Indigenous communities of Panama, like many resource-limited populations, suffer high rates of maternal and fetal morbidity and mortality. This study aims to identify barriers to prenatal care within Ngöbe communities and implement a prenatal education program for local midwives. Administration of needs assessment survey and prenatal health education took place in indigenous communities in Bocas del Toro. Questionnaire results showed that 47 of 101 surveyed pregnant women reported planning a home delivery. Forty-six of 101 women used prenatal vitamins during pregnancy, yet only three (2.97%) women initiated prenatal vitamins prior to pregnancy or during the first trimester. The increased use of prenatal vitamins with advancing gestational age suggests a delay between confirmation of pregnancy and receipt of vitamins. Forty of 68 (58.8%) women with zero to four children desired contraception, while 18 of 21 women (85.7%) with five children or more desired contraception (p=0.02). However, only 14 of 89 women had ever used contraception. Regarding the prenatal health education curriculum, there was a significant increase in test performance when comparing pre- and post-presentation surveys (p=0.0002). The success of the prenatal curriculum demonstrates the ability to effectively increase knowledge and empower women to improve health outcomes within their communities.