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Fiction. Literature. Historical Fiction. LGBTQIA+ (Fiction.) HTML:In Dublin, 1918, a maternity ward at the height of the Great Flu is a small world of work, risk, death, and unlooked-for love, in "Donoghue's best novel since Room" (Kirkus Reviews). In an Ireland doubly ravaged by war and disease, Nurse Julia Power works at an understaffed hospital in the city center, where expectant mothers who have come down with the terrible new Flu are quarantined together. Into Julia's regimented world step two outsiders�??Doctor Kathleen Lynn, a rumoured Rebel on the run from the police, and a young volunteer helper, Bridie Sweeney. In the darkness and intensity of this tiny ward, over three days, these women change each other's lives in unexpected ways. They lose patients to this baffling pandemic, but they also shepherd new life into a fearful world. With tireless tenderness and humanity, carers and mothers alike somehow do their impossible work. In The Pull of the Stars, Emma Donoghue once again finds the light in the darkness in this new classic of hope and survival against all od… (more)
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Julia Power works as a midwife and nursing sister in a hospital in one of the poorest areas in Dublin. World War I is still raging in October 1918 but the Spanish influenza is waging war right in Dublin. Nurse Power has been assigned to assist in a small ward dedicated to expectant mothers with influenza. On the morning of October 31 she is told that her supervisor is needed on another ward and she will be on her own. Three patients for one nurse doesn't sound too bad but when there is no-one else helping with chores Nurse Power is run off her feet. Thankfully a volunteer is assigned but Bridie Sweeney is completely untrained. She is very willing though and Julia finds her to be very quick at learning what has to be done. Also available at critical times is Doctor Kathleen Lynn who is a general practitioner but has specialized training in obstetrics and maternity. Unfortunately Dr. Lynn (a real person living in Dublin in 1918) is wanted by the police for anti-British activities. She can only hide from them for so long. Nurse Power isn't even sure she approves of Dr. Lynn's politics but she does appreciate her expertise. The novel encompasses only 3 days but so much happens that they seemed to last forever.
Having never given birth myself there was a lot of new information in this book about complications. I am even more in awe of those women I know who have delivered children and also those people who assist women in childbirth. Nurse Power and Bridie Sweeney may not be based on real people of those names but they are surely based on actual people who help deliver babies and care for the mothers. Donoghue mentions several in her author's note at the end of the book.
I really appreciated how deftly Donoghue wove in details about rampant poverty and the Irish quest for independence from Britain with the central story. This is an historical novel that puts the reader right in that time and place. Highly recommended.
The premise is a captivating one especially as we sit in the midst of a pandemic of our own. The author has done her research on the Spanish flu, on the treatment and care of pregnant women in the time period, on the effects of the war on returning young men--and therein lies the problem. I felt bogged down by the medical details, to the point that they overwhelmed the characters. It was like Donoghue didn't want to let go of any detail that she ran across. If you are a medical professional, all this might fascinate you. If not, you might get bored, as I did, with the shallow, stereotypical characters that the author left room for. Julia is too perfect, Bridie too eager and naive, Dr. Lynn too heroic, the supervising nun too cold and judgmental, and the patients could be summed up as The Rich Bitch, The Frightened Young Mom, The Weary Mother of Too Many, and The Fallen Woman Trying to Hide Her Past. The saving grace is in a few one-on-one conversations between Julia and either Dr. Lynn or Bridie and the scene of Julia's birthday celebration with her brother. For those, and for Donoghue's usual fine writing, I'm giving this book three stars, but overall, it was a disappointment.
Emma Donoghue does such a good job with historical fiction and her novels are always so well-researched. This novel is no exception, digging into what hospitals in Dublin looked like a century ago, the impact the First World War had on the men who were lucky enough to return, the Irish struggle for independence, how Catholic charities treated both unwed mothers and their offspring, and what giving birth looked like, among other things. In the end, the history took precedence over the story, with the majority of the book simply following Julia as she tries to care for the women on her ward as best she can. The final section of the book segues abruptly into Julia's personal life and what might have been an integral part of the story was simply tacked on to the end and felt unlikely, largely because so many huge events happened on top of each other.
