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Hope River Books in Order

Part ofPatricia Harman Books in Order

Discover the Hope River series by Patricia Harman, with books in order, story summaries, historical setting notes, and simple guidance on the best place to start.

Last updated: January 13, 2026

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Publication Order

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4 books

1

A Midwife's Song: Oh, Freedom!

by Patricia Harman

2019

Set in 1956, A Midwife's Song finds Patience Hester and Bitsy Cross juggling troubled young adult children, changing childbirth practices, and rising civil rights protests in their West Virginia town. Mysterious journals from an elder midwife who escaped slavery pull past and present together.

2

Once a Midwife

by Patricia Harman

2018

Once a Midwife returns to Hope River on the eve of World War Two, as trusted midwife Patience Hester faces rationing, anxious mothers, and the fallout from her husband Daniel's decision not to serve. When his pacifism brings prison and suspicion, she must keep both family and practice alive.

3

The Reluctant Midwife

by Patricia Harman

2015

In Depression era West Virginia, nurse Becky Myers returns to Hope River with her former employer, Dr Isaac Blum, now shattered and silent. Uneasy with childbirth, Becky leans on midwife Patience Murphy while shortages, forest fires, and hard choices force her to grow into a new kind of courage.

4

The Midwife of Hope River

by Patricia Harman

2012

Set in the early nineteen thirties, The Midwife of Hope River follows Patience Murphy, a midwife with a guarded past who delivers babies for poor families in rural West Virginia. As she befriends a black apprentice and a widowed veterinarian, she must face prejudice, mine disasters, and her own secrets.

Series background & context

The Hope River novels follow a loose circle of midwives, nurses, and families in a small Appalachian town from the stock market crash through the civil rights era. Each book stands on its own, but together they trace how one community weathers poverty, war, prejudice, and social change while babies keep arriving and neighbors keep showing up for each other.

The series opens with The Midwife of Hope River, set in the early nineteen thirties. Patience Murphy arrives in rural West Virginia carrying a hidden past and a battered birth bag, and soon finds herself the only midwife many local families can afford. She travels rutted roads to deliver babies for both black and white mothers, accepts payment in chickens or flour when money has vanished, and crosses paths with union organizers, coal miners, and the local Ku Klux Klan chapter.

In The Reluctant Midwife the focus shifts to Nurse Becky Myers, who returns to Hope River at the height of the Great Depression with her former employer, Dr Isaac Blum, now withdrawn and unable to care for himself. Becky is much more comfortable with thermometers and bandages than with catching babies, but Patience, now married and pregnant, needs her help. As forest fires rage near a Civilian Conservation Corps camp and jobs dry up, Becky is pushed to take risks for patients, friends, and a doctor she is not sure she even likes.

Once the economy starts to recover, the world marches into another crisis. Once a Midwife finds Patience Hester juggling a busy practice and four children on the eve of United States entry into the Second World War. Her husband, Daniel, is a veteran of the previous war and a committed pacifist, and when he refuses to serve again the family faces suspicion from neighbors and harsh treatment from the government. The novel follows Patience as she fights for Daniel's freedom, keeps the clinic open, and tries to raise children who understand both courage and conscience.

A Midwife's Song: Oh, Freedom! moves the story into nineteen fifty six, when the civil rights movement is gaining momentum and a new hospital promises painless childbirth that pushes home birth midwives to the margins. Patience and her partner Bitsy are navigating troubled young adult children, the return of a son wounded in Korea, and their own worries about what modern medicine means for their calling. At the same time, anonymous deliveries of old journals from Grace Potts, a long ago midwife who escaped slavery, connect their work to deeper currents of resistance and hope.

Across all four books, Harman ties big historical moments to small rooms and kitchen tables. Births, illnesses, and everyday chores sit alongside mine disasters, labor unrest, wartime rationing, and protest marches. The tone is warm and steady rather than sentimental, with plenty of humor, stubborn arguments, and long friendships to balance the hard scenes. Readers who like to watch characters grow over time will find the Hope River novels especially rewarding if they start at the beginning and follow Patience, Bitsy, Becky, and the town from one volume to the next.

Edited by

Richard Reis

Software engineer whose passion for tracking book recommendations from podcasts inspired the creation of MRB.

Anurag Ramdasan

Lead investor at 3one4 Capital whose startup expertise and love for books helped shaped MRB and its growth.

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All 4 Hope River Books in Order (Complete List 2026)