Motherhood in extreme environments.

Dear Editor, The recent report on women who must travel from isolated areas to give birth highlights a deeply complex and little-discussed reality in Chile. Beyond the obstetric risks, these measures involve family separation, loss of support networks, and significant displacement for women living in extreme areas such as Puerto Williams, Juan Fernández, or southern regions of Aysén. Maternal safety is a priority. However, perhaps it is time to reflect on whether the current model adequately balances clinical safety, dignity, and territorial relevance. Listening to the experiences of the communities themselves could open opportunities to develop more humane and context-specific care models for the country's most remote areas. Lilian Ferrer and Margarita Bernales Researchers School of Nursing, Universidad Católica de Murcia More on: Maternal safety Obstetric risks