Choosing the right midwife in Hawaii depends on your specific needs and the services you require. All midwives focus on providing care for healthy women with normal pregnancies, but Certified Nurse Midwives (CNMs) offer unique advantages. Licensed in all 50 states, including Hawaii, CNMs can order lab work, ultrasounds, and medications, and they are recognized as independent Primary Care Providers for women and newborns under 28 days old. On the Big Island, there is only CNM practice that provides home birth services, making it essential to consider your options carefully.