Womb: The Inside Story of Where We All Began by Leah Hazard
Back in 2019, I reviewed Hard Pushed, Leah Hazard’s memoir of being a midwife in a busy Glasgow hospital. Here she widens the view to create a wide-ranging and accessible study of the uterus. As magisterial in its field as Siddhartha Mukherjee’s The Emperor of All Maladies was for cancer, it might have shared that book’s ‘A Biography’ subtitle and casts a feminist eye over history and future alike. Blending medical knowledge and cultural commentary, it cannot fail to have both personal and political significance for readers of any gender.
The thematic structure of the chapters also functions as a roughly chronological tour of how life with a uterus might proceed: menstruation, conception, pregnancy, labour, caesarean section, ongoing health issues, menopause. With much of Hazard’s research taking place at the height of the pandemic, she had to conduct many of her interviews online. She consults mostly female experts and patients, meeting people with surprisingly different opinions. For instance, she encounters opposing views on menstruation from American professors: one who believes it is now optional, a handicap – for teenagers, especially – and that the body was never meant to endure 350–400 periods compared to the historical average of 100 (based on shorter lifespan plus more frequent pregnancy and breastfeeding); versus another who is concerned about the cognitive effects of constant hormonal intervention.
The book forcefully conveys how gynaecological wellness is threatened by a lack of knowledge, sexist stereotypes, and devaluation of certain wombs. Even today, little is known about the placenta, she reports, so research involves creating organoids from stem cells that act like it would. The use of emotionally damaging language like “irritable/hostile uterus,” “incompetent cervix” and “too posh to push” is a major problem. The sobering chapter on “Reprocide” elaborates on enduring threats to reproductive freedom, such as non-consensual sterilization of women in detention centres and the revoking of abortion rights. And even routine problems like endometriosis and fibroids disproportionately affect women of colour.
Hazard has taken pains to adopt an inclusive perspective, referring to “menstruators” or “people with a uterus” as often as to women and mentioning health concerns specific to transgender people. She is also careful to depict the sheer variety of experience: age at first menses, subjective reactions to labour or hysterectomy, severity of menopause symptoms, and so on. Where events have potentially traumatic effects, she presents alternatives, such as a “gentle” or “natural” Caesarean, which is less clinical and more empowering. The prose is pitched at a good level for laypeople: conversational, and never bombarding with information. That I have not had children myself was no obstruction to my enjoyment of the book. It is full of fascinating content that is relevant to all (as in the Harry and Chris solidarity-themed song “Womb with a View,” which has the repeated line “we’ve all been in a womb”).
Here are just some of the mind-blowing facts I learned:
- Infant girls bleed in what as known as pseudomenses.
- Research is underway to regularly test menstrual effluent for endometriosis, etc. and the uterine microbiome for signs of cancer.
- The cervix can store sperm and release it later for optimal fertilization.
- Caesarean section and induction with oxytocin now occur in one-third of pregnancies, despite the WHO recommendation of no more than 10% for the former and the danger of postpartum haemorrhage with the latter.
- After childbirth, a discharge called lochia continues for 4–6 weeks.
- There have been successful uterine transplants from living donors and cadavers.
- Artificial wombs (“biobags”) have been used for other mammals and are in development; Hazard cautions about possible misogynistic exploitation.
With thanks to Virago Press for the free copy for review.
Review Books Roundup: Blackburn, Bryson, Pocock, Setterwall, Wilson
I’m attempting to get through all my 2019 review books before the end of the year, so expect another couple of these roundups. Today I’m featuring a work of poetry about one of Picasso’s mistresses, a thorough yet accessible introduction to how the human body works, a memoir of personal and environmental change in the American West, Scandinavian autofiction about the sudden loss of a partner, and a novel about kids who catch on fire. You can’t say I don’t read a variety! See if one or more of these tempts you.
