Circle of Elephants

is creating Midwifery and Birth Services and Education

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A big thank you!
per month
You will receive a personal thank you note from me.
Basic Needs Book
per month
A copy of my book The Basic Needs of a Woman in Labour (available in English, Italian, Spanish, Portuguese and Russian). You will also be the first in line for any new published material.
30 Minute consultation
per month
Whether in person or via Skype, you will be able to have a 30 minute consultation with me regarding either your pregnancy, birth, baby, or midwifery related questions.




per month


When a female elephant gives birth she is surrounded by a group of female elephants who form a protective circle around her. They face outwards, guarding her and leaving her to birth protected and yet unobserved…sometimes she is joined by one elderly female elephant, ‘the midwife’ elephant, who sits with her as she births her calf, protected and guarded by her circle of elephants.

Ruth Ehrhardt ( of True Midwifery) and Caitlyn Collins ( of Into Essence) are Certified Professional Midwives (North American Registry of Midwives) and registered as Traditional Midwives in South Africa with the Traditional Doctor’s Union.

Circle of Elephants Midwifery Care is a South African independent midwifery care practice attending births at home to paying clients in the Cape Town Southern Peninsula, Southern Suburbs, Cape Flats and Cape Town City Bowl (CBD) area.

South Africa is a country still healing from the wounds inflicted by Apartheid. Decent housing, toilets, basic transport, finishing school, electricity, running water and birthing with dignity are luxuries most do not have access to, let alone can afford.

Circle of Elephants provides pro bono midwifery care and home birth services to women in previously disadvantaged communities in the Southern Peninsula who cannot afford this private service.

Circle of Elephants endeavours to ensure that ALL pregnant families have access to good, compassionate, midwifery care.

The attending midwives, students and birthing family carry out The Midwifery Model of Care for pregnancy, birth and postpartum jointly in order to ensure optimum safety for MotherBaby.

The Midwives Model of Care includes:
  • Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
  • Providing the mother with individualized education, counselling, and prenatal care, continuous assistance during labour and delivery, and postpartum support
  • Minimizing technological interventions
  • Identifying and referring women who require obstetrical attention

The application of this woman-centred model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.
Alongside the midwifery model of care, we work with the Science and physiology of birth by providing for the basic needs of a woman in pregnancy, birth and postpartum.We endeavour to follow current, evidence-based maternity care and follow the WHO (World Health Organisation) & South African public health guidelines and to encourage informed choice in all our clients.

Circle of Elephants also hosts monthly talks and workshops for practising, aspiring and student midwives, doulas and other birthkeepers. We host different speakers and subject matters.

The vision is to one day have our own traditional midwifery school on a beautiful piece of land here on South African soil with an adjoining birth centre:
Midwives from every community serving women in every community.

You can contact us for more information to [email protected]

All images of mothers and babies are used with permission)
$18 of $800 per month
When I reach $800 per month, I will offer my home birth services to a local and previously disadvantaged woman who cannot afford to access this care. Up to now, I have been offering this service for free but I am limited in this as costs of my time and equipment need to be covered. This fee would cover being able to attend one women for her birth in her home per month and would include all her pregnancy, birth, post birth care. It would also include her baby's registration and clinic card so that she can access her local clinic, creches and schools.
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