From the Hugo award-winning author Naomi Kritzer comes a tense portrait of a future we desperately hope to escape.
O Lord, deliver us.
Doctor Liz has just been acquitted for performing the last abortion in North Dakota when she's kidnapped.
They're not just any kidnappers, but a fundamentalist cult, deep in the rural west, without respect for law or decency, and in desperate need of an OB/GYN.
Guarded, isolated, without access to the outside world, Liz nevertheless is treated with respect as the only doctor on the compound, but she is very aware of what happened to the last obstetrician they kidnapped.
She must escape, and bring help to the girls trapped at the compound, if it's the last thing she does.
A fast-moving feminist thriller, in which an obstetrician is kidnapped by a violently patriarchal extremist christian cult somewhere in nowhere USA and forced to provide midwifery and medical help for their (many) pregnant women. Great atmosphere of surveillance and fear, and a very realistic depiction of how a normal person would react in the circumstances, which is to say, if you are expecting the heroine to go Jackie Reacher on the cultists, you will be disappointed. Rather, it builds a horrifying high-tension picture of the heroine's helplessness and desperation to escape, along with her sense of obligation to her patients, and an awful feeling of not knowing who to trust or help. Compelling reading that feels all too plausible in the current climate.
I had an ARC from the publisher (which is also my publisher).
** I received an advance digital copy from the publisher, because I am a librarian and librarians are awesome **
While the publisher bills this as near-future science fiction, the "science" aspect is that the narrator is a physician, and the "future" (where an OB/GYN is prosecuted for her role in terminating a viable pregnancy) basically feels like it could happen any second, so, yeah.
I found myself flying through the story, though, because it has many features that I like in a book, among them: natural childbirth, cults, and a premise ripped from true crime.
While the ending felt like it wrapped up too quickly, and absolutely nothing can compare to Candace Fleming's Death in the Jungle when it comes to capturing the insidious creep of a cult's control over its members (like falling in love John Green style - slowly, then all at once), the story was realistic enough and entertaining enough. This is a case of appreciating what it is, even if I probably would have enjoyed a novel-length version with rotating POVs even more for its ability to ratchet up the tension and stakes.
Another typically fresh and fantastic novella from Tor, and from Naomi Kritzer, author of the delightful Catfishing on CatNet!
I read this 200-ish-page treat in basically one sitting. I relished the voice and thought process of Dr. Liz, the pragmatic and straightforward but compassionate (and fantasy literature-loving) obstetrician who finds herself mysteriously stuck in the rural compound of the cult-like group Harvest during a time when obstetricians are in short regional supply due to increasing hardship and pressure for medical professionals in that line of work - as Dr. Liz has already discovered all too well.
This moving and suspenseful little story read like a mix of Big Love, The Handmaid’s Tale, and Call the Midwife. In some ways - and especially in their shared ability to find calmness and inspiration through escapism into a fantasy narrative - Dr. Liz reminded me of another favorite Tor character who is also beloved for their keen-eyed observations and askance assessments of the humankind around them: that’s right, Murderbot! The book should also appeal to fans of Tor luminary Sarah Gailey. And is not the cover striking?
I’m not sure that Tor ever commits a misstep, and they certainly haven’t done so with this one. Obstetrix is due on June 9, 2026. Big thanks to Tor Publishing Group, NetGalley, and the author for the ARC!
I finished this book (edit: this is considered a novella!) in one, four-hour sitting. It was a fast paced thriller about an obstetrician that was kidnapped by a religious cult to help the often very young women (and children) deliver babies. Naturally it had strong feminist themes, but also presented really interesting moral/philosophical debates within the main character that made me consider what I would do in a similar situation.
It is everything I hoped for when I requested this ARC, if anything I wished it was a little longer. I would have loved more character development from some secondary characters, like Bethany’s parents, or backstory about Pastor John and the development of the compound (although, I think we can assume, these types of cults are all essentially a copy-paste). The ending came fast, but I loved it.
