I really enjoyed this book for the wonderful history and many relationships it covered. The main character, Patience, has secrets, but you slowly learn about these as she has moments of flashbacks/memories. The women and their birthing experiences was interesting and the author does a great job of allowing you to experience the pain, the excitement, the anxiety, and sometimes sorrow of the mothers.
There were many wonderful characters you met through the pages of the book. You walked through life in West Virginia, including the great depression, danger of mining, racial tensions, etc. And then as you get to know the vet who lives close to Patience, you will learn about veterinarian medicine and can make connections between that and that of being a midwife.