Pregnancy can be a challenging time in a person’s life no matter the circumstances, but patients in the remote communities of North Vancouver Island (including Alert Bay, Port Alice, Port Hardy, and Port McNeill) have historically faced major roadblocks when it comes to accessing local maternity care. For many birthing people, their pregnancies have involved traveling down island to receive care, which can be difficult to arrange, costly, and isolating. For the Indigenous communities in the area, it is important to provide access to culturally safe care, and the option to give birth on their own lands—which has not always been available.