Painfully historically accurate. Reminicent of Call the Midwife with murders. 
 Unfortunately, this story was an episode of CSI. Pretty much the same episode flung into a time machine. I don't know which was written first, but if you watch CSI you'll remember this one right away. 
 In spite of it being rather predictable, it was still a great book. The 'hero' isn't much of a hero. The midwife is just trying to make things better for the kids she's delivering. The stories of her patients and families that just don't give a damn will break you to pieces. 
 You end up genuinely liking Sarah and even like Malloy, even though he's rather thick and more than a bit derpy.