Birthing disparities in the United States are racialized and consistently show that Black women and Black birthing people face the highest risk. This article presents a historical context from which these disparities grew to acknowledge the roots of modern day institutionalized and systemic racism in maternal health care that undeniably effect the outcomes seen. The solution to eliminating the racial birthing disparities is multipronged. The authors share a racial concordant, integrated behavioral health model of perinatal care that promotes prioritizing culture-specific knowledge, traditions, and birthing practices that can be integrated in hospital and medical settings to buffer expecting Black families from obstetric oppression and violence. A call to action to standardize sanctuary birthing for Black families in our medical systems and the appointment of Black leadership to lead the charge is recommended.