Book Review: Baby X by Rebecca Ann Smith #rbrt #medical thriller

Baby XBaby X by Rebecca Ann Smith is a work of science fiction…or is it? The story is built around the ethical and human considerations of growing a baby (embryo, then fetus) ex utero – that is, in an artificial uterus in a laboratory. Scientifically, we are almost at the point of being able to do this, so what are the concerns?

The story is told in first person from different viewpoints: Alex Mansfield, the physician and scientist overseeing the entire operation, from conception to implantation to growth; Karen Frey, the woman, who for genetic reasons is unable to bear a child, and who chooses to have a donor egg fertilized by her husband’s sperm and grown ex utero; and Dolly, Samantha McFarlane, who takes the position of laboratory assistant in Dr. Mansfield’s lab and thus observes the motivations and emotions of both her supervisor and the patient.

Having these three viewpoints is essential to understand the complicated motivations of each woman and added a depth to the story. What I had difficulty with was the timeline: the story jumped forward and back. I think it would have been better written in a linear fashion, since the changes in point of view, coupled with the jumps in time line, led to some initial confusion on my part.

An element of surprise is given away at the very beginning – Dr. Mansfield births and kidnaps the baby boy, named Baby X, and goes on the run. This grabs the reader and the how and why of it develops through the rest of the story. I think using this as an introduction is fine, as long as the remainder of the story proceeded in a straightforward fashion.

The author does a bang up job combining the science and medical ethics of the various techniques available to help childless couples, and since I myself went through a round of in vitro fertilization, I could feel Karen’s pain and sense of worthlessness. Her husband, Robert, came across as a cypher, in that he initially agreed to everything having to do with Karen’s decision to try IVG (in vitro gestation), only to reject his wife and her feelings after the event. This struck me as off, but it’s certainly the author’s choice in developing her characters! There was no discussion of adoption (something that was considered in passing later on), which is usually something childless couples discuss at the outset of their decision-making.

The mystery comes with the involvement of scientist with a questionable past in Alex’s life – what is his motivation and is he trying to harm the baby? Why is Alex experiencing changes in her physiology? Through it all, we get the thoughtful observations of Dolly, who is being questioned about the process and the people involved via a Public Inquiry. Despite the furor generated by the media, she remains close to and supportive of Alex, all the while questioning the ethics and ramifications of IVG.

This book explores the maternal instinct from any mangles, along with its challenges and compensation. I enjoyed it, possibly because of my scientific background and personal experiences, but also because there is good story telling here. It is leavened with the humanity and decency of the author’s consideration of the medical ethics and the readers are left to decide for themselves how they feel about the issues raised.

About the author

Rebecca SmithRebecca Ann Smith writes novels for novels for adults, teenagers and children.  Her first published novel is Baby X. She is interested in creativity, feminism and social justice; she blogs mainly about her writing process, but occasionally about politics, swimming and other random stuff.

She can be found on her blog:

on twitter: @beckysmithhurst)

and Facebook:

Baby X is available on  Kindle through Mother’s Milk Publishers:

And on Goodreads:



5 thoughts on “Book Review: Baby X by Rebecca Ann Smith #rbrt #medical thriller”

  1. Interesting – we often choose the same books and I have this to read! I like novels that jump back and forth in time, it’s one of my favourite styles, so I look forward to this now – thanks, Noelle! x

  2. Interesting premise, Noelle. I remember an editor telling me not to jump around in time unless it was absolutely essential to the story line. Still sound like a good read. Thanks for the recommendation.

    1. I’m with you, Diana. Like my time lines linear ifpossible – but Terry T loves the jumping around, so I guess it’s more a personal choice.

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