A free ARC was provided through NetGalley and Tor publishing exchange for an honest review.
This novella/short book went by so fast I was left wanting so much more! I wish there had been a little more depth and character development, but the premise for the story was interesting and it’s hard to go very deep in a novella.
I really enjoyed the story overall though. It feels very timely and very likely to happen, if it isn’t already. I think fans of Neal Shusterman’s Unwind series would enjoy this book and I would recommend it to teens and young adults. This might also be a great book for adults who are learning to read since it has adult topics but isn’t too long.
Many thanks to the author, publisher, and Edelweiss for providing this advanced readers copy for free for review.
It's not often that I immediately turn around a review after finishing a book, but sometimes you read something incredibly special and know you're going to be hearing a lot about it coming up and want to be part of hyping it up. Takes place in a near future where we are still living in the aftermath of Roe v Wade calling, and our main, Liz, is an ob/gyn who was just acquited for performing the last abortion in North Dakota. She's kidnapped by a fundamentalist cult with the lure of a job interview in Minnesota to be their doctor. We get a hell of a tale of how she survives, the things she witnesses, how she tries to prevent harm as best she can in a place where fourteen year old girls are married to forty year olds with the expectation of rapid and frequent childbirth, and how the power of stories gives hope and shared power in a patriarchal nightmare cult. This comes out in June, but preorder it now, and enjoy the summer treat.
This was a really good read from start to finish, as is the usual with Naomi Kritzer’s books no matter the subject matter. There were so many small details that gave the story a face no matter how central any particular characters were, and I couldn’t help but be invested in every plot point no matter how small. The narrative also makes the cult seem like a parallel for rigid gender roles overall, with details such as the myriad of ways that the cult seems to only care about healthcare when it extends to pregnancy, that have an effect on their whole society.
Super compelling near future story about an obstetrician having to figure out ethical choices in a life-and-death situation. I only read this in two sittings rather than one because I read the first chapter far too late at night, after being unable to resist starting it the second I found the e-ARC invite in my email. Definitely has the moreish thing I need from books.
It was intense and good and as horrific stories go, it really made me feel quite bolstered and like we will manage things together somehow despite all of the awful going on. I liked several of the characters a lot, and appreciated the nuance given to others whom I really disliked. The story was so clear and so involving, while staying grounded in what the narrator reasonably could know or work out. The narrator was someone I cared about a lot.
I also liked the metatextuality and bookishness going on, it helped me to stay with the story and made me really appreciate how well balanced everything was, so that it stayed gripping and horrible with thriller pacing, without falling into either of the common fail-for-maribou grim-thriller modes of "overwhelming, too much, too graphic" or "insufficiently realistic, insufficiently grim, why is this dystopic cult so twee". not at ALL twee, very realistic including in the mundane good bits about it. loved it.
Highly recommend reading it when it comes out in June.
CN: complicity, moral injury, other trauma stuff, spoiler: , obstetric complications, other medical things described in detail, realistic and upsetting near-future US politics, realistic depiction of religious abuse and coercive control
Wow, I want to shout from the rooftops about this book. I want to buy a copy for all the women in my life. I want to read it again immediately. I read it in one sitting and enjoyed every minute.
Naomi Kritzer has written a wonderful fast paced thriller about an OB/GYN in the Northern USA who’s abducted by a cult and forced to provide care for the many women who are pregnant in their isolated compound. The story raises many thought provoking ideas such as the level of care she owes these people. And in order to escape, would she, as a doctor, be capable of shooting someone?
But beyond thinking of escape, there is the boredom. Treating a group of 100 fairly healthy adults and their children isn’t overly taxing. The compound has one bible kept under lock and key and no other books. At night our protagonist Liz longs for a story that takes her outside her current situation. She longs for written words. These are the most poignant bits of the story. I want to write more about the plot and how much I loved it, but I also want to avoid any spoilers & because you should read it instead.
