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In Indonesia coverage of delivery assistance by health personnel in 2015 is 88.55%, not much different with the year 2014 is 88.68%. As for the Province of West Sumatra coverage of labor assisted by health personnel in 2015 that is 78.55%. (Indonesia Health Profile, 2015). This study aims to explore more deeply about the description of midwife partnerships with shamans in the help of labor to reduce maternal mortality (AKI) in Pigogah District of Sungai Beremas in 2017. This research uses qualitative design with grounded theory approach. Data was collected by in-depth interviews conducted on 10 key informants, shamans and midwife. In-depth interviews were also conducted on community leaders, religious leaders, post-partum mothers and policy holders. Technique of data analysis with thematic analysis. The result of the research shows that the partnership between shamans and midwife is seen from several things, namely that there is no budget allocation to finance the implementation of programs, facilities and infrastructure of partnership is not sufficient, the division of the role between shamans and midwife in the implementation of partnership is clear, the coordination between shamans and midwife is only incidental, decision-making is only done by the midwife, there is no regular meetings between shamans and midwife, moral support from religious leaders and community leaders for the sustainability of this program. The meaning of partnership is the meaning for the target group and for the partner. Obstacles in the implementation of shamans partnerships with midwives are: there are still shamans who do not want to partner with midwives in the delivery assistance, there are still pregnant women who do not want to give birth at health facilities, transportation difficulties to refer pregnant women to health facilities. It can be concluded that the partnership of shamans and midwife Pigogah has not gone well. The obstacle is that there are still non-partnering healers, transportation barriers, and obstacles from pregnant women themselves. Need to allocate funds to fund the partnership program, provide transportation to refer pregnant mothers to health facilities, have midwife and midwife counseling meetings, public education about delivery at health facilities, the community is expected to understand and realize that deliveries at health facilities are much safer than deliveries home.