In this June 6, 2017 photo, midwife Ana Choque delivers Mariana Limachi's first child as Limachi's husband Wilder Chambi holds her hand and forehead in El Alto, Bolivia. When a doctor told Limachi she needed a C-section because the umbilical cord was wrapped around her 8-month fetus, she turned for help to a highly respected figure among Bolivia's indigenous women: the midwife. (AP Photo/Juan Karita), APTOPIX