This session at The Public Health and Midwifery World Conference (PHMWC) 2025 will discuss complex ethical dilemmas in midwifery, from issues regarding informed consent to autonomy, cultural sensitivity, and decision-making during a high-risk pregnancy or an emergency. The presentation will look into real case studies and frameworks that discuss conflicts of patient rights with medical recommendations and legal requirements. This session will also enhance ethical codes of practice, professional accountability, and tactics on balancing the humanitarian approach with ethics for maximum benefit to both the mother and the baby.