Advocacy for Midwives. Supportive and professional representation that you can rely on.


Hermine Hayes-Klein is one of the most experienced, knowledgeable, and renowned attorneys for midwives in the world.  She has represented midwives before the Oregon Board of Direct-Entry Midwives, the Oregon State Board of Nursing, and in other forms of legal action, advocated for midwives before state agencies, medical boards, and ministries of health in states and nations around the world.  Her clients have included unlicensed traditional midwives, Certified Professional Midwives (CPMs), Licensed Direct-Entry Midwives (LDEMs), and Certified Nurse Midwives (CNMs), and she has consulted on cases within different licensing systems outside the U.S.  She has spoken widely on issues at the intersection of law and midwifery at the conferences of the International Confederation of Midwives (ICM), the Midwives Alliance of North America (MANA), the American College of Nurse Midwives (ACNM), and before other state and regional associations of midwives, most recently the Alberta Association of Midwives in Canada. 

Hermine represents midwives because she personally understands and values midwifery, after giving birth to both her sons with a midwife in the Netherlands in 2007 and 2010.  After giving birth in the Dutch birth system, which has always treated midwives as the first line of maternity care and saved doctors and hospitals for backup, and learning about human rights in maternal health around the world while teaching law at The Hague University, Hermine became inspired to advocate for all maternity care systems to provide person-centered care that fully integrates midwifery, in a way that reflects and upholds the fundamental rights of the person giving birth in both law and practice.  We believe that the legal and systemic integration of midwives is important to all health systems’ efforts to provide economically efficient care that optimizes maternal and perinatal health across the population. 

Hermine uses her knowledge and expertise of midwifery to provide empathic and empowering advocacy to each midwife client, and to help midwives navigate legal systems that are sometimes still learning what midwives are.  Hermine represents midwives before numerous Oregon agencies and tribunals, and can consult on matters in other jurisdictions.