Spirit-Mothers are a special group of family-less women who are effectively nomadic, moving from house to house where they serve as midwives. The Spirit-Mothers are priestesses of the old religion and are welcomed mostly through deeply ingrained tradition. A spirit-mother is never paid for her work but it is common for gifts to be given to ensure her comfort. Should a spirit-mother be attacked she will likely be protected by those surrounding her as if she were part of their family even if she had never worked for them. Spirit-Mothers are an extremely rare hold over from the old religion. Most people have never seen or even heard of one.

Only unmarried women could be spirit-mothers and no man would ever be taught the mystical secrets that surround childbirth. Spirit-mothers are either born into the role or taken as orphans and raised into the art throughout their childhood.