Two days after Alia Louise Stenback survived the Aug. 8 wildfire in Lāhainā, Maui—the deadliest wildfire the United States has seen in over 100 years—she parked herself at a medical tent. One month later, with no ambulances around to provide transport to a hospital, her grandson was born. With a donated birthing kit and the support of traditional midwives, Stenback “caught [her] grandson.”

Stenback grants herself “outlaw” status because she provided care during labor without a midwifery license in assumed violation of Hawaii’s HRS §457J, otherwise known as the Midwifery Restriction Law. Originally passed in the name of maternal and infant safety, the law is the subject of impassioned protests, new legislative proposals and a lawsuit filed by the Center for Reproductive Rights and the Native Hawaiian Legal Corporation.