It’s a brave choice for Pamela Erens to write her third novel about a birth. Shining the spotlight on two women—one in labor, the other her pregnant nurse—during this passage feels almost subversive. Birth is rarely the main event of a book—it’s something that happens to a character or an entry point. But what a gorgeous book this is, dramatically taut, emotionally wrenching, the prose crystalline. It satisfies the reader as an entire universe in the space of a few hours and a rocking story as well. Perhaps that’s the most surprising thing: this novel keeps you turning pages. We don’t tend to think of labor as driving, propulsive, and yet the story reads more like a thriller than anything I’ve recently read.

It’s also a deeply feminine book. Where many novels are concerned with a Hero’s Journey, complete with tasks and dragons and epiphanies, Eleven Hours is a poster child for The Heroine’s Journey. The birth in a hospital provides the time and place but, beyond that, there is web-like interconnectivity between Lore, who is having her child, and Franckline, the Haitian maternity nurse assigned to her. Though these women are so different, socio-economically and culturally, they share their experience of men and pain and transition. Their relationship accrues in a very female way as time goes on and Franckline helps Lore navigate the peaks and swoops and plateaus of her labor.