Pretty good first novel, in my opinion better (at least at this point) than the webcomic from the same author though that may simply be due to the difference of pace between mediums. This book showcases a rich universe with at least a bit of depth, I really wish to see a sequel so we can better explore this world.
A lot is left to us to make sense of but that isn't a handicap if the sequel(s) develop the unclear points. Our "heroin" is labouring under exceptional conditions during most of the book, it would be nice to see how she roll usually (as much as there's anything usual about her condition !).
In conclusion, this is definitely worth reading and I look forward to other novels from this author full of potential.