Kildea S, Gao Y, Hickey S, et al. - In the present study, the researchers sought to evaluate and report the clinical effectiveness of the Birthing in Our Community (BiOC) service on key maternal and infant health outcomes compared with that of standard care. Pregnant women visiting the Mater Mothers Public Hospital (Brisbane, QLD, Australia) who were having a First Nations baby were asked to receive the BiOC service. One thousand eight hundred sixty-seven First Nations babies were born at the Mater Mothers Public Hospital between January 1, 2013, and June 30, 2019. After exclusions, 1,422 women received either standard care (656 candidates) or the BiOC service (766 candidates) and were involved in the analyses. This study demonstrated the clinical effectiveness of the BiOC service, which was co-designed by stakeholders and is based on the principles of Birthing on Country. Priority should be given to the widespread implementation of this new service. To ensure that all First Nations families have access to Birthing on Country services that are tailored to their specific circumstances, dedicated funding, knowledge translation, and implementation science are required.