- Did you find any part of this book controversial? What are some of the controversies surrounding maternal-fetal care, and do you think these are any different than controversy over other medical practices?
- During the time Worth began as a midwife, most women (98%) delivered home and were suspicious of hospitals. Today (2%) the opposite is true. How do you think such a dramatic change came about?
- What do you think has been the biggest change for women from the time of this book to today? What has stayed the same?
- After learning their respective histories, Worth dramatically changes her opinion of both Sister Evangelina. Do you have an experience in you own life (real or fictional) when your initial dislike for a person was transformed once you go to know them better?
- Ted became a loving and wonderful father to Edward without being his biological father. How important is biology in a parent-child relationship?
- Over the last 60 years there have been astonishing advances in medicine as well related (and unrelated) changes in medical practice. Despite the availability of information and “scientific research” increases I find many aspects of pregnancy and birth remain mysterious or taboo. Why or why not do you think this is true?
- How do you think the sisters of Nonnatus House affected Worth and her experience as a midwife? In what ways does secular medicine differ from that provided by the nuns?