By analyzing the lived experiences of Black birthing people through a plurality of medical and emotional ethos, I illuminate themes of experience that allow or disallow the subjectivity of the birthing person to thrive or falter. I specifically focus on a spectrum of dynamics of reproductive trauma versus empowerment, resistance versus trust, and feelings of fear versus safety expressed by the birthing person. In the face of birth trauma, the Black birthing community is creating care alternatives that offer support in ways the traditional US medical system is failing. The modes in which communities participate in the birth justice movement and collectively practice modes of resistance that offer safer, more respectful care models are valuable in eliminating racial health disparities in the United States. For this research endeavor I deployed a feminist methodological approach consisting of in-depth, semi-structured, ethnographic interviews, to explore the dynamics of power hierarchies within the realm of labor and delivery. Care paradigms chosen by Black birthing people can be divided into four specific situations which yielded profoundly discernable positive or negative results: (1) Birth experienced as a Black pregnant person delivering in the hospital under the care of a non-black OBGYN and birth team, (2) Birth …