The Book of Etta is an interesting follow-up to The Book of the Unnamed Midwife (review), but I didn't wholeheartedly love it. It's incredibly interesting and compelling, but there are ways in which I felt it fell a bit short of its potential. 
 Etta takes place a couple of hundred years after the plague, and it's fascinating to see how written and oral histories capture the time before and the new types of societies that have arisen afterward. The people living at the time of Etta live mostly in isolated settlements, relying on the rare traveler or trader for outside news, mainly ignorant of anything happening in the greater world or really anything outside their own communities' walls. 
 In Nowhere, Etta's home, women are either Midwives or Mothers. While there are far more men than women, the men are subservient, working for the good of the women and living in Hives built around a central woman. The books left by the unnamed midwife have become holy scriptures to the people of Nowhere, and make clear that most surviving women live as slaves, in abusive situations, or in hiding. 
 Nowhere seems ideal in some ways, yet even there, Etta feels stifled. As we learn in The Book of Etta, Etta's gender identity is fluid and she's romantically and sexually attracted to women, and there's really no place in the Nowhere community for someone who doesn't fit the approved roles, even in a woman-centric society. 
 When Etta ventures out into the world in her role as a raider, she changes into male clothing and thinks of herself as Eddy. The author switches pronouns when Etta is Eddy, which is actually a pretty neat narrative trick that requires the reader to pay attention, yet gives us immediate clues about Etta/Eddy's inner life and how she/he views her/his self at any moment. Through Etta/Eddy's eyes, we see just how bad things can get for women. The worst is Estiel (STL = St. Louis), where a tyrant known as the Lion rules by force and terror, holds all females captive for breeding and sex, and raids outlying areas to take any females he can find, including babies and toddlers. Many women are "cut", and many are drugged or beaten into submission as part of the Lion's harem. In other communities, the men and women live separately, with men being allowed into the women's zone for breeding rituals. Young boys may be catamites, castrated and forced into sexual servitude. Each community shows a different aspect of the horrors of the time. Through Etta/Eddy's journey, we see what may be a hopeless yearning to find a place where labels and rigidly assigned roles are a thing of the past. 
 The plot is fast-paced and hard to look away from. And yet, there are certain things that made this book not quite successful for me. The Etta/Eddy distinction is interesting, but we end up spending too much time in Etta's head, often to the detriment of the story's continuity. It's not entirely clear to me why Nowhere's society would frown on relationships between women the way it does, other than a need to show that even a matriarchal power structure contains its own restrictions and limitations. A segment later in the book centers on a community that it literally underground, living in a series of tunnels and bunkers completely hidden below the earth. It's quite interesting, but certain aspects of that society -- its abundant fertility and the role of its leader and prophet -- need more explanation, especially as Alma (the prophet) seems to have abilities that verge on the magical, an odd choice in a dystopian novel. 
 There are some truly horrifying scenes of abuse and rape. This is not an easy or pleasant book. I was reminded in some parts of Octavia Butler's outstanding (and brutal) books, The Parable of the Sower and The Parable of the Talents. 
 The Book of Etta has an open ending, as one chapter of Etta's world ends and the next has yet to be written. The author is working on book 3, The Book of Flora, which I'm very much looking forward to, as Flora is a fascinating and complex character who enters Etta's life in this book, and clearly has her own story to be told. 
 All in all, I'm glad that I read The Book of Etta and plan to continue with the trilogy, even though the writing verges on being preachy from time to time. It's still an interesting look at a terrible vision of the future, and provides some thought-provoking scenarios about gender and identity. 
 Review copy courtesy of the publisher via NetGalley. This review also appears at Bookshelf Fantasies.