Battling Over Birth: Black Women and the Maternal Health Care Crisis reveals hard truths—powerful findings on the role of racism, coercion, inadequate prenatal care, the pressures undermining breastfeeding, and the lack of access to alternatives to a broken maternal health-care system as key threads of black women's birth experiences.



Battling Over Birth, a new human rights report from Black Women Birthing Justice, shares stories from over 100 women who recently gave birth in California. The report reveals the culture of fear and coercion that has transformed birth into a battleground, a deep lack of trust of our hospitals, and a broken maternal healthcare system that fails too many black women. The report shakes up our understanding of where state violence happens, and who it happens to; putting the human rights spotlight onto a system that is often unaccountable to black communities. Battling Over Birth also provides solutions. It makes a series of recommendations, including community accountability boards to hold hospitals accountable; increased access to midwifery and doula-care; recruitment and training of more health-care professionals of color; culturally-competent, empowering prenatal and postpartum care; greater access to home birth and birth centers; and a sharp reduction in the use of C-sections.