Worth gained her midwife training in the 1950s among an Anglican order of nuns dedicated to ensuring safer childbirth for the poor living amid the Docklands slums on the East End of London. Her engaging memoir retraces those early years caring for the indigent and unfortunate during the pinched postwar era in London, when health care was nearly nonexistent, antibiotics brand-new, sanitary facilities rare, contraception unreliable and families with 13 or more children the norm.