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Midwife

Loving Hands

"I have watched kings celebrate victories, generals return from wars, and priests proclaim miracles. None of them were as brave as the woman who gripped my hand and said, 'If anything happens, save the child first.' "
— Elvira Clay
Most people remember the day a child is born.   A midwife remembers all the days leading up to it.   Long before the first cry echoes through a home, there are months of preparation, uncertainty, hope, fear, and quiet labor. There are questions that cannot be answered, worries that cannot be entirely dismissed, and countless small decisions that shape the lives of families long before a child enters the world. Midwives stand at the center of these moments, guiding others through experiences that are at once deeply personal and universally human.   Whether serving a small farming village, a crowded city neighborhood, a nomadic caravan, a noble household, or an isolated frontier settlement, a midwife's responsibilities extend far beyond childbirth alone. They provide care, advice, reassurance, and practical knowledge to people navigating some of the most important transitions of their lives. In many communities, a midwife may know several generations of the same family, having helped deliver children who eventually grow up, marry, and begin families of their own.   This unique position grants midwives a perspective few others possess. They witness communities not through politics, commerce, warfare, or religion, but through families. They see the moments people rarely discuss publicly. They hear private concerns, hidden fears, cherished hopes, and closely guarded secrets. They learn who cares for others when times become difficult and who disappears when responsibility arrives. Over years of service, they develop a profound understanding of the people around them.   Many midwives begin as apprentices, learning from experienced practitioners through observation and practice. While scholars may study anatomy from books and physicians may debate theories in lecture halls, midwives often acquire their knowledge through direct experience. They learn which herbs ease discomfort, how to recognize complications, how to calm frightened parents, and how to make difficult decisions when circumstances leave little room for certainty. Their education combines practical medicine with patience, intuition, and an understanding of human nature.   In many societies, midwives also serve as informal healers, counselors, and caretakers. People seek them out not only for childbirth but for advice regarding illness, grief, family disputes, and personal concerns. Their homes frequently become gathering places where information flows naturally through conversation. Because they are trusted by people across social classes, midwives often possess a broader understanding of their communities than local officials, merchants, or religious leaders.   This trust carries significant responsibility. Families invite midwives into their homes during moments of vulnerability. They rely upon their judgment when circumstances become uncertain and place enormous faith in their abilities when lives hang in the balance. Many midwives carry vivid memories of both triumph and tragedy throughout their lives. They remember children who arrived healthy against all odds, parents whose courage inspired everyone around them, and losses that remain painful decades later.   Such experiences often shape a midwife's character. Many develop extraordinary patience because panic rarely helps those in distress. Others become fiercely protective of children and families after witnessing how fragile life can be. Some carry deep grief for lives they could not save despite their best efforts. Nearly all acquire a practical understanding of resilience. They learn that joy and sorrow often exist side by side and that communities survive hardship by caring for one another.   In lands scarred by the Shattering, midwives occupy an especially important role. Wars, disasters, migrations, and upheavals have scattered families across vast distances and disrupted traditions that once seemed permanent. Entire communities have been forced to rebuild from ruin. In such circumstances, midwives frequently become keepers of continuity. They preserve knowledge, maintain connections between generations, and help ensure that life continues even after catastrophe.   Because of this, many midwives become respected figures whose influence extends well beyond medicine. Village elders seek their opinions. Travelers carry their recommendations between settlements. Nobles remember their services long after political alliances have shifted. A person who has helped bring hundreds of children safely into the world often earns a degree of trust that cannot be purchased or commanded.   Yet despite their importance, most midwives view themselves as ordinary people performing necessary work. They understand that every life begins with dependence upon others. They witness firsthand how communities are built through countless acts of care that rarely receive recognition. They know that strength is not measured solely by power or achievement, but by the willingness to support others when they are at their most vulnerable.   A midwife's work is rarely celebrated in songs or recorded in histories. Their names may never appear in royal chronicles or military accounts. Yet generations carry their influence forward all the same. Entire communities exist because someone remained calm during a difficult night, offered comfort during a frightening moment, or refused to give up when hope seemed distant.   Most people remember the day they entered the world.   A midwife remembers the people who helped them arrive.

"People speak of bloodlines as though they are forged by destiny. They are forged by exhausted mothers, anxious fathers, sleepless nights, and the stubborn refusal of ordinary people to let one another face hardship alone."
— From The Lantern and the Cradle, a treatise on family and community
Type
Healthcare

Midwife

Overview:
You have spent years helping bring children into the world and caring for mothers during their most vulnerable moments. You have witnessed joy, tragedy, hope, and heartbreak in equal measure. Whether serving a small village, a crowded city district, a nomadic tribe, or a noble household, your skills are trusted wherever families gather.   Midwives often occupy a unique place within their communities. Rich or poor, powerful or humble, nearly every family eventually comes to know them. Through years of service, you have learned patience, compassion, discretion, and calm under pressure. Few things can shake your composure once lives are in your hands.
Skill Proficiencies: Medicine, Insight
Tool Proficiencies: Herbalism Kit
Languages: One of your choice
Equipment:
A herbalism kit, a healer's satchel containing bandages and medicinal herbs, a keepsake given to you by a grateful family, a set of common clothes, and a belt pouch containing 10 gp.
Features:

Community Trust

Your profession places you at the center of family and community life.   In any settlement, you can quickly identify local healers, expectant mothers, wet nurses, orphanages, temples devoted to healing, and others involved in caring for children. Through these connections, you can usually secure introductions to respected community members, learn local concerns, and obtain modest assistance such as food, shelter, or basic medical supplies.   Common folk are generally willing to hear your advice on matters of health, childbirth, and child welfare unless given reason to distrust you.
Suggested Characteristics: Midwives witness people at their most vulnerable and most hopeful. Some become pillars of their communities, while others carry the weight of tragedies they could not prevent. Their experiences often shape them into patient caretakers, determined advocates, or quiet observers of the human condition.
Personality Trait:
d8Personality Trait
1I always know how to calm frightened people.
2I fuss over everyone's health whether they like it or not.
3I've seen enough suffering that very little shocks me anymore.
4I always carry small remedies for common ailments.
5Every child deserves kindness and protection.
6I ask questions and listen far more than I speak.
7I am endlessly patient with the weak and helpless.
8I keep detailed notes about people I care for.
Ideal:
d6Ideal
1Compassion. Every life is precious and worthy of care. (Good)
2Duty. People rely on me when they need help most. (Lawful)
3Knowledge. There is always more to learn about the body and its mysteries. (Neutral)
4Community. We survive by caring for one another. (Good)
5Perseverance. Even when all seems lost, I never stop trying. (Any)
6Independence. Experience matters more than tradition. (Chaotic)
Bond:
d6Bond
1A child I delivered years ago has gone missing, and I intend to find them.
2I carry the memory of a mother I could not save.
3An entire village considers me part of their family.
4I seek knowledge that might save mothers and children from a terrible condition.
5A noble family owes me a great debt for services rendered.
6I promised someone on their deathbed that I would watch over their child.
Flaw:
d6Flaw
1I blame myself for deaths that were beyond my control.
2I become reckless when a child's life is at stake.
3I struggle to trust physicians who rely on theory over experience.
4I sometimes treat capable adults like children who need supervision.
5I carry too much grief from lives I could not save.
6I have difficulty walking away from people who need help.

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