The Woman Who Always Loved Picasso by Julia Blackburn
Something different from Blackburn: biographical snippets in verse about Marie-Thérèse Walter, one of Pablo Picasso’s many mistress-muses. When they met she was 17 and he was 46. She gave birth to a daughter, Maya – to his wife Olga’s fury. Marie-Thérèse’s existence was an open secret: he rented a Paris apartment for her to live in, and left his home in the South of France to her (where she committed suicide three years after his death), but unless their visits happened to overlap she was never introduced to his friends. “I lived in the time I was born into / and I kept silent, / acquiescing / to everything.”
In Marie-Thérèse’s voice, Blackburn depicts Picasso as a fragile demagogue: in one of the poems that was a highlight for me, “Bird,” she describes how others would replace his caged birds when they died, hoping he wouldn’t notice – so great was his horror of death. I liked getting glimpses into a forgotten female’s life, and appreciated the whimsical illustrations by Jeffrey Fisher, but as poems these pieces don’t particularly stand out. (Plus, there are no page numbers! which doesn’t seem like it should make a big difference but ends up being annoying when you want to refer back to something. Instead, the poems are numbered.)
With thanks to Carcanet Press for the free copy for review. Published today.
The Body: A Guide for Occupants by Bill Bryson
Shelve this next to Being Mortal by Atul Gawande in a collection of books everyone should read – even if you don’t normally choose nonfiction. Bryson is back on form here, indulging his layman’s curiosity. As you know, I read a LOT of medical memoirs and popular science. I’ve read entire books on organ transplantation, sleep, dementia, the blood, the heart, evolutionary defects, surgery and so on, but in many cases these go into more detail than I need and I can find my interest waning. That never happens here. Without ever being superficial or patronizing, the author gives a comprehensive introduction to every organ and body system, moving briskly between engaging anecdotes from medical history and encapsulated research on everything from gut microbes to cancer treatment.
Bryson delights in our physical oddities, and his sense of wonder is infectious. He loves a good statistic, and while this book is full of numbers and percentages, they are accessible rather than obfuscating, and will make you shake your head in amazement. It’s a persistently cheerful book, even when discussing illness, scientists whose work was overlooked, and the inevitability of death. Yet what I found most sobering was the observation that, having conquered many diseases and extended our life expectancy, we are now overwhelmingly killed by lifestyle, mostly a poor diet of processed and sugary foods and lack of exercise.
With thanks to Doubleday for the free copy for review.
Surrender: Mid-Life in the American West by Joanna Pocock
Prompted by two years spent in Missoula, Montana and the disorientation felt upon a return to London, this memoir-in-essays varies in scale from the big skies of the American West to the smallness of one human life and the experience of loss and change. Then in her late forties, Pocock had started menopause and recently been through the final illnesses and deaths of her parents, but was also mother to a fairly young daughter. She explores personal endings and contradictions as a kind of microcosm of the paradoxes of the Western USA.
It’s a place of fierce independence and conservatism, but also mystical back-to-the-land sentiment. For an outsider, so much of the lifestyle is bewildering. The author attends a wolf-trapping course, observes a Native American buffalo hunt, meets a transsexual rewilding activist, attends an ecosexuality conference, and goes foraging. All are attempts to reassess our connection with nature and ask what role humans can play in a diminished planet.
This is an elegantly introspective work that should engage anyone interested in women’s life writing and the environmental crisis. There are also dozens of black-and-white photographs interspersed in the text. In 2018 Pocock won the Fitzcarraldo Editions Essay Prize for this work-in-progress. It came to me as an unsolicited review copy and hung around on my shelves for six months before I picked it up; I’m glad I finally did.
With thanks to Fitzcarraldo Editions for the free copy for review.
