What Ruach Ezerah Midwifery Has to Offer


Midwifery care is not a single appointment or moment, it is a relationship built over time. At Ruach Ezerah Midwifery, care is designed to walk with you through pregnancy, birth, and the early weeks beyond with presence, preparation, and trust.

While full service details will be shared once Hawaiʻi licensure is approved, the following offers a gentle overview of what care with me looks like and how the midwifery model of care guides each step.


  • If you are considering midwifery care, I encourage families to reach out as early in pregnancy as possible. Midwifery care is intentionally personal and relationship-based, which means I am able to serve a limited number of families each month. Connecting early allows time for conversation, trust-building, and thoughtful preparation.

    An initial consultation is a chance for us to meet, ask questions, and explore whether this care feels like a good fit without pressure or obligation. It is simply a starting point, a place to listen and learn together.

  • Prenatal care with me is unhurried, educational, and deeply supportive. Visits are designed to care for the whole person’s body, mind, and spirit not just to check boxes.

    Throughout pregnancy, we meet regularly to:

    • Monitor your health and your baby’s growth

    • Discuss nutrition, hydration, movement, and rest

    • Explore emotional and mental well-being

    • Review labs and screenings as desired

    • Talk through questions, hopes, and concerns as they arise

    Prenatal visits are conversational and spacious, allowing time for learning and reflection. Family members and support people are welcome to join, especially those who plan to be present at the birth. Care is collaborative, grounded in evidence, and centered on shared decision-making.

    As pregnancy progresses, visits gently increase in frequency, allowing us to stay closely connected and responsive as your body and baby prepare for birth. A prenatal visit in your home later in pregnancy helps ensure that your birth space feels prepared, familiar, and calm.

  • When labor begins, care shifts into steady presence and attentive support. I am on call as you approach your due window, and when labor is active, I come to you with the equipment and supplies needed to support a safe home birth.

    Labor care is guided by the midwifery model of care, which emphasizes:

    Respect for the normal physiology of birth

    • Freedom of movement and position

    • Nourishment and rest as labor unfolds

    • Intermittent fetal monitoring

    • Minimal interventions unless truly needed

    Cervical exams are never routine or required. They are offered only when desired or clinically helpful, and consent is always honored. Many families choose to labor with few or no exams at all.

    Birth assistants join as needed to provide additional support, safety, and detailed charting. Their presence allows for focused, attentive care throughout labor and birth.

    After birth, babies are welcomed gently and placed skin-to-skin. Time is honored for breathing, bonding, and resting together. Newborn assessments are completed nearby, without rushing or separation, and families are supported in making choices around cord clamping, placenta care, and early feeding.

    Care continues for several hours after birth, ensuring that both parent and baby are stable, nourished, and comfortable before the team quietly leaves you to rest together

  • Postpartum care is a cornerstone of midwifery care. Healing and adjustment take time, and support does not end after a single visit.

    Care includes:

    Home visits in the early days after birth

    • Follow-up visits over the first several weeks

    • Monitoring physical recovery and emotional well-being

    • Newborn weight checks and assessments

    • Lactation support and referrals as needed

    • Newborn screenings, as desired

    The postpartum period is honored as a sacred transition. Care is flexible, responsive, and extended beyond the traditional six-week visit when families desire continued support. Resources are shared openly to help families build a strong network of care during the fourth trimester and beyond.


If this approach to care feels aligned with you, I invite you to reach out. Whether you are early in your journey or simply gathering information, you are welcome to connect and ask questions.