I realized while reading Obstetrix that my eyes were leaking. Which then turned to tears and by the end of the novel I was fully weeping. A beautiful little story.
I heard about this book because the author KJ Charles wrote a review for it way back in November. The book doesn’t publish until June, but I hope it gets the buzz it deserves. A huge thank you to NetGalley and the publisher for the ARC.
Thank you to TOR and Netgalley for providing this advanced copy!
As miserable as it is that our current political landscape makes this book plausible, I could have read like 600 more pages of this.
Obstetrix is a tense novella detailing the experience of a doctor who is kidnapped by religious fundamentalists to work as the only medical provider on their compound. Kritzer writes from the extremely engaging POV of a main character who handles her situation much, much better than I could in her shoes. Dr. Liz's determination to survive and escape is really well foiled by her moral drive to care for the women and children around her, regardless of the fact that she isn't there willingly.
The atmosphere of the cult's remote compound is another bright light of the book--it doesn't need to be driven home to readers over and over again that they're in the middle of nowhere. It makes the feeling of constant surveillance and the riskiness of trusting the intentions of the women around Liz really effective.
I'm not sure how I feel about this book being billed as "near-future science fiction". It's almost a little too grounded in its bleakness for me to associate it with the far-flung realm of science fiction. I feel like we're gonna read about a heath care provider getting arrested for performing an abortion, like, tomorrow. (Will they then be acquitted just in time to be taken against their will by a small-scale Gilead? Probably not, but you know what I mean.)
4.5 stars rounded down. This was SO good. It is short but doesn’t feel short because so much happens, and it is incredibly well written.
An obstetrician in the not-too-distant-future lives in a world where OBs have left a number of states because of restriction on their professions when it comes to ending pregnancies. And yes, this feels predictive and terrifying.
Liz was put on trial for saving the life of a mother by terminating her pregnancy and though she was acquitted, she was without a job (she was the last remaining OB in North Dakota) despite moving to a state with more opportunities. That’s why she was receptive to a phone call inviting her to work for a midwife office as a backup OB.
I won’t summarize this here and you can read the description, but what follows is wild. The setting is so clearly described you can picture where she is and you can hear and see the people she is with and you feel her pain and fear and hopelessness. You also feel her hopefulness. And her despair.
And the moments of good, particularly the connection amongst those who might feel the way she does.
Half star deducted only because I felt like I needed more details about this near-future world where obstetricians left a number of states.
Thank you Tor Publishing Group and NetGalley for an advanced copy in exchange for my honest review.
3.5 (rounded to 4 on platforms that don’t have 1/2 ratings)
The premise of this book is what immediately pulled me in, an obstetrician kidnapped and forced to serve as the doctor for a cult? That’s an idea with so much potential, and I went in expecting to be completely hooked.
Overall, I did enjoy this one, but it never quite went as deep as I was hoping. The story didn’t grab me as quickly as I expected, and I didn’t really get that “I need to know what happens next” feeling until around the 80% mark. A lot of the tension felt delayed, which made the pacing a bit uneven for me.
There were also moments that felt repetitive, particularly the constant reminders that she was trapped with a cult, we already know, and I would have loved that space to be used for more character development instead. The medical jargon, while understandable given the main character’s profession, felt excessive at times. I would’ve preferred learning more about the people and the cult itself rather than getting so much technical detail.
That said, by the end I was invested, and I do think the concept is a strong one. With a little more depth, tighter pacing, and more focus on the characters, this could have been a standout for me. As it is, it was a solid, interesting read ,just one that didn’t quite fully deliver on what I was looking for.
Obestetrix follows Liz after she’s kidnapped by a fundamentalist cult in desperate need of an OB/GYN. Liz is desperate to escape, but she must carefully plan as they murdered their last obstetrician they kidnapped. But no matter what, she’s going to get out and help the girls trapped at the compound if it’s the last thing she does.
