This powerful session, led by Nicolle Arthun, explores how Indigenous midwifery wisdom—holistic risk assessment, relational decision-making, and deep accountability to community—can drive meaningful systems change from the birth room into policy. Through case studies such as the Mni Wiconi Midwifery Field Clinic at Standing Rock and the work of Changing Woman Initiative, the webinar examines the systemic barriers that shape maternal health access, including jurisdictional fragmentation, funding challenges, workforce gaps, and limitations on sovereignty.