Roxanne Estes, CNM, APRN

My Philosophy

I believe that every birth is unique and unrepeatable therefore I have developed a unique birthing practice that honors a woman's wisdom along her inate knowledge of her body that  enables her the full capacity to bring forth new life.


I honor and value the normal transitions in women's' lives. I am able to support women through menarche (a woman's first period), sexual awareness, pregnancy prevention and contraception, preconception planning, pregnancy and birthing, extending to perimenopause and the postmenopausal years. 


I strive to provide Woman's Care that empowers my clients through meeting thier physical and emotional needs, because I believe in the mind body connection.


I strive to provide awareness in the form of health education throughout the normal transitions in women's lives.


I value women as true partners in thier care and strive to include women in the decision making process in all aspects of thier care.


I value preventative health and strive to offer evidenced based care, understanding that each woman is unique and what's right for one woman may not be right for another.

My Story

I am a Mother. I am a Grandmother. I am a Midwife.


I became a midwife after the birth of my 4th child feeling compelled to help women experience safe and satisfying births. I have dedicated the majority of my lifetime working with women, babies and families. I started on my path to becoming a midwife through traditional apprenticeship training which taught me the true meaning of normal physiologic birth and how women labor and birth without medical intervention. This traditional way of midwifery training gave me a strong foundation and trust in normal birthing ways. I have always advocated for good midwifery care but found that women's rights in childbirth and the availability of midwives to be hampered by the legal status of midwives in Hawaii and many states. Personally I felt compelled to increase access to midwifery care. I started on a road to formalize my midwifery training and to become a legally recognized midwife and therefore be able to "speak my speak" so to put it as well as serve women of all ages as a licensed primary health care provider. To date I have completed over 10 years of training and education to enhance my midwifery career. I have worked as a midwife for over 30 years and have attended over 1600 births to date. I have worked in clinics, homes, hospitals and birth centers.  I love birth where ever women decide to give birth. I honor women's choices in childbirth and strive to provide evidenced based care whenever possible. I understand that every woman is unique, therefore I assist each of the women I serve to develop a safe, satisfying and comprehensive plan of care that meets her and her family's individual needs.           Aloha, Roxanne Estes, CNM


  (A detailed personal midwifery disclosure statement available upon request)

Certifications / Education   

Certified Nurse Midwife, (MSN) 2008
Lactation Consultant, (IBCLC) 2006
Registered Nurse, (BSN) 2004
Registered Nurse, (ADN) 1996
California Licensed Midwife (LM) 1997
Certified Professional Midwife, (exp)(CPM) 1991
California Association of Midwives (CM) 1989
Apprentice Trained Direct Entry Midwife 1988 
Certified Childbirth Educator, (CCE) 1986
Neonatal Resuscitation Provider Certification (current)
CPR Certifications (current)
Organizations and Affiliations 
Past President and founding member of the Midwives Alliance of Hawaii  (MAH) 1996, 2004
Past President and founding member of Hawaii Affiliate of the American College of Nurse Midwives (HAA) 2012.

Roxanne Estes

Certified Nurse Midwife

Tel: 808 935-0211