This book offers a profound exploration of obstetric racism, illuminating the systemic inequities that Black women face during childbirth in the U.S. healthcare system. By applying a Black feminist framework, Dr. Karen A. Scott effectively critiques traditional paradigms of obstetric care, revealing how they perpetuate harm and neglect the voices of Black mothers. She introduces the SACRED Birth Framework, which is a transformative approach prioritizing the lived experiences of Black women, advocating for a reimagined standard of care that addresses historical injustices. Through rigorous analysis and innovative solutions, it challenges healthcare professionals to recognize and combat the pervasive effects of structural racism. This work not only underscores the urgent need for systemic change but also empowers marginalized voices, making it a crucial contribution to the discourse on maternal health equity. This is essential reading for anyone invested in understanding and dismantling the barriers faced by Black birthing individuals, ultimately aiming to create a safer and more equitable healthcare environment for everybody.