This novel is worthwhile for a well-written look at a specific time and place, but if you prefer more story and less detail, this one's not for you. I enjoyed it, but I prefer the novels where Donoghue allows her characters to exist fully as people, although I learned a ton about what a horror giving birth was in Ireland a hundred years ago and there's one particularly vile procedure, called a symphysiotomy, that was in use until the 1980s, because although it caused permanent pain and disability to the woman, it preserved her ability to have more children. If your reaction to that is, "oh, that sounds interesting," read this novel, but if you just want great historical fiction, choose Frog Music or Slammerkin instead.
I have always been fascinated by the Flu Pandemic of 1918 and it was basically family lore as my great grandfather died in the
Nurse Julia Powers works in a ward with expectant mothers who have contacted the flu. Julia has already had the flu which is one less worry for her. She is dealing with tragic and heart breaking situations where no matter how hard she tries she is going to lose some patients. Each death of a mother or baby lays heavier on her heart. She is also trying to look after her brother who came back from the Great War psycologically scarred.
I became so emotionally involved with Julia and her patients. It must have been awful during the pandemic. They didn't really know the exact cause of the pandemic, or how to treat it effectively. Antibiotics did not exist at that time. I also appreciated learning more about Doctor Kathleen Lynn who was a rebel on the run from the police.
Once again, I ended up in tears at the end of a book by Emma Donoghue. I was so happy for her but then devasted at the end. No, I will not give any spoilers away. This is another exceptional novel by Emma Donoghue.
When Emma Donoghue wrote The Pull of the Stars, inspired by the centenary of the influenza pandemic (also known as the Spanish Flu) of 1918 which was responsible for the deaths of up to 50million
Set in Ireland, The Pull of the Stars is told from the first-person perspective of Julia Power, a thirty year old maternity nurse. It is October of 1918, The Great War is still a month away from its end, and a deadly strain of Influenza is spreading rapidly through the world’s population. In an overcrowded, under-resourced and understaffed Dublin hospital, Julia finds herself in charge of a makeshift ward for pregnant mothers with symptoms of influenza.
At just under 300 pages, The Pull of the Stars is a short, well paced novel. Ominously the chapters are titled Red - Brown - Blue - Black for the visible progression of respiratory distress on the skin as a result of influenza.
“The old world was changed utterly, dying on its feet, and a new one was struggling to be born.”
The events in the book take place over an intense period of just three days, largely within the tiny temporary ward, as Julia battles, sometimes in vain, to preserve the life of the mothers and their babies in her care. As the losses threaten to eclipse the wins, Julia grows increasingly worn and heartsick but a young volunteer from a nearby Convent Home, Bridie Sweeney, quickly proves to be an intuitive and able assistant, and is for Julia, a revelation.
"It occurred to me that in the case of this flu there could be no signing a pact with it; what we waged in hospitals was a war of attrition, a battle over each and every body."
It is a challenging fight for the medical profession against an enemy they cannot see, armed with little more than the most rudimentary of treatments - carbolic soap, mustard poultices, whiskey and ipecac syrup. Though no one is safe and many die within a few days of Influenza infection, pregnant women are at particular risk, as are their unborn children. Donoghue is quite explicit in both the effects of influenza, and the experience of the labouring mothers, which has the potential to shock.
“Some placed their trust in treacle to ward off this flu, others in rhubarb, as if there had to be one household substance that could save us all. I’d even met fools who credited their safety to the wearing of red.”
Despite the narrowness of the physical setting, and the single narrative perspective, The Pull of the Stars explores a number of issues. Most notably those related to women’s physical and emotional experience of pregnancy, motherhood, marriage, and institutional abuse, particularly among the poorest of women. Donoghue also touches on the political climate of Ireland during the period including the fallout of The Great War and The Easter Rising conflict, and the reaction of the government and populace to the pandemic, which is not unlike our own today. I like to think ‘the wearing of red’ in the quote above is a deliberate swipe at Trump’s MAGA hat-wearing virus deniers.
“The bone man was in the room. I could hear him rattling, snickering.”
I found The Pull of the Stars to be a timely, poignant and compelling historical novel which will resonate with readers today.
Donoghue wrote The Pull of the Stars before Covid 19 came about. But the similarities are
The Pull of the Stars takes place over three days in a maternity quarantine ward in a hospital in Dublin - at the height of the 1918 Flu Pandemic.
Julia Power is in charge of the three bed ward as there are very few nurses to go around. The local nunnery provides young Bridie as a helper for Julia. And the third of this triangle is Dr. Lynn. Kathleen Lynn is an actual historical figure who was a pioneer in her field - and deeds. I truly enjoy Donoghue's blending of fact and fiction in her books.
