and hardly any time to wolf down your dinner during a break, let alone reflect on the life-and-death situations you’ve been a part of. Yet its rewards outweigh the downsides.

Hard Pushed has none of the sentimentality of Call the Midwife – a relief since I’m not one to gush over babies. Still, it’s a heartfelt read as well as a vivid and pacey one, and it’s alternately funny and sobering. If you like books that follow doctors and nurses down hospital hallways, you’ll love it. This was one of my most anticipated books of the first half of the year, and it lived up to my expectations. It’s also one of my top contenders for the 2020 Wellcome Book Prize so far.

 

A few favorite passages:

“So many things in midwifery are ‘wee’ [in Scotland, at least!] – a wee cut, a wee tear, a wee bleed, the latter used to describe anything from a trickle to a torrent. Euphemisms are one of our many small mercies: we learn early on to downplay and dissemble. The brutality of birth is often self-evident; there is little need to elaborate.”

“Whenever I dress a wound in this way, I remember that this is an act of loving validation; every wound tells a story, and every dressing is an acknowledgement of that story – the midwife’s way of saying, I hear you, and I believe you.”

“midwives do so much more than catch babies. We devise and implement plans of care; we connect, console, empathise and cheerlead; we prescribe; we do minor surgery. … We may never have met you until the day we ride into battle for you and your baby; … you may not even recognise the cavalry that’s been at your back until the drapes are down and the blood has dried beneath your feet.”

My rating:

 


Hard Pushed was published in the UK on May 2nd (just a few days before International Midwives’ Day) by Hutchinson. My thanks to the publisher for the free proof copy for review.

Margaret Atwood Reading Month: Surfacing and The Edible Woman

For the Margaret Atwood Reading Month hosted by Marcie and Naomi, I read her first two novels – though I didn’t realize they were so at the time, and read them in reverse order. These were my 18th and 19th Atwood books overall, and my 11th and 12th of her novels. It was particularly interesting to see the germ of her frequent themes in these early works.

 

Surfacing (1972)

(At 186 pages, this just about fit into Novellas for November too!) A young Canadian woman has returned to her French-speaking hometown, ostensibly to search for her missing father but really to search for herself. She’s an illustrator at work on a collection of Quebec folk tales, and in her past are a husband and child that she left behind. With her at her father’s lakeside cabin are her boyfriend Joe, whom she’s not sure she loves, and their friends David and Anna, a married couple whose dynamic is rather disturbing – David is always making demeaning sexualized jokes about Anna, who is afraid for him to see her without makeup on.

This is a drifting, dreamy sort of book whose gorgeous nature writing (“Above the trees streaky mackerel clouds are spreading in over the sky, paint on a wet page; no wind at lake level, soft feel of the air before rain”) inures you to various threats. You’re never sure just how serious they’ll turn out to be. Will the men’s attitude to women spill over into outright assault? Will there be some big blowup with the resented Americans who are monopolizing the lake? (“We used to think they were harmless and funny and inept and faintly lovable, like President Eisenhower.”)

Meanwhile, the question of her father’s whereabouts becomes less and less important as the book goes on. The narrator seems to have closed herself off to emotion, but all that’s repressed returns dramatically in the final 20 pages (“From any rational point of view I am absurd; but there are no longer any rational points of view.”).

I suspect there may be a fair bit I missed; the book would probably benefit from future re-readings and even some exploration of secondary sources to think about all that’s going on. It’s maybe not as accessible and plot-heavy as much of Atwood’s later work, but I found it to be an intriguing and rewarding read, and it still feels timely more than four decades later.

 

The Edible Woman (1969)

Marian McAlpin works for Seymour Surveys, administering questionnaires about rice pudding and a new brand of beer. She shares an apartment with Ainsley, who tests electric toothbrushes, in the home of a harridan of a landlady who monitors their every move. Marian is happy enough with her boyfriend Peter and gradually drifts into an engagement – but she can’t stop thinking about Duncan, an apathetic graduate student whom she met during her survey rounds and ran into again at the laundromat. Duncan represents a sort of strings-free relationship that contrasts with the traditional marriage she’d have with Peter. Her challenge is to overcome the inertia of convention and decide what she really wants from her life.

