U.S. rates of maternal mortality are the highest in the developing world and rising. Women giving birth today are more likely to die than their mothers. The data is stained by racial disparities, with Black and American Indian/Alaska Native women dying 3 times more often than white women. Our clinical and policy approach to maternity care must change to address the crisis. We must reshape financial and care delivery systems, ensure better data and advocate! Learn from models around the US anchored in the principles of racial equity/social justice, technology and holistic health promotion. This robust, interdisciplinary conversation will dive into preventing death: before, during, and after pregnancy, and throughout women’s lifespan to improve maternal health.