The setting is so detailed, I felt like I was in the little ward, struggling to grab just a bit of the fresh air trying to get in through the wee window. The smells, the lack of privacy, the desperate struggle to just breathe. All while pregnant. The descriptions of childbirth are visceral - and again, true to the time. Julia's care of the sick women in her care and her sense of duty are impeccable. But there are cracks in her carefully cultivated public persona. Her obligations do battle with her want of more. More for her patients, more for women - and more for herself. A partner, a confidant, a child. Bridie's enthusiasm, quickness in mind and body and her outlook on life despite the hardships she has endured will endear her to the reader. Donoghue does a fantastic job as well at bring Dr. Lynn to life. A woman truly ahead of her time.
Ahh, this book is heartbreaking. The treatment of women during this time period, the mortality rate of infants, the Catholic Church's abuse of power, life and death, the effects of war and so much more. But the spark of light (and pull of the stars) lives in these pages too. A story you won't be able to put down.
So very, very well written.
Told through the eyes of one Julia Power, we experience her life as a midwife living in Dublin in 1919 before the end of the Great War but still in the midst of the Spanish Influenza pandemic. We experience three days as the head nurse of an isolated maternity ward for those pregnant women who have the flu. Short of staff and room, we see her come into her own as she must make life-or-death decisions while providing comfort and care to her patients.
Julia is a remarkable character, so well-defined that you forget that she is fictional. Her experiences in those three days are insane and yet one gets the impression that they are also completely normal. Her constant level-headedness and, most importantly, the compassion she shows each of her patients are a refreshing reminder of how people should act in times of crisis.
So much of the story could happen today. Through her patients and through her own commute to and from work we see the same poverty, the same loss, the same abuse, the same scorn for anyone who is different. Even eerier, we read posters that talk about keeping your distance from others to stay healthy, we see people wearing masks to protect themselves, and we see the fear that occurs when someone in public sneezes or coughs. Yet, at no time did I feel uncomfortable about reading the novel. If anything, there is a strange comfort one finds in understanding how little things change sometimes, even when it should.
The one thing The Pull of the Stars did do is to reinforce my belief that the Catholic Church is not only hypocritical but also evil in the damage it has done to those they profess to protect. Taking place in the very Catholic Dublin in a Catholic hospital no less, one encounters the policies established by the Church in a myriad of ways. However, it is the impact of those policies and the Catholic belief system on the women in Julia’s care which drive home that hypocrisy.
The Pull of the Stars is a remarkable story for several reasons. For one, Julia Power is a fascinating character. She doesn’t do anything other than act with compassion, but you finish the novel thinking her the wisest of women. For another, the story has a timeless quality to it because the social issues Julia sees occurring within her own little ward occur across time. Lastly, it reinforces today’s messaging about mask wearing, hand washing, and social distancing as the only acceptable ways to maintain your health while the current influenza virus rages around the globe.
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At times I felt the book was an expose of all the terrible things that could happen to women giving birth during the time especially in a Catholic dominated atmosphere. One example: doctors performing cruel surgeries to enlarge the pelvises of women so they could give birth but not endanger the uterus so that more babies were possible. Often women were having child after child literally dying a slow death with each birth.
The book is graphic and presents almost every situation possible. It seemed to go from one emergency or terrible situation to the next as if the author wanted to include every possible horrendous thing that could happen. At the same time, I do believe this was probably pretty accurate. It was just as if, however, the setting sometimes overtook the characters.
It’s just after World War I. Julia Power is a young nurse working at a Catholic hospital in the midst of the Spanish flu epidemic gripping Dublin and much of the world.
Julia is given a small ward in a former supply closet to run entirely
Julia and Bridie are fighting overwhelming medical odds. Without much in the way of medicine except poultices to fight pneumonia and cold packs to fight fever, the death rate is horrible. The epidemic story is grueling.
But the shear humanity of the characters will grab you: the patients, the orphan Bridie, Julia and her brother who is a former soldier suffering from shell shock, and the woman doctor whose politics have landed her on the wrong side of the law but who is the only professional help Julia can rely on.
Love and family are to be found in unexpected places. Wonderful twist of an ending – both incredibly sad and infinitely hopeful.