Part Two’s shift from first person to third person is a signal that Marian is dissociating from her situation. She recoils from food and pregnancy – two facts of bodily life that the book’s characters embrace greedily or turn from in horror. Gradually Marian eliminates more and more foods from her diet, starting with meat. And while Ainsley concocts a devious plan to get pregnant by Marian’s friend Len, Marian keeps in mind the cautionary tale of her college friend Clara, whose three monstrous children are always peeing on people or going off to poop in corners. Marian perceives Clara as having given up her mind in favor of her womb.

It’s unclear whether we’re meant to see Marian’s experience as a temporary eating disorder or a physical manifestation of endangered femininity. Now that veganism is mainstream, it sounds dated to hear her lamenting, “I’m turning into a vegetarian, one of those cranks; I’ll have to start eating lunch at Health Bars.” In any case, you can spot themes that will recur in Atwood’s later work, like the threat of the male gaze (Surfacing), the perception of the female body (Lady Oracle), manipulation of pregnancy (The Handmaid’s Tale) and so on. I can’t say I particularly enjoyed this novel, but I liked the food metaphors and laughed at the over-the-top language about babies.

 

Have you read any of Margaret Atwood’s books recently?

Incidents of Book Serendipity

Since May I’ve been posting my occasional reading coincidences on Twitter and/or Instagram. This is when two or more books that I’m reading at the same time or in quick succession have something pretty bizarre in common. Because I have so many books on the go at once – usually between 10 and 20 – I guess I’m more prone to such serendipitous incidents. What’s the weirdest one you’ve had lately? (The following are in rough chronological order.)

 

  • Two historical novels set (partially) among the slaves of Martinique and featuring snippets of Creole (Patrick Chamoiseau’s Slave Old Man and Jane Harris’s Sugar Money)
  • A book about epilepsy and a conductor’s memoir, followed by a novel with a conductor character and another who has seizures (Suzanne O’Sullivan’s Brainstorm and Lev Parikian’s Why Do Birds Suddenly Disappear?  to Caoilinn Hughes’s Orchid & the Wasp)

 

  • Two characters mistake pregnancy for cholera (in Alexandra Fuller’s Leaving Before the Rains Come and W. Somerset Maugham’s The Painted Veil)

 

  • Two characters are reading Ursula K. Le Guin’s The Left Hand of Darkness (in Lily Brooks-Dalton’s Good Morning, Midnight and Julie Buntin’s Marlena) … I’ve since tried again with Le Guin’s book myself, but it’s so dry I can only bear to skim it.

 

  • Two memoirs by Iranian-American novelists with mental health and drug use issues (Porochista Khakpour’s Sick and Afarin Majidi’s Writing and Madness in a Time of Terror)
  • References to the blasé response to Martin Luther King’s assassination in North Carolina (in Paulette Bates Alden’s Crossing the Moon and David Sedaris’s Calypso)

 

  • The Police lyrics (in Less by Andrew Sean Greer and Summer by Karl Ove Knausgaard [a whole essay called “Sting”])
  • Salmon croquettes mentioned in Less by Andrew Sean Greer and An American Marriage by Tayari Jones

 

  • I’m reading Beryl Markham’s West with the Night … and then Glynnis MacNicol picks that very book up to read on a plane in No One Tells You This

 

  • Starting two books with the word “Ladder” in the title, one right after the other: Ladders to Heaven by Mike Shanahan and Ladder of Years by Anne Tyler (followed just a couple of weeks later by A Ladder to the Sky by John Boyne!)
  • Two books set in Dunedin, New Zealand, one right after the other – I planned it that way, BUT both have a character called Myrtle (To the Is-Land by Janet Frame and Dunedin by Shena Mackay). Then I encountered Harold Gillies, the father of plastic surgery, in Jim McCaul’s Face to Face, and guess what? He was from Dunedin!
    • Then I was skimming Louisa Young’s You Left Early and she mentioned that her grandmother was a sculptor who worked with Gillies on prostheses, which was the inspiration for her WWI novel, My Dear I Wanted to Tell You.

 

  • Two novels featuring drug addicts (Pretend I’m Dead by Jen Beagin and Bad News by Edward St. Aubyn)

 

  • The same Wallace Stevens lines that appear as an epigraph to Barbara Kingsolver’s Unsheltered are mentioned in Elaine Pagels’s Why Religion? – “After the final no there comes a yes / And on that yes the future world depends.”
  • “Twinkle, Twinkle, Little Star” is mentioned in Little by Edward Carey and Marilla of Green Gables by Sarah McCoy

 

  • Reading Nine Pints, Rose George’s book about blood, at the same time as Deborah Harkness’s Time’s Convert, which is partially about vampires; in this it takes 90 days for a human to become fully vampirized – the same time it takes to be cured of an addiction according to the memoir Ninety Days by Bill Clegg.

