In Birthing Justice: Black Women, Pregnancy, and Childbirth, the editors Julia Chinyere Oparah, an activist scholar, and Alicia D. Bonaparte, a medical sociologist, take on the global crisis in maternal healthcare for Black women and create a thought-provoking and informative book. The chapters are filled with personal stories, heartbreaking moments, and compelling challenges for change. The book stimulates the reader to both learn about the area and ponder the implications of the chapters for their own decision making. This book is thoughtful and provocative; some chapters lose focus and others are slightly redundant, though in support of the common premise. The book is historically accurate and very accessible to the general nonmedical reader. The primary audience for this book is likely obstetrics and gynecology professionals, though from a historical perspective it is relevant to infant mental health clinicians as well. This text could easily be integrated into required coursework for professionals in training either as mental health or medical clinicians. In the introduction, Dr. Oparah opens with several stories of women who have given birth in the United States, reflecting the complexity of the process of giving birth both historically and in the present day. She sets the framework and query that continue throughout the book: “Is this a cautionary tale about what happens when a patriarchal medical establishment seeks to control women's bodies or an uplifting affirmation of women's ability to take back their power and birth naturally?” (p. 3). She then describes the struggle for reproductive justice as “the right to have children, not have children, and to parent the children we have in safe and healthy environments” (p. 6). This book, though, takes the examination one step further: specifically exploring the right to a safe, respectful birth and the current state of birth oppression for women of color. By describing the history of midwifery and obstetrics in the United States since the 18th century, Dr. Oparah sets the framework for “My Birth My Way.” She differentiates “reproductive rights,” as defined by Forward Together as the “right to have children, not have children, and to parent the children we have in safe and healthy environments,” from “birth oppression,” which she sees as a movement to limit the human right to a safe, respectful birth experience free from unnecessary medical interventions during childbirth. The editors have divided the book into four sections that fold out in a logical progression. “Part I Birthing Histories” consists of three chapters which explore various facets of the role and decline of “Granny Midwifes” in the United States. “Granny midwifery” a type of lay midwifery, derived from the term grandmother midwife because they tended to be older mostly Black women. To become a granny midwife, a woman must have a spiritual calling to the profession, serve an apprenticeship until the older midwife retired, or followed a matrilineal tradition of midwifery. They practiced in the United States in the early 18th through the early 20th century until the shift to “professionalized medicine” led to their decrease with the legal regulation of midwifery. This section also contains a fascinating contrast chapter on childbearing in Zimbabwe. This section was the strongest both in establishing the argument of the book and drawing in the reader's interest. “Part II Beyond Medical versus Natural Redefining Birth Injustice” consists of seven chapters which explore through personal narrative the pain of miscarriage, post-cesarian-section challenges, giving birth as a Black transgender man, population control, and HIV. In addition, this section includes a moving pictorial chapter with images from the Safe Motherhood Quilt Project, a national effort to honor woman who have died of pregnancy-related causes since 1982. These stories are compelling, and the chapters bring a human touch to the book. In “Part III Changing Lives, One Birth at a Time,” the editors present seven narratives, each with a unique perspective to add to the complexity of birth justice. One of the strongest describes the birthing experience for a woman who has experienced trauma and assault and what it means to be a survivor–mother. Several other chapters describe the pain of trying to control the birth experience—whether a home birth or a hospital birth without intervention—and the continual struggle to maintain control of how a woman chose to give birth. In “Part IV Taking Back Our Power Organizing for Birth Justice,” the final section, the editors present alternative models that may improve the birthing experience (oppression or injustice) for women, such as obstetrician activism, advocating for vaginal birth after cesarean delivery, and most important, the new politics of Black childbearing, specifically the struggle to provide access to lay birth companions for low-income women. Doulas supplement physicians’ practice by providing some of the hands-on personalized care that granny midwives provided. In addition, they explore various activism efforts in modern day midwifery to address social injustices in U.S. healthcare, from one midwife's story to the issues of women laboring while incarcerated. This section is the most challenging in the book and perhaps where it falls short only because the answers here are not simple. Extremely well-written and organized, this is nonetheless a difficult book to read and to confront the role we each must play in addressing the ongoing injustice for women. Written as a compilation of chapters and filled with personal narratives which are engaging and genuine, this book provides powerful tools and insights to continue the battle. Though not a true ethnography, there is little quantitative data supplied here, and the policy discussions, although comprehensive, do not provide solid background data to support the argument in all cases. This book opens the issues, and a follow-up book may be necessary to break open potential solutions and steps to change. Some of the narratives hint at one possible solution, but the complexity if these issues leave the reader wondering where to head with this hard-to-read challenge. Perhaps the near future will reflect these changes soon, but hard data on implementing change will likely be necessary to genuinely impact policy change.