Hawaii

A few midwives seek to uphold Native Hawaiian birth traditions. Would a state law jeopardize them?

Published

2 years ago

June 15, 2024

A few midwives seek to uphold Native Hawaiian birth traditions. Would a state law jeopardize them?

HONOLULU — Ki‘inaniokalani Kahoʻohanohano longed for a deeper connection to her Native Hawaiian ancestors and culture as she prepared to give birth to her first child at home on the north shore of Maui in 2003.

But generations of colonialist suppression had eroded many Hawaiian traditions, and it was hard to find information on how the islands’ Indigenous people honored pregnancy or childbirth. Nor could she find a Native Hawaiian midwife.

That experience led Kahoʻohanohano — now a mother of five — to become a Native Hawaiian midwife herself, a role in which she spent years helping to deliver as many as three babies a month, receiving them in a traditional cloth made of woven bark and uttering sacred, tremorous chants as she welcomed them into the world.

Her quest to preserve tradition also led her into a downtown Honolulu courtroom this week, where she and others are seeking to block a state law that they say endangers their ability to continue serving pregnant women who hope for such customary Native Hawaiian births.

“To be able to have our babies in the places and in the ways of our kupuna, our ancestors, is very vital,” she testified. “To me, the point of what we do is to be able to return birth home to these places.”

Lawmakers enacted a midwife licensure law in 2019, finding that the “improper practice of midwifery poses a significant risk of harm to the mother or newborn, and may result in death.” Violations are punishable by up to a year in jail, plus thousands of dollars in criminal and civil fines.

The measure requires anyone who provides “assessment, monitoring, and care” during pregnancy, labor, childbirth and during the postpartum period to be licensed. The women’s lawsuit says that would include a wide range of people, including midwives, doulas, lactation consultants, and even family and friends of the new mother.

Ki’inaniokalani Kaho’ohanohano poses on Wednesday, June 12, 2024, in Honolulu. She is a Native Hawaiian cultural practitioner who is among those suing over a Hawaii law they say penalizes anyone who provides advice, information, or care, during pregnancy, birth, and postpartum who does not have a specific state license. Credit: AP/Jennifer Sinco Kelleher

Until last summer, the law provided an exception for “birth attendants,” which allowed Kahoʻohanohano to continue practicing Native Hawaiian birth customs. With that exception now expired, however, she and others face the licensing requirements — which, they say, include costly programs only available out of state or online that don’t align with Hawaiian culture and beliefs.

In 2022, the average cost of an accredited midwifery program was $6,200 to $6,900 a year, according to court documents filed by the state.

Attorneys for the state argued in a court filing that the law “undoubtedly serves a compelling interest in protecting pregnant persons from receiving ill-advice from untrained individuals.”

State Deputy Attorney General Isaac Ickes told Judge Shirley Kawamura that the law doesn’t outlaw Native Hawaiian midwifery or homebirths, but that requiring a license reduces the risks of harm or death.

Supporters of a lawsuit challenging a Hawaii midwife licensure law... — Supporters of a lawsuit challenging a Hawaii midwife licensure law gather outside a courthouse in Honolulu on Monday, June 10, 2024. Credit: AP/Jennifer Sinco Kelleher

The dispute is the latest in a long history of debate about how and whether Hawaii should regulate the practice of traditional healing arts that dates to well before the islands became the 50th state in 1959. Those arts were banished or severely restricted for much of the 20th century, but the Hawaiian Indigenous rights movement of the 1970s renewed interest in the customary ways.

Hawaii eventually adopted a system where councils versed in Native Hawaiian healing certify traditional practitioners, though those suing say their efforts to form such a council for midwifery have failed.

Practicing midwifery without a license, meanwhile, was banned until 1998 — when, lawmakers say, they inadvertently decriminalized it when they altered the regulation of nurse-midwives, something the 2019 law sought to remedy.

Among the nine plaintiffs are women who seek traditional births and argue that the new licensing requirement violates their right of privacy and reproductive autonomy under Hawaii’s Constitution. They are represented by the Center for Reproductive Rights and the Native Hawaiian Legal Corporation.

“For pregnant people whose own family may no longer hold the knowledge of the ceremonial and sacred aspects of birth, a midwife trained in Native Hawaiian traditional and customary birthing practices can be an invaluable, culturally informed health care provider,” the lawsuit states.

When Kahoʻohanohano was unable to find a Native Hawaiian midwife to attend the birth of her first child, she turned instead to a Native American one, who was open to incorporating traditional Hawaiian aspects that Kahoʻohanohano gleaned from her elders.