Wellcome Book Prize Shortlist: Stay with Me by Ayobami Adebayo

“Women manufacture children and if you can’t you are just a man. Nobody should call you a woman.”

On balance, I’m glad that the Wellcome Book Prize shortlist reading forced me to go back and give Stay with Me another try. Last year I read the first 15% of this debut novel for a potential BookBrowse review but got bored with the voice and the story, rather unfairly dismissing it as a rip-off of Chimamanda Ngozi Adichie. I also doubted that the health theme was strong enough for it to make the Wellcome shortlist, but that’s because I hadn’t read far enough to realize just how many medical conditions come up for consideration: it’s not just infertility, but also false pregnancy, cot death (or SIDS), sickle cell disease, and impotence.

This time around I found Yejide a more sympathetic character. The words that open this review are cruel ones spoken by her mother-in-law. Her desperation to become and stay a mother drives her to extreme measures that also give a window onto indigenous religion in Nigeria: ‘breastfeeding’ a goat on the Mountain of Jaw-Dropping Miracles, and allowing an act of ritual scarification to prevent the return of an abiku, or spirit child (I’ve heard that one narrates Ben Okri’s Booker Prize-winning 1991 novel, The Famished Road).

Polygamy is another Nigerian custom addressed in the novel. Yejide’s husband, Akinyele Ajayi, allows himself to be talked into taking another wife, Funmilayo, when Yejide hasn’t produced a child after four years. There’s irony in the fact that polygyny is considered a valid route to pregnancy while polyandry is not, and traditional versus Western values are contrasted in the different generations’ reactions to polygamy: does it equate to adultery?

There are some welcome flashes of humor in the novel, such as when Yejide deliberately serves a soup made with three-day-old beans and Funmi gets explosive diarrhea. I also enjoyed the ladies’ gossip at Yejide’s hair salon. However, the story line tends towards the soap operatic, and well before halfway it starts to feel like just one thing after another: A lot happens, but to no apparent purpose. I was unconvinced by the choices the author made in terms of narration (split between Yejide and Akin, both in first person but with some second person address to each other) and structure (divided between 2008 and the main action starting in the 1980s). We see certain scenes from both spouses’ perspective, but that doubling doesn’t add anything to the overall picture. The writing is by turns maudlin (“each minute pregnant with hope, each second tremulous with tragedy”) and uncolloquial (“afraid that my touch might … careen him into the unknown”).

Things that at first seemed insignificant to me – the 1993 election results, what happens to Funmi, the one major scene set in 2008 – do eventually take on more meaning, and there is a nice twist partway through as well as a lovely surprise at the end. I did feel the ache of the title phrase as it applies to this couple’s children and marriage, so threatened by “all the mess of love and life that only shows up as you go along.” It all makes for truly effortless reading that I gobbled up in chunks of 50 or 100 pages – which indicates authorial skill, of course – yet this seems to me a novel more interesting for the issues it addresses than for its story and writing.

My rating:

 

See also:

Clare’s review

 

My gut feeling: I would be very surprised if a novel won two years in a row. While the medical situations examined here are fairly wrenching, Stay with Me isn’t strong enough to win. Its appearance on the shortlist (for the Women’s Prize, too) is honor enough, I think.

 

Shortlist strategy:

  • I’m one-third through The Vaccine Race by Meredith Wadman but have started skimming because it’s dense and not quite as laymen-friendly as The Immortal Life of Henrietta Lacks and The Emperor of All Maladies, the two books its subject matter is most reminiscent of for me.
  • On Friday I started To Be a Machine by Mark O’Connell, which I’m also one-third through and have taken away on our mini-holiday. This is the shortlisted book whose topic appealed to me the least, so I’m pleasantly surprised to be enjoying it so much. It helps that O’Connell comes at the science as an outsider – he’s a freelance writer with a literature background, and he’s interested in the deeper philosophical questions that transhumanism raises.
  • I’m awaiting a review copy of Mayhem by Sigrid Rausing, which I’ll be featuring as part of the official Wellcome Book Prize shortlist blog tour.