This was a really good thriller/horror. I found it super easy to engage with and found the plot to be very fast-paced. The cult is so terrifying and I loved the look at body autonomy and grooming. It’s horrifying because it very much felt like it could exist today or tomorrow. Women are treated so poorly in the cult and the author made it so easy to empathize with them. I really enjoyed the writing style too and definitely want to read more from this author.
I really enjoyed Liz as a protagonist. She’s determined and intelligent and made very smart, calculated decisions. She felt really realistic and had to much care and kindness for her patients. She was so easy to root for and I loved how her story ended.
If you love books about cults that discuss women’s bodily autonomy, I’d definitely recommend it! Thank you to Tor and Netgalley for the arc!
This short novel packs a great punch. At just over 200 pages this book gets right to the point..
The protagonist, Dr. Liz Gwinn is an Obstetrician who performed a banned abortion in North Dakota was acquitted on the charges. But Dr. Gwinn finds herself looking for focus and a job after the ordeal.
Just pages into the novella, Dr. Gwinn is kidnapped by a religious cult who needs an OB/GYN to serve the women in its compound.
What follows is a chilling story of fundamentalists keeping Dr. Gwinn captive. On the surface this story is a kidnapping thriller story. But deeper in it is a look into a horrific dystopian future, a look at body autonomy (or lack there of) and resistance. This book explores grooming, lack of choice and purpose. Women are regarded as second class humans and Liz isn’t having any of that for her, or some of the women she meets during her imprisonment.
As mentioned, this is a short book, it wastes little time and tells a compact story of a heroine.
Thanks to Netgalley, Naomi Kritzer and Tor Dot Com for the review ecopy. Thanks for printing books on important topics, Tor!
Thank you to Tordotcom and Netgalley for this advanced copy.
This was definitely a page turner! Liz is an OBGYN and is desperately looking for a job after a controversial public trial made it hard for any company to want to hire her. She accepts an impromptu interview, and it turns out to be a big mistake. Kidnapped, and being forced to be a doctor/obgyn for an extremist religious cult, she has no idea where she is or if anyone is even looking for her.
I thought this was very well written. I had read somewhere that this was Waco meets Gilead in a story, and I couldn't describe it any better. The author did a great job portraying it in a quick easy to read way, while giving us the suspense and twists that we would expect in a plot like this. I actually was impressed at how this was a shorter book, and it felt like a very complete story without it needing to be any longer. I loved Liz's character. She was calm, composed and smart about what she needed to do. While taking necessary risks at the same time. Cue the suspense!! The author did a good job describing what the compound and the people were like, it felt very easy to picture it all. I had a great time reading this.
Obstetrix is a short, fast-paced, fictional account of an average modern-day OBGYN who, after a lengthy trial regarding her agreement to terminate a patient’s pregnancy due to life-threatening complications, finds herself kidnapped by a fundamentalist Christofascist colony in need of her obstetric services for their isolated compound.
Unfortunately for me, this book turned out to be very different from what I was expecting. The pacing allows for very little breathing room, and the prose gets quite clunky and repetitive for such a short work. It is also, for some reason, categorized (in some places but not others) as “science fiction”… which it most certainly is not.
Speculative fiction it is indeed though, and if you’re looking for a flashbang contemporary medical thriller that examines themes of coercion, medical ethics, and bodily autonomy through the lens of gender and politico-theological ideology, then this is the book for you. With a witty title to boot!
I think I would’ve enjoyed Obstetrix more if it had been a more long-format, slow-burn speculative medical thriller with more unique or artful prose, but I’m glad to see it’s resonating so strongly with other early reviewers! Many thanks to NetGalley and TOR Publishing for this ARC.
I flew through reading Obstetrix! The story follows an OBGYN who is searching for work after getting prosecuted in a state with anti-abortion laws. She’s goes to a job interview, and what unfolds at her new “job” at a cult left me turning the page to see what would happen next.
