This epilogue provides a brief overview of Native women’s reproductive experiences in the twenty-first century, the most pressing issues Native pregnant people currently face, and the wide-ranging reproductive justice agendas that Native individuals and organizations are advancing. In recent years, the Indian Health Service has closed some reservation hospitals and reduced obstetric services in others. In response, Native women are advocating for the return and expansion of reservation women’s health and obstetrics services, as well as the reform of institutions that have not met patients’ needs. Native women are also questioning or outright challenging Western models of medicalized birthing, continuing a longer struggle for the decolonization of pregnancy and childbirth. Native reproductive justice agendas are expansive and incorporate demands such as the right to control one’s own fertility, the elimination of racial health disparities, and the protection of tribal lands from environmental degradation, among many other priorities.
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