She surrounded herself with Hawaiian cultural practitioners focusing on pule, or prayer, and lomilomi, a traditional massage with physical and spiritual elements. It all helped ease her three days of labor, she said. And then, “two pushes and pau” — done — the boy was born.

The births of her five children in various Maui communities, Kahoʻohanohano said, were her “greatest teachers” in herself becoming one of the very few midwives who know about Native Hawaiian birthing practices.

She is believed to be the first person in a century to give birth on her husband’s ancestral lands in Kahakuloa, a remote west Maui valley of mostly Native Hawaiians, where her daughter was born in 2015. The community is at least 40 minutes along winding roads to the island’s only hospital.

Kahoʻohanohano testified about helping low-risk pregnant women and identifying instances where she transferred someone to receive care at the hospital but said she’s never experienced any emergency situations.

Among the other plaintiffs are midwives she has helped train and women she has aided through birth. Makalani Franco-Francis testified that she learned about customary birth practices from Kahoʻohanohano, including how to receive a newborn in kapa, or traditional cloth, and cultural protocols for a placenta, including taking it to the ocean or burying it to connect a newborn to its ancestral lands.

The law has halted her education, Franco-Francis said. She testified that she’s not interested in resuming her midwifery education through out-of-state or online programs.

“It’s not in alignment with our cultural practices, and it’s also a financial obligation,” she said.

The judge heard testimony through the week. It’s not clear how soon a ruling might come.

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Hawaii

Blood moon to dazzle Hawaii skies tonight

Published

5 hours ago

March 3, 2026

Press Room

Blood moon to dazzle Hawaii skies tonight | Local | kitv.com

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Hawaii

Everyone Says Oahu’s Overcrowded. We Drove 20 Minutes Past Haleiwa And Found Beautiful Empty Beaches

Published

17 hours ago

March 2, 2026

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Everyone Says Oahu’s Overcrowded. We Drove 20 Minutes Past Haleiwa And Found Beautiful Empty Beaches

Most visitors think Oahu’s North Shore stops at Haleiwa because that is where traffic builds to pandemonium, where beach parking fills earlier than you can imagine, and where sitting in your car between the familiar lineup of surf breaks and food trucks largely defines the experience. Once people have crawled through and found a place to stand at Waimea or Sunset, the mental box gets checked, and the car points back toward Honolulu fast, as if everything worth seeing has already been seen. But it hasn’t.

Instead of turning around at Haleiwa, we continued west on Farrington Highway and watched the storefronts fall away in the rearview mirror. The line of rental cars thinned fast as the road narrowed and the mountains got closer to the pavement. On the ocean side, long stretches of sand opened up, and within a few miles, we were seeing more wind in the ironwood trees than cars on the road or people on the beach.

Most visitors leaving Haleiwa head east toward Sunset Beach and Pipeline, where traffic stacks up endlessly and parking lots overflow. We went the other way. Out toward Mokuleia, the commercial North Shore disappears fast, and what replaces it is space. There are no visitors circling for stalls and no steady lines at food trucks. You can pull over without searching for the one open spot in a packed lot, and entire sections of beach sit quietly without the usual cluster.

Dillingham Airfield and the working North Shore.

One of the first landmarks after Mokule’ia Beach (which we will write about soon) is what most people still call Dillingham Airfield, though its official name is Kawaihapai Airfield. It is owned by the U.S. Army and managed by the State of Hawaii Department of Transportation under a 50-year lease, and it has been operated as a military installation since the 1920s, with HDOT taking over management in 1962. HDOT leases 272 acres of the 650-acre Dillingham Military Reservation and operates the single 9,000-foot runway, with the civilian side used heavily for gliders and skydiving while the Army retains first priority for air/land operations and uses the field for helicopter night-vision training.

As we drove past, it did not feel like a visitor attraction at all, even though you can spot the roadside signs for glider rides and skydiving. A small single-engine plane rolled down the runway and lifted off against the Waianae Mountains, then a glider followed, towed upward before separating and moving almost silently above the coastline. It is one of those North Shore scenes that makes you slow down without thinking about it, because it looks like real working Oahu rather than the marketed version, with runway, mountains, and open water all in the same frame and very few people around to make it feel like a production.

Camps that have been here for generations.

Close to the airfield are two oceanfront camps that rarely enter any typical Oahu visitor’s plans. The first is Camp Mokuleia, which sits along the shoreline and is owned by the Episcopal Church. If you’re not on a retreat, you can rent a campsite or tentalo on the beach. A little farther west is YMCA Camp Erdman, which opened in 1926 and is approaching its 100th anniversary, still renting oceanfront cabins and yurts to the public.