Unfortunately for our world, I could see something like this happening in cult groups that I’m sure exist across remote America. The questions at the center of this story is the same question at the heart of women’s health care- what happens when a woman is not allowed to choose for herself? Why are so may people complicit in stripping away other people’s rights? Who can be trusted?
I loved that the protagonist is a menopausal woman-so many stories in this genre are about people in their teens or twenties. I also loved how some of the women worked to help other women.
I definitely recommend Obstetrix- it’s a quick, fast-paced read that absolutely touches on issues that exist in our current, real world.
Thanks to NetGalley for an ARC in exchange for an honest review.
Lizzie, an OBGYN physician gets kidnapped by a cult to be the only person that can provide medical help in the cult’s compound. With a setting like this, I was expecting some horror elements, or the cult to be really messed up (other than sounding like every other fundamentalist Christian cult), or to be some sort of plot twist (the cult was a breeding ground for aliens!). However, the plot is as straightforward as it sounds. Lizzie tries to find ways to escape. The cult doesn’t educate its children. Misogyny runs rampant. There’s nothing different or interesting about this book as a fiction book. If it were a memoir, it would perhaps be a harrowing tale but considering it’s fiction, it’s just so tame. There’s no deeper commentary than “cult bad”. There’s a straightforward plot and a happy ending. The book was fast paced which made it a quick read but I wouldn’t really recommend it to anyone as it’s just so simple.
Thank you to NetGalley for providing me with this ARC.
Liz is an obstetric doctor who is going through a tough time and is looking for a new job in her field of work. She gets offered an interview out of the blue. She gets kidnapped and is forced to care for the pregnant women at a compound cult-like ranch. Liz tries to help the women, but also how to get them to safety. The ending felt a bit unrealistic and then it ended with a lot of loose ends. It seemed it could’ve used another chapter or epilogue. The writing was good and I was invested in the story and the characters. I do recommend this book if you’re looking for a quick read that involves women’s rights. If you’re sensitive to triggers then I’d recommend checking trigger warnings.
Thank you, NetGalley and Tor Publishing Group for allowing me to read this early. The opinion in this review is my own.
A long novella or very short novel, set in the very near future. (It's almost unnoticeable.) Dr. Elizabeth Gwinn is an obstetrician who was prosecuted--and acquitted--over a medically necessary abortion. She moved from North Dakota to Minnesota and is looking for a new job. A last-minute job interview leads to an abduction. She finds herself in an isolated cult compound...somewhere. The cult badly needs a doctor, specifically an obstetrician, and the last one didn't work out. As each day and week brings new horrifying realizations, she tries desperately to keep her sanity and find a way out.
Great characterizations and a gripping story.
I received a free copy of this book in exchange for an honest review.
Kritzer has a knack for extremely compelling stories that make me tear up a little. 5 minutes into the future, with all the haunting plausibility you should expect if you've read CatNet or Liberty's Daughter.
I started Obstetrix this morning at work. I finished it before I clocked out, and already told a friend I'd be reminding her to pick it up on release.
(and by sheer coincidence, I got home to write this up and this same day, an asshole (ICE) in Minnesota made the news. Hope you're safe, Naomi, and I know you'll be out protesting.)
Thank you NetGalley for the ARC, I'm so glad I got to read this and give it a boost, so maybe more folks will pick it up. (be careful about content warnings, though; it may be short but it's not light.)
Um, WOW. This was such a uniquely thrilling story! I especially appreciated this because of my medical background and of course being a mom. This tells the story of an OBGYN kidnapping and her being held hostage at a religious cult. The women in the cult are arranged to be married young and reproduction is highly encouraged, therefore the OBGYN Dr. Liz has her work cut out for her. You see the corruption within as well as the creation of an escape plan. The men keep a close eye on the members and Dr. Liz struggles to find someone to trust. She uses her skillset to deliver babies and keep the women as safe as possible all while trying to escape. It will have you on the edge of your seat the entire time!
Thank you to Tor Publishing Group for providing this ARC for review purposes!
