It’s clear that improving birth outcomes, and particularly racial inequities in birth outcomes, is a complicated and dynamic challenge that may not be solved through clinical care, behavioral change, or social programs alone. This is why pairing perinatal families with CHWs is a promising intervention – CHWs tailor their efforts to each family’s own strengths, aspirations, and needs, and can help each family navigate through the intense adjustments of the perinatal period and services available to them.