The focus of this study was a midwife who owns and operates Nakashima Maternity Home, the only midwifery clinic in Tajima-machi, a district of Minamiaizu Town in Fukushima Prefecture, which is located in a mountainous area that receives heavy snowfall. The purpose of the study was to examine the process through which a midwife develops her private practice and acquires knowledge as she assists in childbirth for a living. In this study, the midwife had developed her private practice in an area that receives heavy snowfall. She lived in the local community and was thus, highly knowledgeable about the region. The people in the community were well aware of her dedication. In the process of conducting activities related to labour and delivery there were learning experiences in which the midwives projected their way of life onto pregnant women with whom they worked and the place where they worked.