The best books on body horror birth

Why am I passionate about this?

I’m a lecturer in medical humanities at the University of Leeds in England and I’m currently writing a book about the portrayal of traumatic pregnancy in fantastic literature (science fiction, horror, fantasy…). ‘Medical humanities’ is a field of study that looks at medical issues using the tools of the humanities, so it encompasses things like history of medicine, bioethics, and (my specialty) literature and medicine. Thinking about literature through the lens of traumatic pregnancy has led me to some fascinating, gory, and philosophical books, some of which I’m including on this list. 


I wrote...

Cyberpunk Culture and Psychology: Seeing through the Mirrorshades

By Anna McFarlane,

Book cover of Cyberpunk Culture and Psychology: Seeing through the Mirrorshades

What is my book about?

My book reads the novels of William Gibson, known as the ‘godfather of cyberpunk.’ He is credited with creating the science fictional writing style known as ‘cyberpunk’, which involves bodily augmentation and developing representations of the internet and virtual reality.

My book reads all of Gibson’s novels, from 1984’s Neuromancer (that coined the term ‘cyberspace’ and normalised referring to the internet as ‘the matrix’) to 2014’s The Peripheral (later made into a television show in 2022) and 2020’s Agency

Shepherd is reader supported. When you buy books, we may earn an affiliate commission.

The books I picked & why

Book cover of The Stars Are Legion

Anna McFarlane Why did I love this book?

This book takes us into a space colony populated solely by females who live in a symbiotic relationship with their organic starship. The ship is their shelter and protector, and in return, the women birth tools and components that the ship needs to function.

I love the gory spectacle of these bloody, mechanical births but also how they allow Hurley to explore ideas about community, duty, and belonging. The book is part of a wider sensibility that can be found throughout Hurley’s work, but for my money, this is the one where her imaginative powers are most successfully harnessed. 

By Kameron Hurley,

Why should I read it?

1 author picked The Stars Are Legion as one of their favorite books, and they share why you should read it.

What is this book about?

Somewhere on the outer rim of the universe, a mass of decaying world-ships known as the Legion is traveling in the seams between the stars. For generations, a war for control of the Legion has been waged, with no clear resolution. As worlds continue to die, a desperate plan is put into motion.

Zan wakes with no memory, prisoner of a people who say they are her family. She is told she is their salvation - the only person capable of boarding the Mokshi, a world-ship with the power to leave the Legion. But Zan's new family is not the…


Book cover of Sealed

Anna McFarlane Why did I love this book?

The unnamed protagonist of this book is a pregnant woman who has recently moved to the isolated Australian outback with her (pretty useless) husband. The couple have fled the city in part because of our narrator’s fear of a novel pandemic that is sweeping the land. As her pregnancy develops, skin cells replicating inside her body, the narrator fears that her fetus may harbour the virus.

This virus really speaks to my interest in difficult, gory pregnancies and births: cutis is an illness that causes the skin cells to hyperactively replicate, sealing over the body’s orifices and suffocating or starving its victims.

 While this book has a Wicker Man-style horror of small-town life, I particularly appreciate the way that its dystopian setting reflects and distills the anxieties that many women really experience during pregnancy. 

By Naomi Booth,

Why should I read it?

1 author picked Sealed as one of their favorite books, and they share why you should read it.

What is this book about?

Sealed is a gripping modern fable on motherhood, a terrifying portrait of ordinary people under threat from their own bodies

Heavily pregnant Alice and her partner Pete are done with the city. Alice is haunted by rumors of a skin-sealing epidemic starting to infect the urban population. She hopes their new remote mountain house will offer safety, a place to forget the nightmares and start their family. But the mountains and their people hold a different kind of danger. With their relationship under intolerable pressure, violence erupts and Alice is faced with the unthinkable as she fights to protect her…


Book cover of Poor Things

Anna McFarlane Why did I love this book?

Recently adapted as a film by Yorgos Lanthimos and starring Emma Stone, Alasdair Gray’s novel of birth and creation is another example of the complicated and horrific birth stories that I find so fascinating.

When the dead body of a young, pregnant woman is pulled from the River Clyde in Glasgow, a local scientist, Godwin Baxter, takes it upon himself to create a new life, by installing the unborn baby’s brain in its mother’s head and bringing the new creation to life.

Gray’s grisly premise leads to a satire on education and complacency in light of social injustice. It's funny, and there are plenty of sly postmodern comments on reality and how we understand the past. Gray illustrated his own books, and his image of Bella as ‘Bella Caledonia’ is, I think, a brilliant image of a strong woman that has become iconic in Scotland and beyond.

By Alasdair Gray,

Why should I read it?

2 authors picked Poor Things as one of their favorite books, and they share why you should read it.

What is this book about?

