In this July 20, 2017 photo, midwife Ana Choque poses for a portrait before leaving her home to visit a pregnant patient for pre-natal care in El Alto, Bolivia. Women from the Aymara and Quechua indigenous groups, who make up a majority of Bolivia's population, distrust hospitals and cesarean births, and prefer to rely on traditional midwives who they often refer to as "aunt." (AP Photo/Juan Karita), APTOPIX