Let’s Hope for the Best by Carolina Setterwall
[Trans. from the Swedish by Elizabeth Clark Wessel]
Although this is fiction, it very closely resembles the author’s own life. She wrote this debut novel to reflect on the sudden loss of her partner and how she started to rebuild her life in the years that followed. It quickly splits into two parallel story lines: one begins in April 2009, when Carolina first met Aksel at a friend’s big summer bash; the other picks up in October 2014, after Aksel’s death from cardiac arrest. The latter proceeds slowly, painstakingly, to portray the aftermath of bereavement. In the alternating timeline, we see Carolina and Aksel making their life together, with her always being the one to push the relationship forward.
Setterwall addresses the whole book in the second person to Aksel. When the two story lines meet at about the two-thirds point, it carries on into 2016 as she moves house, returns to work and resumes a tentative social life, even falling in love. This is a wrenching story reminiscent of In Every Moment We Are Still Alive by Tom Malmquist, and much of it resonated with my sister’s experience of widowhood. There are many painful moments that stick in the memory. Overall, though, I think it was too long by 100+ pages; in aiming for comprehensiveness, it lost some of its power. Page 273, for instance (the first anniversary of Aksel’s death, rather than the second, where the book actually ends), would have made a fine ending.
With thanks to Bloomsbury UK for the proof copy for review.
Nothing to See Here by Kevin Wilson
I’d read a lot about this novel while writing a synopsis and summary of critical opinion for Bookmarks magazine – perhaps too much, as it felt familiar and offered no surprises. Lillian, a drifting twentysomething, is offered a job as a governess for her boarding school roommate Madison’s stepchildren. Madison’s husband is a Tennessee senator in the running for the Secretary of State position, so it’s imperative that they keep a lid on the situation with his 10-year-old twins, Bessie and Roland.
You see, when they’re upset these children catch on fire; flames destroy their clothes and damage nearby soft furnishings, but leave the kids themselves unharmed. Temporary, generally innocuous spontaneous combustion? Okay. That’s the setup. Wilson writes so well that it’s easy to suspend your disbelief about this, but harder to see a larger point, except perhaps creating a general allegory for the challenges of parenting. This was entertaining enough, mostly thanks to Lillian’s no-nonsense narration, but for me it didn’t soar.
With thanks to Text Publishing UK for the PDF for review. This came out in the States in October and will be released in the UK on January 30th.
Would you be interested in reading one or more of these?
“All to Do with the Moon”: Four Books with Moon in the Title
I happened to read two books with the word moon in their titles within a couple of weeks in September, which prompted me to ransack my shelves and find two more. While these four are in completely different genres – one women’s fiction, one poetry, one memoir and one Booker-winning literary novel – they are all by women (naturally more in touch with the moon?) and all worth reading. In the weeks that I was undertaking this mini reading project, I couldn’t get Krista Detor’s song “All to Do with the Moon” out of my head (on this video, a live recording of the entire “Night Light” suite of three songs, it starts at about 6:15). She’s one of our favorite singer-songwriters, though, so this was no problem.
The Pull of the Moon by Elizabeth Berg (1996)
This is my second contemporary novel from Berg. I find her work effortlessly readable. She’s comparable to those other Elizabeths, McCracken and Strout, but also to Alice Hoffman and Anne Tyler. This one reminded me most of Tyler’s Ladder of Years in that both are about a middle-aged woman who takes a break from her marriage to figure out what she wants from life. Nan, “a fifty-year-old runaway,” takes off from her suburban Boston home and drives west, stopping at motels and cabins, eating at diners, and meeting the locals; eventually she gets as far as South Dakota. Her narration is in the form of letters to her husband, Martin, alternated with italicized passages from her journal. She reflects on everything that has made up her life – her upbringing, her marriage and other sexual encounters, raising her daughter, Ruthie – as well as on the small-town folk she meets in Iowa and Minnesota. The moon is a symbol of the femininity Nan fears she’s losing through menopause and hopes to reclaim on this journey.
