middle_west has definitions from the field of geography
1
[ noun ] (geography) the north central region of the United States (sometimes called the heartland or the breadbasket of America)

Synonyms

Midwest

Used in print

(David Boroff, "Jewish Teen-Age Culture"...)

A fourteen year old girl from the Middle_West observed wryly that , in her community , religion inconveniently interfered with religious activities - at_least with the peripheral activities that many middle_class Jews now regard_as religious .

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