Much like Room, this story is set in one confining location, but here we have different characters coming in at various
This is not a book for the squeamish due to the detailed accounts of what is required to nurse women who are sick and going through childbirth simultaneously. I was amazed at how accomplished Nurse Power was throughout the difficulties that were put in her way.
Donoghue doesn’t shy away from some of the injustices that were common to Ireland of the day, most specifically the way orphans and illegitimate children were treated. Also, how a simple thing to correct, such as a cleft lip, could determine a child’s future right from the moment of the first breath.
I loved the minor characters in the story, such as the orderly who was full of various euphemisms for death. I wasn’t crazy about reading so much about difficult births. I’d be a bit reluctant to recommend this to a young woman for fear it might scare her away from having children!
One thing that did stand out for me were the similarities in the pandemic from 1918 and today. Sad to say, not too much has changed, even though our health care has definitely improved.
Many thanks to NetGalley and Little Brown & Co. for allowing me to read an advance copy and give my honest review.
This is set in Ireland in 1918, during the influenza pandemic. Julia is a nurse in a maternity ward, so we follow her at work for a few days with the flu being a constant threat. Bridie is an orphan (an adult now) who comes to volunteer in the hospital, so Julie and Bridie get to know each
I listened to the audio and thought there was a bit too much detail in the birthing of babies than I like to read/hear about. Ugh! The story was good, but I was a bit disappointed in that the influenza seemed more of a background than the main part of the story, which was the women having babies. There was an author’s note at the end, and I was interested to learn that the woman doctor was the one real person as a character in the book.
This is a timely novel well told by the talented Emma Donoghue. There is also the inclusion of an extraordinary true-life person, Dr. Kathleen Lynn, who was instrumental in the creation of a free clinic and a children's hospital. There are inspiring stories of real and fictional history during this historical period. We all owe so much to the health-care workers on the front lines now, as much was owed to them then.
Their relationship becomes the central focus of the novel. Bridie, who has grown up in the catholic orphanage, gives the author a voice to detail the injustices of that system, while providing the reader with a character not soon forgotten. To nurse Powers, Bridie is "a precious bead winking in a dustbin."
These two also come to know a female doctor named Katherine Lynn, who was in fact a real life Sinn Féin leader who worked to gain Irish independence and promote social reform. Donoghue does an excellent job of combining an interesting retelling of the hardship of the time with the happenstance of what effect one person can have in your life.
Lines from the novel.
Our ground-floor dining rooms had been commandeered as flu wards, so now staff meals were dished up in a windowless square that smelled of furniture polish, porridge, anxiety.
Worn down to the bone. Mother of five by the age of twenty-four, an underfed daughter of underfed generations, white as paper, red-rimmed eyes, flat bosom, fallen arches, twig limbs with veins that were tangles of blue twine. Eileen Devine had walked along a cliff edge all her adult life, and this flu had only tipped her over.
There was a saying I’d heard from several patients that struck a chill into my bones: She doesn’t love him unless she gives him twelve. In other countries, women might take discreet measures to avoid this, but in Ireland, such things were not only illegal but unmentionable.
You know, I always say a nurse is like a spoonful of tea leaves. I couldn’t answer in case my words came out in a roar. A hint of a smile for the punch line: Her strength only shows when she’s in hot water.
I sensed the bone man just outside the door. He’d claimed one small life already before any of us had realised, and now he was hovering close by, doing his rattling dance, swinging his smirking skull like a turnip in his bony fingers.
beg your pardon, Doctor? That’s what influenza means, she said. Influenza delle stelle—the influence of the stars. Medieval Italians thought the illness proved that the heavens were governing their fates, that people were quite literally star-crossed.
She didn’t take offence; she looked back at me. Here’s the thing—they die anyway, from poverty rather than bullets. The way this godforsaken island’s misgoverned, it’s mass murder by degrees. If we continue to stand by, none of us will have clean hands.
Novenas? I repeated. As in nine days of prayer? Bridie nodded. People paid the convent to have them said for special intentions. That flabbergasted me, the notion of children praying on an industrial scale, children so hungry they’d eat glue.
Forced March. Pills supplied to soldiers, or anyone who needs to stay awake and sharp. Powdered kola nuts and cocaine.
The human race settles on terms with every plague in the end, the doctor told her. Or a stalemate, at the least. We somehow muddle along, sharing the earth with every form of life.