“…“Never ask permission to save your own life,” advises GirlTrek, the largest public health nonprofit for Black women and girls in the United States 39. Birth Detroit is a demonstration of this advice in action and has adopted the mantra, “We are no longer asking permission to save our own lives.” Detroit's first Black-led birth center, Birth Detroit, is a model of deep equity and systems change, shaped by science and evidence, and positioned as a promising practice with strong potential to deconstruct inequities in birth outcomes.…”