The story's protaganist is male and a midwife. A letter plays a significant part in the story. The story is set on a river in the far future. The story is about greed.
The original inspiration for this generator came from The Instant Muse, which I enjoyed but which turned out too many mainstream answers for my tastes. Code for the generator came from Steven Savage over at Seventh Sanctum. Any bits that work are his. The rest is mine.