Pacific Birth Collective

island of Maui

Pacific Birth Collective

Island of Maui

Pacific Birth Collective

  Island of Maui

Maui Midwives and Pale Keiki

This page has been update to reflect the current accessibility of Midwifery services available on Maui as of September 2020.  Please read each person's directory listing to see what services they are providing and if they are accepting new clients. We know that there are many mothers and families who are evaluating their options and we are working hard to respond to this need.  Updates will be provided as available. Please see the Considering a Home Birth webinar in the Community Calendar.

What is a Midwife?   A Midwife is a Healthcare Provider who specializes in caring for women during their pregnancy, labor, birth and throughout their childbearing years for routine care.  They are trained to support normal physiologic childbirth as well as to recognize and intervene when things extend beyond the scope of normal.  Attending laboring women, they typically carry standard medical tools such as anti-bleeding medications and Oxygen.   In comparison to an OB who will spend an average of 4 hours with a woman throughout the course of her pregnancy, birth and recovery, midwifery care is woman centered and a midwife will spend an average of 40 plus hours of individualized time with a woman throughout the same time span.   

Care by a midwife should be a trusting relationship with a knowledgeable professional who supports your autonomy and empowers you with knowledge to take charge of your own health.   Midwifery care on Maui is becoming increasingly accessible.   We have a wonderful Certified Nurse Midwife (CNM) who has hospital privileges (can delivery babies at the hospital).   She practices out of Malama I Ke Ola medical clinic in Wailuku.  The 2019 legislative session passed SB1033 regulating and licensing the practice of midwifery care in the state of Hawaii.  To find out how this will impact your access to care we encourage you to reach out and discuss these changes with midwives practicing in your community.

List of acronyms and credentials available here

Acronym Definitions

CPM—Certified Professional Midwife

CNM—Certified Nurse-Midwife

DEM—Direct Entry Midwife

Doula - a Non medical support person during pregnancy, birth, and postpartum

LM—Licensed Midwife

LMT—Licensed Massage Therapist

Montrice - offers support as a Doula but is also able to perform basic medical care under a primary midwife or doctor

ND—Naturopathic Doctor

RN—Registered Nurse

Finding and Interviewing Midwives

We recommend interviewing several to find one that is a good fit for you and your family.   Most Midwives work for a flat fee or have a sliding scale and you will likely be paying for your midwife without the assistance of insurance. You will want to make sure they offer the services, attitude, and philosophy you agree with. The ability to honestly express yourself and concerns to your midwife, or any health care professional, is central to being able to make an informed decision concerning your care. Make sure that you choose a midwife who you trust and who will be available when you need them, respect your opinions, values, and listen. The following are some suggestions for finding the best midwife for you.

  • Ask friends and family for a recommendation.
  • Midwives come from a myriad of training and experience backgrounds you should ask what certifications and qualifications she has earned.
  • Check their references.
  • Be sure and ask questions about their fees and services.
  • Write down any specific concerns you have about your pregnancy.
  • Talk about your views on labor.
  • Midwives don’t administer pain medication; ask what techniques they use to help if you are finding it difficult to cope with the intensity of labor.
  • Ask under what circumstances she recommends moving the homebirth into the hospital (this is called a transfer).
  • If a transfer is necessary will she go with you to the hospital and will she stay with you as long as she is needed to act as your advocate ?
  • What routine labs does she perform?
  • Does she prefer that you have dual care, meaning that you maintain a relationship with an OB practice throughout your pregnancy?
  • How many days overdue does she feel comfortable with you going before she suggests you induce?
  • Discuss your birth plan, particularly if it includes a water birth. Some midwives offer birth tubs at an additional fee.
  • What part of the island is she coming from? How long would it take her to get to your home during peak traffic times?
  • Find out her accessibility. How quickly does she typically call clients back? Is she available through email for non-emergency questions?
  • How many births does she typically do in a month and how many other women does she have due around the same time as you?
  • Does she have a backup midwife in case of an emergency?
  • Often midwives have at least one assistant at the labor; if so, you will want to meet these other participants.
  • Even if you are using a midwife for a homebirth, It is recommend you find an OB you and your midwife can consult with during the pregnancy if you so choose.
  • Take a tour of the hospital so that you can feel more comfortable if the need for plan B arises.  

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