[They] want to believe that this could never happen to them, and that means they need a reason to believe that what happened to me was because I was a bad doctor.
A sharply engaging thriller. Kritzer is able to say a lot with few words, and somehow write characters who combine intense emotion with a grounding sobriety that makes everything feel real. The latter reminds me of Greg Egan’s work (e.g., Vouch for Me) and Elizabeth Bear’s A Time to Reap, both of which I would favorably compare this story to.
I really enjoyed this short story (I think it was only about 150 pages, maybe a little less). I finished it so quickly. I did it in two sittings, but I'm sure it could easily be done in one.
This really did feel like an episode of Criminal Minds!
This follows an OBGYN who gets abducted by a cult to help them deliver the bajillion babies they have.
I don't want to say anything else because that would lean into spoiler territory. Just know that I had a fun time with this! And it wouldn't surprise me if something like this has actually happened in real life.
Thanks to NetGalley for the e-ARC of this book in exchange for my honest review!
I loved the premise of this story - an OBGYN being kidnapped to work for a religious cult. I enjoyed the main character, Dr. Liz and felt pulled into her experience with every plot point. I rated this book 3 stars because it left me wanting more. The major events felt rushed and under developed. It was like I was spoon fed what was going to happen next instead of letting the tension build. Additionally details about the compound and silent acts of rebellion by those wanting freedom would have made it more cohesive. I’m glad I read it and I am grateful to the publisher for providing me an advanced readers copy in exchange for an honest review.
Elizabeth is an OBGYN at the heart of a lawsuit after performing a medically necessary abortion. Her hunt for a new job ends when she is kidnapped by a cult and taken to be their in house doctor. Isolated in the wilderness, she must find a way to get free and also free the young girls and women the cult has indoctrinated.
This was just okay. The premise had me hooked. Cults fascinate me and I was immediately intrigued by the summary. In truth, it felt like the whole cult was not fleshed out enough, and the story needed to be longer. Who were these other members? Where had they come from? How did it all begin? I needed a lot more backstory. The ending also felt much too convenient. Overall, 2.5 stars.
Thank you NetGalley and Tor Publishing for the ARC in exchange for an honest review.
Whew kidnapping, religious cults, useless FBI and a kick-ass dad. This book was a trip. I didn't find it too thrilling to be quite honest and found it quite slow-paced for how short the book is. That being said, the writing was great, the characterization was amazing, and the medical aspects were accurate. As a nursing student I loved reading the medical aspect of the book and I really did find this to be a unique addition to the kidnapping thriller genre. The ending did seem a little farfetched but i still enjoyed it, nonetheless. Highly recommend.
I really enjoyed this book, it was a quick thriller that I didn't want to put down. The author realistically depicted the tension that exists in society between people's desire for community and the lengths they will go to cling to their proximity to power. I'm curious why the publishers are marketing this book as science fiction or dystopian, the story felt like it was set in present day and was accurate to the current situation in the United States - North Dakota does have a total abortion ban with limited exceptions and there do exist fundamentalist groups who live off the grid. I was left curious what happens next to the characters and rooting for them!
I want to thank NetGalley for the ARC of this book. It’s a gripping thriller that touches on health care issues currently happening across the US. I actually wish that had been a more prominent issue in the book as it would have added to the drama. As it is, we have a likable main character put into a dangerous situation and we follow her through that. There is almost a sub-plot focusing on and pushing literature and being well read, but it falls short of the goal. Overall, I enjoyed the book and will give the author another read with her next book.
this fast-paced, not so far fetched novella was a treat! an ob/gyn who was recently prosecuted for performing an abortion is kidnapped by cult members and taken to a remote location to be their new “in house” doctor. religious cult madness mixed with medical experiences combined with the anxiety of being kidnapped(!) made for a wild ride. i didn’t want to close my kindle until the book was done!
thank you to tor publishing group for providing this book for review consideration via netgalley. all opinions are my own.