The accommodations are straightforward, with sand steps away from the doors and long views of the horizon. This is not a resort strip, and you won’t find any valet stands or infinity pools. Families gather around grills, kids move freely between cabins and the beach, while the ocean feels part of the daily backdrop more than it is an Instagram photo opportunity.

Camp Mokuleia tentalos start at $100 a night. Camp Erdman yurts and cabins range from $250-$450 per night for up to 6 guests. For context, the average vacation rental in the Mokuleia area lists above $500 a night.

The shoreline here is not known for calm, protected swimming, and currents can be strong without lifeguard towers stationed every few hundred yards. The beach also has a lot of coral, which keeps swimmers more limited than some other beaches. And that fact alone keeps casual beach traffic lighter, and it helps explain why this stretch feels so different from busier Oahu North Shore stops. The camps and the character of the water belong to the same landscape, shaped more by geography than by commercial branding.

Parking at Kaena Point State Park – Oahu

Where the pavement ends.

Eventually, Farrington Highway reaches a gravel lot where the pavement stops and a locked gate marks the entrance to the Mokuleia section of Kaena Point State Park. There is no visitor center funneling people through an entrance plaza. Instead, there is open sky, steady trade winds, and a handful of parked cars facing a dirt road that continues on foot toward the westernmost tip of Oahu, where you can meet the road that comes from the other side. This is truly a part of Oahu that most visitors never see.

Hikers follow the old railroad route for roughly 2.7 miles to Kaena Point itself, where seabirds nest behind protective fencing and monk seals are sometimes seen along the shore. The trail is exposed, hot, and largely flat, with no services and little shade, which naturally limits casual foot traffic. Consider not trying it in the middle of the day. But, standing at the end of the paved road, with the Waianae Mountains behind you and nothing but raw coastline ahead, feels less like arriving at any Oahu attraction and more like standing at the literal end of the island.

What stood out most was how little competition there was for space. There were only a few cars in the lot when we arrived, and long portions of the beach were untouched compared with the chaotic churn nearby at Haleiwa. It was a bit windy, the mountains anchored one side of the horizon, and the coastline extended westward without any indication that you were sharing it with scattered other people.

If you have been to the North Shore more than once and believe you have already seen it, have you ever kept driving past Haleiwa until the pavement runs out? It’s worth the drive.

Photo Credits: © Beat of Hawaii at Kaena Point State Park, Oahu.

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Hawaii

Hawaii County Weather Forecast for March 02, 2026 | Big Island Now

Published

1 day ago

March 2, 2026

Press Room

Hawaii County Weather Forecast for March 02, 2026 | Big Island Now

Photo Credit: James Grenz

Hilo

Tonight: Cloudy. Scattered showers in the evening, then isolated showers after midnight. Lows 59 to 66 near the shore to 48 to 54 at 4000 feet. Southeast winds up to 10 mph. Chance of rain 40 percent.

Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.

Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.

Kona

Tonight: Cloudy. Isolated showers in the evening. Lows around 69 near the shore to 45 to 52 near 5000 feet. Light winds. Chance of rain 20 percent.

Monday: Cloudy. Highs 81 to 86 near the shore to around 67 near 5000 feet. Light winds becoming west up to 10 mph in the afternoon.

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Monday Night: Mostly cloudy. Lows around 69 near the shore to 44 to 51 near 5000 feet. Northwest winds around 10 mph in the evening becoming light.

Waimea

Tonight: Cloudy and breezy. Isolated showers in the evening. Lows 59 to 68 near the shore to 53 to 59 near 3000 feet. East winds up to 10 mph increasing to up to 20 mph after midnight. Chance of rain 20 percent.

Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.

Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.

Kohala

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Monday: Cloudy and breezy. Isolated showers in the morning. Highs 72 to 78 near the shore to 67 to 75 near 3000 feet. East winds up to 20 mph. Chance of rain 20 percent.

Monday Night: Mostly cloudy. Breezy. Isolated showers in the evening. Lows 59 to 67 near the shore to 52 to 58 near 3000 feet. East winds 10 to 20 mph. Chance of rain 20 percent.

South Big Island

Tonight: Cloudy. Isolated showers in the evening. Lows around 71 near the shore to around 51 near 5000 feet. Northeast winds up to 15 mph. Chance of rain 20 percent.

Monday: Cloudy and breezy. Highs around 83 near the shore to around 64 near 5000 feet. East winds up to 20 mph.

