As a Black community midwife and mother of six, Tanya Smith-Johnson has birthed babies in several different states and settings, from hospitals to birth centers and at home, and has seen the disparities in care for people of color worsening each year as the hospital ways of “managing” childbirth take over. Knowing that greater access to midwifery is a solution, she tackles the issue strategically on all fronts – mentoring a growing “pipeline” of student midwives, becoming the first Black president of a major midwifery college, serving her clients with true care, and battling the health and legal systems for policy change. When her family moves to Mississippi, a “maternal healthcare desert” and one of a few states where community midwifery is still not legally recognized, she works to establish a midwifery practice and serve families in the face of extreme inequities and a powerful healthcare lobby. DELIVERING JUSTICE will follow one midwife and her clients’ pregnancies in a state with one of the worst track records for maternal care. If Tanya and her fellow advocates succeed in reversing the tide in one state in the deep South, she may give us all reason to hope — before more mothers and babies are needlessly harmed.