Previous research has explored the unique approaches of midwives in providing maternity care, but only limited information is avail- able on how immigrant women experience childbirth with midwives in the United States. In-depth interviews were conducted with 20 first-generation Mexican immigrant women and five certified nurse- midwives (CNMs) who cared for them at a public clinic. The mothers described their experiences with CNMs as positive and felt supported in retaining cultural traditions. The CNMs strived to provide culturally com- petent care by allowing women a voice. The findings reflect the active role that health care professionals can play as immigrants adapt to new sociocultural contexts.