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Education, support and advocacy for birth and wellness choices across Hawai'i

"You Can Keep Your Label": a Poem by Mariah Strong

28 Jun 2022 9:21 AM | PBC Staff (Administrator)

By Mariah Strong, PBC Board Member 

This poem was inspired by the life-long work of my mother, who is my deepest inspiration and teacher. My mom has served families on Maui for over 40 years as their ally and midwife in autonomous birth. She has birthed her eight children at home, with fellow midwives, her friends and family, into water, or into her own hands. She has welcomed her grandchildren in the same way, with the same values. Her life work has been to hold space for birthing families and their choices, to educate and empower. She is a traditional midwife, and has held that role my whole life, inspiring me so deeply that I have chosen to walk this path by her side, as a midwife. 

The words below came to me in an inspired uproar, when I was told my mother would not be "allowed" to call herself a midwife after four decades of holding that title. That the State of Hawai'i would be taking that ageless designation under a new law, and only let it remain for a certain few. In most cases, these few will be birth workers who have been privileged enough to afford midwifery school and to travel out of the state to complete it. Without an amendment, this law would make all others, the traditional and cultural midwives, the direct-entry midwives and even licensed midwives from certain states, unable to serve our families legally and strip them of the title "midwife.” If they continue to use the title, the position that their community and actions bestowed upon them, they would be legally persecuted. The option to choose our care providers and birth support team would be dramatically minimized, and in some areas extinguished. Once again, our bodily autonomy and medical choices would be taken away and put into the hands of the state. 

We must preserve the wisdom and teaching of those that are outside of the white-washed education system.

We must stand up for the safety of the birth workers that have tirelessly served our families, helping us to not only birth our children, but honor and uphold our personal traditions and cultures. 

Now is the time to fight for our access to culturally appropriate midwives. 

The words below are my call to action.  

To learn more and add your voice and experience to the cause, check out Hawaii Home Birth Collective.  

“You can keep your label”


A simple title 
Defining a truly selfless act 
A serving on the deepest level 
To the reflection of soul in another’s eyes 
Serving the highest power within 
To birth anew 
The attempt at labeling something that is nameless 
Something that is ageless 
A song of sisterhood
that has been sung since the birth of this world
When the goddess birthed her daughters 
Her midwife, the cosmos and the stars 
The ember of that holy service kept alive in the hearts since time immemorial
Forever this song was stirred hands into service 
The igniting of a dance that is performed by the side of a woman in labor 
The stage of this dance never the same 
A field, a cave, a home, a brightly lit room, the wake of a tsunami, the back of a car, a sterile room 
Regardless, we hone the ember of service 
Of care, devotion, love, strength
We welcome the new world 
That is birthed with each babes first breath
Even after all this time 
There are those that don’t understand 
They believe a label 
A word 
Is what we are 
In your confusion you burn us 
You jail us
You beat us 
You label us and try to hinder our service by law 
But you don’t know the song that is hummed in our bones 
The power that makes us dance 
swaying our hips 
Moving our hands
The dance of birth 
We will forever serve 
We will always be there when we are needed 
When in the cry of labor
In the dark of night 
A sister needs us 
We will be there 
No matter the label 
The word
The phrase 
The terminology you try to
Force on us 
Separating us 
We stand tall
Regardless of name or label or law 
We know our dance and will
Keep rhythm as one until the end of time 

Education, Support, and Advocacy for Birth and Wellness Choices Across Hawai'i

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