What strange secret made rich, beautiful, tempestuous Bella Baxter irresistible to the poor Scottish medical student Archie McCandless? Was it her mysterious origin in the home of his monstrous friend Godwin Baxter, the genius whose voice could perforate eardrums? This story of true love and scientific daring whirls the reader from the private operating-theatres of late-Victorian Glasgow through aristocratic casinos, low-life Alexandria and a Parisian bordello, reaching an interrupted climax in a Scottish church.


Book cover of The Fifth Child

Anna McFarlane Why did I love this book?

In this book, Doris Lessing tells the story of the Lovatts, a perfectly normal middle-class English family with four children and a seemingly idyllic life. The idyll is spoiled when the wife, Harriet, becomes pregnant with her fifth child.

The novel tells the story of the child's (Ben’s) life until he is in his teenage years, but the early scenes that describe Harriet’s difficult pregnancy and her foreboding that something is deeply wrong with her unborn child are the ones that I find particularly sinister.

Here, Lessing shows how pregnancy can be an experience that wreaks unpredictable consequences on the smooth functioning of life. 

By Doris Lessing,

Why should I read it?

1 author picked The Fifth Child as one of their favorite books, and they share why you should read it.

What is this book about?

Doris Lessing's contemporary gothic horror story—centered on the birth of a baby who seems less than human—probes society's unwillingness to recognize its own brutality.Harriet and David Lovatt, parents of four children, have created an idyll of domestic bliss in defiance of the social trends of late 1960s England. While around them crime and unrest surge, the Lovatts are certain that their old-fashioned contentment can protect them from the world outside—until the birth of their fifth baby. Gruesomely goblin-like in appearance, insatiably hungry, abnormally strong and violent, Ben has nothing innocent or infant-like about him. As he grows older and more…


Book cover of Dawn

Anna McFarlane Why did I love this book?

I couldn’t finish this list without including one of the most famous examples of pregnancy in science fiction.

Humanity comes face-to-face with an alien species, the Oankali, who use gene editing, cloning, and mating to refresh their gene pools. The focus is on Lilith, a black woman taken hostage by the aliens who must learn about their plans for her and strategize her responses.

I really appreciate the way Butler’s work manages to speak to the legacy of slavery, particularly through a scene where the aliens create the circumstances for Lilith to breed with a human man in aid of their experiments. Lilith’s refusal to succumb to this animalistic treatment confronts the legacy of breeding humans during slavery.

I find Lilith (like many of Butler’s other characters) a driven character who deals with outlandish situations and the potential invasion of her own body with a pragmatic determination that invites me, as I read, to think about how an individual can ethically respond to situations of rape and genocide.

By Octavia E. Butler,

Why should I read it?

9 authors picked Dawn as one of their favorite books, and they share why you should read it.

What is this book about?

'One of the most significant literary artists of the twentieth century' JUNOT DIAZ

'Octavia Butler was playing out our very real possibilities as humans. I think she can help each of us to do the same' GLORIA STEINEM

One woman is called upon to reconstruct humanity in this hopeful, thought-provoking novel by the bestselling, award-winning author. For readers of Margaret Atwood, Toni Morrison and Ursula K. Le Guin.

When Lilith lyapo wakes in a small white room with no doors or windows, she remembers a devastating war, and a husband and child long lost to her.

She finds herself living…


You might also like...

Conditions are Different After Dark

By Owen W. Knight,

Book cover of Conditions are Different After Dark

Owen W. Knight Author Of The Visitors

New book alert!

Why am I passionate about this?

Author Visionary Compassionate Imaginative Conspiracist Apophenia (or apophenic)

Owen's 3 favorite reads in 2023

What is my book about?

In 1662, a man is wrongly executed for signing the death warrant of Charles I. Awaiting execution, he asks to speak with a priest, to whom he declares a curse on the village that betrayed him. The priest responds with a counter-curse, leaving just one option to nullify it.

Over four centuries later, Faith and James move to the country to start a new life and a family. They discover their village lives under the curse uttered by the hanged man. Could their arrival be connected? They fear their choice of new home is no coincidence. Unexplained events hint at threats or warnings to leave. They become convinced the village remains cursed despite their friends’ denials. Who can they trust, and who are potential enemies?

Conditions are Different After Dark

By Owen W. Knight,

What is this book about?

In 1660, a man is wrongly executed for signing the death warrant of Charles I. While awaiting execution, he asks to speak with a priest, to whom he declares a curse on the village that betrayed him. The priest responds with a counter-curse, leaving just one option to nullify it.
Over four centuries later, Faith and James move to the country to start a new life and a family. They learn that their village lives under the curse uttered by the hanged man. Could their arrival be connected?
Faith and James fear that their choice of a new home is…


5 book lists we think you will like!

Interested in body horror, space warfare, and extraterrestrial life?

10,000+ authors have recommended their favorite books and what they love about them. Browse their picks for the best books about body horror, space warfare, and extraterrestrial life.

Body Horror Explore 25 books about body horror
Space Warfare Explore 44 books about space warfare
Extraterrestrial Life Explore 227 books about extraterrestrial life