The Book of the Unnamed Midwife by Meg Elison. Published by 47 North

A sickness has swept the planet killing most of the women and children. Now men have reverted to brutal packs looking to imprison and enslave the few women left alone. Those women are doing their best to hide and stay alive. One of them used to be a midwife, but now she disguises herself as a man, trying to keep away from others. She knows she needs to survive, she feels it, because humanity must go on. A brutal post apocalyptic novel for those who loved Station Eleven.

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