The Midwife’s Apprentice by Karen Cushman, 1995.

The story focuses on a young girl in Medieval England. She is about twelve or thirteen years old, but she doesn’t know her age or even her real name. Everyone just calls her Brat. For as long as she remembers, she’s always been alone, a homeless orphan traveling and begging from town to town. When a midwife finds her sleeping in a dung heap, she takes the girl on as a servant and apprentice. It isn’t as a kindness. The midwife just realizes that she can get some cheap labor out of the girl as long as she feeds her. Also, because the girl isn’t very bright or experienced, she is no professional competition for the midwife. People begin calling the girl Beetle because she was in the dung heap like dung beetle.

The midwife, Jane, became a midwife because she had six children of her own, although none of them survived. Beetle wonders if she could be a witch because of her strange mixtures, but really, she’s just a midwife. Whenever a woman in the area gives birth, Beetle goes to help carry things for Jane. Beetle is not allowed to watch the births herself, just stand by to fetch and carry. Beetle realizes that part of the reason she is not allowed to watch the births is so Jane can keep her professional secrets, although Beetle soon begins learning about plants and how to make medicines from them and she sometimes spies on births when she can to learn more.

People in town aren’t nice to Beetle. Jane is stingy and never helps anyone who can’t pay her fee. The local people don’t like her, but they tolerate her because they have need of her skills. Beetle often has to deal with the anger that people are afraid to show to Jane. Beetle’s best friend is a cat who was nearly killed by some mean local boys. She talks to the cat. Both of them are abused by locals, especially the mean boys.

Then, Beetle begins to notice that Jane keeps slipping away on mysterious errands, giving excuses for her absence that make no sense. Beetle begins to follow Jane to find out what she is doing. What Beetle learns is that Jane is having a love affair with a married baker.

One day, the miller comes looking for the midwife, but she isn’t home. Desperate for help with his wife’s birth, the miller makes Beetle come with him. Beetle doesn’t know what to do, and the miller’s wife angrily throws things at her until Jane comes to take over. Jane insults and abuses Beetle, too.

It seems like taking abuse is Beetle’s lot in life and that she has to take it or be thrown out into the street again. Her life starts to change when a kind merchant at a fair compliments her curls and gives her a wooden come with a cat carved on it. Then, another man mistakes her for a girl named Alice who can read. Beetle begins to look at herself in a new light. She realizes that at least some people see her as a person who can be pretty and smart, and maybe, she really can be pretty and smart. Liking the name Alice, Beetle decides that she will take the name for herself so she can gave a proper name.

When she returns to the midwife and the midwife abuses and insults her again, Beetle confidently tells her that her name isn’t dung beetle or brat but Alice. The midwife isn’t impressed and even people in town laugh at her for it, but Alice retains her new sense of confidence. She gives the cat a name, too, calling him Purr.

Without Jane realizing just how much Alice has been learning, Alice gradually begins helping people on her own. After saving the life of one of the local bullies, who almost drowned while chasing her, the boy starts treating Alice better. When his cow is having a difficult birth, the boy gets Alice to help him tend to the cow, increasing her knowledge of births.

Then, during one very difficult human birth, Jane leaves Alice to tend to the woman alone while she goes to tend to the lady of the manor, who is also giving birth. Alice protests that she doesn’t know what to do and can’t manage on her own, but Jane tells her she doesn’t have to do anything because this baby is likely to die. Jane just wants Alice to stay to cover for her so she can go earn another, even better fee. However, to everyone’s surprise, Alice saves the baby in Jane’s absence by applying what she has learned so far. The grateful mother names the baby after Alice, and the father refuses to let Jane take credit for Alice’s work. Jane is angry and jealous, especially when another mother insists that she wants Alice and not Jane to tend to her during her birth. Jane throws a fit and accuses Alice of stealing her customers.

Unfortunately, that birth doesn’t go well, and Jane has to step in to help and save the baby. In despair at what she sees as her failure, Alice runs away, convinced that she is just a nobody and too stupid to be anything, even a midwife’s apprentice.

At first, she wants to give up and die, but with the company of Purr the cat, she finds her way to an inn where she finds work. It’s enough to keep her alive, but Alice finds it difficult to shake her feeling that she is nothing and will never be anything. Alice really misses her work with the midwife, although not really the midwife herself, but she has trouble getting over the sense that she is just a failure. It takes a few lessons in reading from a scholar staying at the inn, the realization that she has been a help to someone else in a difficult situation, the encouragement of the boy who was one of her former bullies, and even some surprising comments from Jane the midwife herself to help Alice realize what she needs to do.

The book is available to borrow and read for free online through Internet Archive (multiple copies).

My Reaction

I found this story stressful because there were so many mean people in it. I hated the casual cruelty of the local boys and how they almost killed the cat. I hated Jane, who used and abused a vulnerable orphan girl. I also hated the townspeople in general because this seems to be entirely a town of people who are looking to use and abuse anybody they can and who will also allow other people to abuse the vulnerable, both human and animal, if they can use the abuser for their purposes. For much of the book, I looked for a character other than our heroine with some redeeming quality of some kind and didn’t find one.

The first character I actually liked was the kind merchant who gave Beetle/Alice the comb, but I still felt like the town is the town of the damned because nobody there was really nice. Almost every interaction Alice has with anybody there is unpleasant to some degree until she does something to buy their goodwill or at least civility. The innkeepers are nicer to Alice, although she knows that they’re not entirely honest in the way they run the inn. The scholar was one of my favorite characters because he sees Alice’s potential and gives her lessons in reading by first explaining things to her cat to get her interested. His kindness didn’t need to be bought with anything. The scholar is also the first person who cares about what Alice wants out of life and gets her to consider what she really wants, which builds her confidence and her feeling that she is a real person with wants that matter.

William became nicer after Alice saved his life, which is a kind of cliche in stories about bullies and is still a form of being bought. He’s still not completely nice after that, although he does teach Alice a couple of useful lessons, and he tells Alice that he doesn’t think that she’s a failure as a midwife just because she didn’t know everything and still needed some help. Even better, he points out that Jane doesn’t really know everything, either; she just acts like she does.

I never grew to like Jane. When Alice overhears Jane talking about her, Jane actually says that Alice is bright, which is a surprising compliment, given all of the insults and abuse she constantly heaped on her and her fear and resentment that Alice might steal her customers. Jane doesn’t regard Alice as a failure for not being able to handle a birth on her own, but she says that Alice gives up too easily. She wants an apprentice who is willing to take everything she heaps on her and won’t give up, no matter what. While persistence is an important quality, I was angry with this character for trying to wrap up her own abuse nicely like it was all part of some important, intentional lesson. Jane never had any notion of turning Alice into a fully-trained midwife. She more wanted a cheap drudge than an honest apprentice to learn her craft. In fact, she actively tried to avoid telling Alice much because she was always afraid of training a competitor. Jane wasn’t trying to teach Alice to persevere at any point before she said that. She wasn’t trying to teach her any more of anything than she absolutely had to in order to get the cheap labor she wanted! Her attempt to wrap this whole mess up neatly like a PSA just didn’t work for me because she’s nothing but an abusive employer who screams and throws pots and doesn’t actually want her “apprentice” to progress enough to do as well or better than she does. While Alice does return to be her apprentice because she knows that she really does want to be a midwife and that there are still things she can learn from Jane, including the value of persistence, I still hope that Alice will eventually leave Jane and find a better community to exercise her skills and employers and clients who are better behaved, more appreciative, and generally less toxic and abusive.

Because of the content of this book, it is not for young children. It would be best for tweens and teens.