In the healthcare landscape, there exists a unique but often overlooked intersection – being black, trans, and pregnant. These individuals navigate a complex matrix of challenges, often facing systemic barriers and personal biases that impact their healthcare experiences. Black, trans, and pregnant individuals frequently encounter significant disparities in healthcare. These range from systemic racism and transphobia to specific issues such as inadequate access to knowledgeable prenatal care. Many healthcare providers lack the necessary training and understanding to adequately support these patients, leading to experiences of discrimination and inadequate care. A significant barrier in addressing these issues is the lack of comprehensive data. Research on black trans pregnancies is scarce, resulting in a profound gap in understanding and awareness among healthcare professionals. This data gap not only affects the quality of care provided but also hinders the development of effective