Kate’s Review: “Delicate Condition”

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Book: “Delicate Condition” by Danielle Valentine

Publishing Info: Sourcebooks Landmark, August 2023

Where Did I Get This Book: I received and ARC from the publisher.

Where You Can Get This Book: WorldCat.org | Amazon | Indiebound

Book Description: Anna Alcott is desperate to be pregnant. But as she tries to balance her increasingly public life with a grueling IVF journey, she starts to suspect that someone is going to great lengths to make sure her pregnancy never happens. Crucial medicines are lost. Appointments get swapped without her knowledge. And even when she finally manages to get pregnant, not even her husband is willing to believe that someone’s playing a twisted game with her.

When the increasingly cryptic threats drive her out of her Brooklyn brownstone and into hiding in the cold, gray ghost town that is the Hamptons in the depths of winter, Anna is almost at the end of her rope.

Then her doctor tells her she’s had a miscarriage—except Anna’s convinced she’s still pregnant, despite everything the grave-faced men around her claim. Could it be that her mind is playing tricks on her? Or is something more sinister at play? As her symptoms become ever more horrifying and the sense of danger ever more present, Anna can’t help but wonder what exactly she’s carrying inside of her…and why no one will listen when she says something is horribly, painfully wrong.

Review: Thank you to Sourcebooks Landmark for sending me an ARC of this novel!

Perhaps you have noticed, readers, that we are getting a fair amount of horror books centered around pregnancy and motherhood as of late. Which shouldn’t come as a shock to any well versed and in touch horror reader, given that horror trends tend to like to tap into social anxieties that are going on at the time. And seeing as reproductive rights have been getting struck down and attacked in the United States ever since Roe v Wade fell, it’s just par for the course, anxiety wise. “Delicate Condition” by Danielle Valentine is the newest entry to this sub genre, and it already has a bit of hype going in because it is going to be the inspiration for the new “American Horror Story” season coming out later this year. With all these things swirling around in my mind, I dove into this book, eager to see the directions it went. And I really, really loved it.

“Delicate Condition” has gotten a lot of comparisons to “Rosemary’s Baby”, one of the earliest pregnancy horror tales that really captured the mainstream consciousness, but it tweaks and twists it into something far more powerful. There are so many themes that Valentine addresses when it comes to pregnancy, reproduction, motherhood, and misogyny that on paper it would seem like too much to have to juggle. But it is all done so well. We have Anna, an actress in her late thirties whose career has just had a massive windfall right when she is trying to start a family with her husband Dex, and who has been unable to get pregnant thus far and has started IVF treatments. Already we have so much to work with. For one, we have the woman who wants to have a career and is proud of it but now wants to have a family as well, and feels torn between two desires that seem to compete with each other. We also have the frustrations and heartbreak of infertility that has no explanation, and pregnancy loss, and the stresses and trauma around that. We ALSO have the themes of how the medical field can feel somewhat dismissive and callous when it comes to Anna and her infertility (with notes and acknowledgements that it is even worse for BIPOC women and non gender conforming people), and then her actual pregnancy struggles (more on that in a bit), with her doctors being condescending at times and at other times straight up rude or hostile. On top of all of THAT, Anna is also possibly contending with a stalker, and as that starts to ramp up and even seemingly focus on her pregnancy, her fear is written off as stress or paranoia or hormones by most everyone around her. It captures the real life horrors of the way that people treat and view women, be they pregnant or trying to become pregnant or already mothers, and it made my blood boil.

And then there are the more, shall we say, supernatural horrors of Anna’s pregnancy in this story. Early in her pregnancy Anna seems to have a miscarriage, but as time goes on something is still growing inside of her. Her doctors are unwilling to believe that this is anything outside of a hysterical pregnancy at first, but as time goes on she is clearly pregnant, though her symptoms go from run of the mill to extreme nightmare fuel. I loved how Valentine tackled this, as all of the things that Anna experiences, like hair loss, and skin issues, and pain, these are all things that do actually happen to pregnant women, just to the nth degree. And as these things happen, once again they are dismissed as just normal things an she is basically told to take a Tylenol and drink some water. Even as someone is clearly following her. Even as she is having visions of talons trying to cut through her body. It’s exaggerated, but again, boy does it reflect the actual horrors of pregnancy. I was especially sympathetic to all of the ‘just take Tylenol and rest’ bits, given that early in my own pregnancy (which was generally pretty uncomplicated and easy) I had such bad cramping that I called the generic nurses line and was just told to take a Tylenol and drink more water. I ended up fainting from the pain. It all turned out fine, but in that moment being told to just drink more water and take a painkiller that did NOTHING was stressful and confusing. So as I was reading all of these things that are depicted as a body horror tale, knowing FULL WELL that a lot of it is really something that pregnant people deal with, even if it’s to a less degree, I was just super, super impressed.

And finally, there is also the way that Valentine brings together a broader story of other women throughout the centuries who are dealing with a similar thing that Anna is dealing with. We get cut scenes and vignettes of women who are pregnant, or have just given birth, or are trying to become pregnant, who are having the same weird encounters, visions, experiences, and horrors that Anna is encountering. It’s all pretty vague and mysterious, but it is done in a way that when Valentine does eventually weave it all together, it fits so well that I just blew my mind. I’m not going to spoil anything here because I just loved the execution and I loved the ultimate reveal as to what exactly is happening. What I will say is while “Rosemary’s Baby” is an obvious comparison that people will know, there is so much more going on, and not everything is as obvious as it seems.

I really loved “Delicate Condition”. It’s another great pregnancy and motherhood related horror tale that cuts to the bone.

Rating 10: A feminist reimagining of “Rosemary’s Baby” themes with a lot of bones to pick with those who discount the experiences of pregnant people, “Delicate Condition” is a perfect read to reflect the horrors of pregnancy, and the culture that touts it as uncomplicated while ignoring its darkness.

Reader’s Advisory:

“Delicate Condition” is new and isn’t included on any Goodreads lists of of now. But if you liked “Graveyard of Lost Children” or “Rosemary’s Baby” this would probably be a good book for you.