| Summary: | In Canada, Indigenous Peoples living in northern, rural, and/or remote communities are evacuated for birth to hospitals based on beliefs within the Euro-Canadian biomedical model, which does not consider risk in a wholistic manner and overemphasizes biomedical risks like preeclampsia, hypertension, and diabetes. To understand risk wholistically, we conducted a critical interpretative synthesis to generate three concepts of risk: colonialism, racism, and leaving community. We call upon all health systems in Canada to end mandatory evacuation for birth to mitigate the outlined risks. We urge health systems and its workforces to adopt the Calls to Action from the Truth and Reconciliation Commission of Canada (2015) and the Calls for Justice from Reclaiming Power and Place: The Final Report of the National Inquiry into Missing and Murdered Indigenous Women and Girls (2019) to bring birth back to Indigenous communities through an Indigenous midwifery-led approach.
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