Monday Night: Mostly cloudy. Breezy. Lows around 70 near the shore to around 50 near 5000 feet. East winds 10 to 20 mph.

Puna

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Monday: Cloudy with isolated showers. Highs 75 to 80 near the shore to around 65 at 4000 feet. East winds up to 10 mph. Chance of rain 20 percent.

Monday Night: Cloudy with scattered showers. Lows 59 to 65 near the shore to 48 to 54 at 4000 feet. East winds around 10 mph. Chance of rain 50 percent.

Waikoloa

Tonight: Cloudy. Lows around 70 near the shore to 48 to 54 above 4000 feet. Light winds.

Monday: Cloudy. Highs around 83 near the shore to 65 to 71 above 4000 feet. Light winds becoming northwest up to 15 mph in the afternoon.

Monday Night: Mostly cloudy. Lows around 70 near the shore to 47 to 54 above 4000 feet. North winds 10 to 15 mph shifting to the east after midnight.

Synopsis

The cold front has dissipated into a trough and remains northwest of the Hawaiian Islands this evening. High pressure will build in from the north and allow the trade winds to strengthen from Monday through Wednesday. Brief passing showers will favor windward and mountain areas in the overnight to early morning hours through Wednesday and then over southeastern slopes and island interior sections from Thursday onward. Winds will weaken and veer slightly from a more east-southeast direction from Thursday on into the weekend. Shower activity will remain limited during this time period.

Short term update

The large band of high level cirrus clouds and mid level alto stratus clouds currently over the islands will continue to slowly diminish through Monday. The cold front approaching the islands has stalled and diminished into a trough just northwest of the island of Kauai.
Trade winds blow into the region and strengthen into the moderate to locally breezy range from Monday through Wednesday. A slight decrease in wind speeds and a shift from a more east- southeast direction remains in the forecast from Thursday onward as another cold front approaches the islands from the northwest, weakening and lifting the ridge north of the state. Local scale sea breeze winds will develop along terrain sheltered slopes of each island as the large scale winds weaken. Limited shower activity will prevail into next weekend with only brief showers possible.
The afternoon forecast looks good. No evening updates.

Previous discussion

Issued at 302 PM HST Sun Mar 1 2026.
Expectations for this afternoon remain on track. The boundary upstream of Kauai has made little to no forward progress today, sea breezes have struggled to establish owing to abundant high clouds, and showers southwest of Kauai and Oahu have essentially remained in place while stratiform elements peel off to the northeast. In addition, regenerating showers over Windward Oahu have dissipated in response to backing low-level flow. All told, an uneventful, cloudy, and mostly dry day across the state. Going forward, building heights over the N Central Pacific will maintain strengthening, but progressive high pressure at the surface. This in turn ensures the return of trades tonight which then become breezy during mid-week. Winds diminish slightly by late week as trades veer to ESE in advance of another round of upstream height falls. Typical trade wind weather anticipated throughout this time with showers focused windward and mauka. High clouds gradually clear from west to east Monday into Tuesday before exiting the area altogether by Wednesday.

Aviation

A weakening stationary boundary will allow for abundant high clouds and relatively light land/sea breezes to prevail across most TAF sites. This front will also allow for disorganized showers across Kauai and Oahu tonight, however confidence was on the lower end based on weather model guidance, so made use of VCSH and PROB30 where rain chances were felt to be the highest. MVFR conditions may prevail under shower activity, otherwise VFR is expected across most sites for the period.
AIRMET Tango remains in effect across the islands due to upper- level turbulence from FL200-400 due to this front, with conditions expected to improve into tomorrow as this system continues to weaken. Patchy mountain obscuration may occur due to the presence of this front, however observations and webcams suggest that the threat is not widespread enough to warrant an AIRMET at this time. Light icing is also possible in cloud layer 120-180.

Marine

Issued at 302 PM HST Sun Mar 1 2026.
A dissipated front will linger into Monday just northwest of the area. Fresh to locally strong easterly trades will build in by Tuesday as surface ridge strengthens to the north. Winds will maintain strength but veer east southeast towards the end of the week as another system approaches from the west.
Surf along north and west-facing shores will be above seasonal average as a northwest swell (310 degrees) is expected to impact through Monday. Surf should remain small though the week with a small northwest bump expected next weekend.
Surf along exposed east-facing shores will be a bit elevated due to a short-to medium-period northeast (40 degrees) swell, then decline Tuesday. However, period and choppy conditions are expected to return by Tuesday as fresh trade winds redevelop and expand upstream of the state.
Surf along south-facing shores will remain near the seasonal average into March.