Labor and Delivery

Covered in Your Labor & Delivery


Each family is unique and will be treated as individuals, with respect and flexibility. Every mother will be given the well-deserved opportunity to labor and deliver in the manner and position in which she chooses. Every baby will be provided the best possible, gentle transition from the womb into the loving arms of mom. I am not restricted with time and how long it takes you to birth. Usually there is no time limit for early labor (1-3cm). In active labor(4-7cm) you usually dilate at a rate of 1/2 to 1cm per hour. In transition (8-10cm) it may only be 1-2 hours. Sometimes a mom gets stuck for a few hours at a particular stage. I am open to working with you, as long as you are hydrated, eating, positive and staying focused on your birthing process. Sometimes women deliver in a few hours while others go on for 24 to 36 hours. However long it takes I will make sure you and your baby are safe and well taken care of along the way.

Early Labor

You'll contact me as soon as any signs of labor have begun, or what you feel is the possibility of labor beginning. Usually you and your partner or friends will  labor on your own at the beginning. We will be in touch by phone and you'll describe to me what is going on and I'll listen to you go through a contraction. If you are handling early labor easily and you are fine then that's great. However if you are having a difficult time in early labor either I'll make a visit or my assistant will come over to assess your condition and help you relax more during your latent (early) labor.

If you have preterm labor I will go with you to the hospital and keep you informed of what is going on.  I am here to support you in the decisions you make and help you understand all of your options here on Maui. I believe strongly in women being empowered through their birth experience no matter who they choose as their care provider or where they choose to deliver. Because of this I offer prenatal care to all women wanting to be educated about the journey they are embarking upon.

Homebirth services between 37-42 weeks pregnancy


*  Phone calls and guidance as needed
*  24/7 availability on phone and in your home when needed
*  Continuous care and support during labor
*  Labor and birth in the privacy of your home where you want
*  Use of Deby birthing stool if desired
*  Water birth availability if wanted and use of tub (for a small fee)
*  Qualified midwife assistant as needed (click here for more info)
*  Complete exam of you and baby after birth
Stay with you for 3 hours until you and your baby are stable, you've eaten, gone to the rest room, baby is breastfeeding, you are comfortable with team leaving, your house is cleaned, and all immediate postpartum information is gone over
*  Photography available if desired
*  Use of private home for birth if your home is too far away or not appropriate.  Please click here for pictures
and details.
*  If you are transported for any reason, I or my assistant will go with you to the hospital and stay through the birth and continue through your full postpartum care





Please note:  On-call 24/7 from 36 weeks gestation onward.