Black women’s maternal health in the UK and the US has suffered greatly due to the impact of racial inequality and structural racism. In both countries Black women’s pregnancy related deaths have exceeded their white counterpart by more than three times the rate. According to the CDC US Black women experience 41.4 pregnancy-related deaths per 100,000 live births compared to 13.7 among white women between 2016-2018. The Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries report show that Black women in the UK experience 40 maternal deaths per 100,000 pregnancies compared to 8 among white women between 2014-2016. Although socioeconomic status has clear links to poor health outcomes Black women experience higher rates of pregnancy-related deaths at every level of education. Black women are more likely to live in areas in low-income areas and work in occupations that put them at higher risk during pregnancy. Some of these deaths have been attributed to the lack of resources in Black communities while others have clear links to racist or discriminatory treatment by medical practitioners. During the COVID-19 pandemic, ethnic minority pregnant women in the UK experienced a higher rate of severe reactions. Previous studies have shown that Black women’s pain has not been taken seriously and are assumed to be drug-seeking when requesting assistance with pain management. In this article, I aim to examine the link between maternal mortality in the US and UK and structural racism