The Moon Is Almost Full by Chana Bloch (2017)
This was a lucky find in the clearance section at Blackwell’s on my Oxford day with Annabel. It’s a beautifully produced book from Autumn House, the small Pittsburgh press that released my favorite poetic work of last year: The Small Door of Your Death by Sheryl St. Germain. This was Bloch’s sixth and final book of poetry, published in the year of her death. She writes in the awareness that this cancer will be her end and doesn’t gloss over losses of function and dignity, but still finds delight in life through her family, writing and Jewish rituals: “Never forget / you were put on earth to gather joy // with melancholy hands” (from “Instructions for the Bridegroom”). A favorite poem was “The Will,” in which she imagines how the physical and intangible relics of her life will be distributed (“My plans and projects I hereby bequeath to the air / of which they were conceived. … Let the doctors pack up my heart / and keep it humming for the right customer.”).
Off-topic note: This was typeset in Mrs Eaves, which may well be one of my favorite fonts.
To the Moon and Back: A Childhood under the Influence by Lisa Kohn (2018)
My special interest in women’s religious memoirs led me to list this among my most anticipated titles of 2018. I had it on my wish list for quite a while and then, when I saw it available for a bargain price online, snapped it up for myself. Lisa Kohn grew up in the New York City environs, the child of hippie parents she called Mimi and Danny rather than Mom and Dad. After their parents divorced, she and her brother lived in New Jersey with their mother and went into the City to visit their father, who was very lax about things like drugs. By the time Kohn was 10, her mother had gotten caught up in Reverend Moon’s Unification Church.
I knew next to nothing about the “Moonies,” so I found it fascinating to learn about this cult led by a South Korean reverend who let it be assumed that he was the new incarnation of Jesus Christ and the flourishing of his family on Earth would usher in God’s Kingdom. The Church became Kohn’s whole life until internal questioning set in during high school, and by the time she went to college she was adrift and into drugs instead. The book recreates scenes and dialogue well, but I found myself losing interest once the cult itself stopped being the main focus.
Readalikes: Small Fry by Lisa Brennan-Jobs and In the Days of Rain by Rebecca Stott
Moon Tiger by Penelope Lively (1987)
Seventy-six-year-old Claudia Hampton, on her deathbed in a nursing home, determines to write a history of the world – or at least, the world as she’s seen it. She’s been an author of popular history books (one of which, on Mexico, was made into a film), but she’s also been a daughter, a sister, a lover and a mother. As the book shifts between the first person and the third person, the present and the past, we learn volumes about Claudia and how her memory has preserved the layers of her personal history. There are a couple of big reveals, about her relationship with her brother Gordon and her time as a Second World War correspondent in Egypt, but what’s more impressive than these plot surprises is how Lively packs the whole sweep of a life into just 200 pages, all with such rich, wry commentary on how what we remember constructs our reality.
I made the fine choice to start reading this on holiday at the Jurassic coast in Dorset, which was fitting because Claudia grew up in Dorset and uses ammonites and rock strata as recurring metaphors. This won a well-deserved Booker Prize and is the best of the five Lively books I’ve read. I wasn’t particularly taken with the first couple I read by her, so I’m glad I tried again this year (with Heat Wave and then this). It’s just a shame that the copy I found in the free bookshop where I volunteer has such a dreadfully inappropriate cover, making it look like contemporary chick lit rather than serious literature.
Some favorite lines:
“Argument, of course, is the whole point of history. Disagreement; my word against yours; this evidence against that. If there were such a thing as absolute truth the debate would lose its lustre. I, for one, would no longer be interested.”
“In life as in history the unexpected lies waiting, grinning from around corners. Only with hindsight are we wise about cause and effect.”
“Once it is all written down we know what really happened.”
A note on the title: From the context, it seems that a moon tiger was a special inflammatory device, maybe like a citronella candle, used to repel mosquitoes and other insects.
Other ‘Moon’ books I have happened to review:
Crossing the Moon by Paulette Bates Alden
The Moon and Sixpence by W. Somerset Maugham