Hawaii Holistic Midwifery

Hawaii Holistic Midwifery Professional and holistic homebirth midwifery services. Celebrating gentle birth as a joyful event! Aloha! E Komo Mai (Welcome)
to Hawaii Holistic Midwifery!

Serving the Big Island of Hawaii...

Imagine a birth...
Where your needs and desires are fulfilled...
Where you are in control of all aspects of your care...
Where you peacefully labor in soothing warm water in the comfort of your own home...
Where your prenatal appointments last 1-2 hours, are personalized and support your physical, emotional and spiritual health...
Where nutrition, herbs and the

rapeutic grade essential oils are used to support a healthy pregnancy...
Where your body's natural pain relief and the whole hormonal system that encourages a healthy birth are kept intact because your labor is undisturbed...
Where your care provider stays with your for the entire process...
Where there are never unnecessary medications, internal exams or interventions...
Where your baby is always kept in your arms...
Where your postpartum appointments include body work and healing herbal heat treatments to sooth your uterus and your muscles that worked so hard to give birth...
Where your care provider believes strongly that an unhindered birth in itself heals and empowers...She believes that birth is a precious experience that is to be kept whole and sacred so that as a mother you may draw upon this power during times of need. She believes that both physical and spiritual health are greatly benefited with a gentle, empowered birth...
Where your care provider is an expert in normal birth and is certified by the only credentialing body that certifies exclusively out-of-hospital-birth trained midwives...

04/27/2026

Where you give birth matters… but who stands beside you matters just as much!

Midwifery care is not limited to one setting. It belongs in hospitals, birth centers, and homes. It belongs anywhere families are bringing life into the world. Because midwives protect more than physical safety… they protect your voice, your choices, and your experience.

Every birth space comes with its own rhythms and challenges. What transforms those moments is the support you carry into them. A midwife meets you where you are, honors your birth ideology, and helps create an environment where you feel seen, heard, and respected.

Birth can be powerful, grounded, and deeply affirming when the right people are in the room. That is what turns any setting into a place of strength.

Our newest shirt says it simply and boldly!!!

Midwifery care belongs everywhere families give birth.
Because it does. Always.

02/10/2026
It’s important to listen to your body and your baby.
01/16/2026

It’s important to listen to your body and your baby.

"So I’ve decided I wanted to share publicly what happened with my delivery in hopes that it can help someone else one day.

So the day I turned 38 weeks was obviously just a normal day. I got up and went to work like usual. Pretty early that morning I had already noticed Maddy wasn’t kicking around very much, but had assumed she was having a less active day (which happened regularly). By noon, I felt her adjust her position, which brought to my attention that she still hadn’t kicked, but at least I had felt some kind of movement. So the day goes on and I still hadn’t thought much of it until 7pm. Dalton put his hand on my belly and asked if she had been kicking. I became uneasy as I realized she still hadn’t moved all day.

So I took a bath, drank cold orange juice, Dalton poked at my belly, and we even listened to her heartbeat with our fetal Doppler (which there was a heartbeat), but still no movement. We became a little panicked, but since I had felt her adjust positions and heard her heartbeat, I knew she was at least alive, so I didn’t know what to do. I texted my mother asking if it was normal because online did not help (duh Ayla, it’s internet..). Half of everything I read said go in immediately, and the other half said that babies run out of room to kick. My mom was very persistent and insisted I go in or at least call my midwife.

So I called my midwife, left a voicemail, and eventually got a call back saying there would be a room waiting for me in the labor center. Upon arriving, I was hooked up to monitors so they could track babies movement. Once again I was given orange juice, ice, rolled this way, rolled that way, adjusted… literally at one point they had my bed set up to where my belly and legs were flat and my upper body was tilted upside down slightly!!

After about 30–40 minutes I was informed that my midwife was on her way (which my mother knew was a bad sign and got everyone to the hospital, thankfully). Upon my midwife arrival, she wasted no time to inform me that things were not looking the way they wanted and I was most likely going to have an emergency cesarian that night. I was shaking uncontrollably but was kind of in too much shock to really have emotions about it. We were informed that if there was life-threatening problems with Maddy, which they believed to be a pretty high chance, she would be life flighted over to Randall’s.

So I was stalled out while my midwife waited for all the on-calls to arrive and then was immediately rushed into the operating room. I was given my spinal and before they could even get Dalton in the room they began the delivery. She came out fine and cried a little bit, but she needed oxygen. After about 40 more minutes, Maddy and I were released back to our original room.

There I was informed that my placenta had aged prematurely, was calcified, and had basically given up (I was also told they don’t know why this happens and there’s nothing I could’ve done to prevent it). This had caused Maddy to not be receiving as much oxygen or food as she needed. This was causing her to try to preserve her energy, which is why she had stopped moving. This also caused her to have low blood sugar upon arrival, so she needed to be hooked up to a glucose drip IV her first few days.

My mother asked what would have happened had I not gone in when I did. “She wouldn’t be here” was the reply. She wouldn’t have made it the rest of the night…

So the point in me sharing this is to let anyone else know that things like this DO happen. You know your body and what’s normal for your baby. And BABIES DON’T RUN OUT OF ROOM!! That was the common response I kept seeing. Babies will always kick whether there’s much room or not. IF YOU HAVE DOUBTS, GO IN. GO IN. GO IN. GO IN!!! Always be safe rather than sorry. Because I almost didn’t. I almost waited till morning to see if anything changed. And had I done that, I wouldn’t have my love. I’ve heard so many stories of stillbirths because signs may not have been taken as seriously as they should’ve been.

Sorry it was such a long read, but I know many people have no clue what happened. So part of this was to let those people know who have been curious but were too kind to ask. But mostly I wanted to let anyone expecting, or planning to have a baby, to be aware of activity and that a halt in activity is very much NOT normal.

Thanks for reading." ❤️

~ Ayla Heller

01/03/2026

Today, we say her name — the name of a healer, a midwife, a mother.

Rest in power, Janell. 🕊️

Address

81-6587 Hawaii Belt Road
Kealakekua, HI
96750

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