At 30 weeks pregnant, Rayna Reid Rayford walked into a Houston ER in excruciating pain. They sent her home. Dehydration, they said. She came back a week later, still in agony. Same diagnosis. Same dismissal.
What changed everything? Five physician family members in town for her baby shower. They asked the questions. They demanded the MRI. They found the acute necrotizing appendicitis that would have killed her if she'd been sent home again.
She's one of the lucky ones. And she couldn't stop thinking about the ones who aren't.
Pregnant and Black launches April 11th during Black Maternal Health Week — a free app connecting Black expectant mothers with culturally competent healthcare advocates who can be virtually present during appointments or emergencies. No insurance required.
In this conversation, we cover:
- Why Harris County is the deadliest place in America for Black women to give birth
- What it felt like to be a lawyer with a family of doctors and still not be believed
- The Serena and Beyoncé parallel: money doesn't protect you
- How the app handles privacy in post-Roe Texas
- Why joy — not just safety — is the right word for what Black maternal health should look like
- And what it costs to build something on top of a trauma
App launches April 11th at the Advocacy and Action Benefit Brunch, Westin Houston Downtown. Honoree: LeToya Luckett, founding member of Destiny's Child and maternal health advocate.
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00:00 — Harris County is the deadliest place in America for Black women to give birth
01:09 — Introducing Rayna Reid Rayford and Pregnant and Black
02:32 — Appendixgate: dismissed twice, saved by a family of doctors
04:21 — What it felt like to be educated, supported, and still not believed
06:47 — The Serena and Beyoncé parallel: money doesn't protect you
07:23 — Is this systemic or regional? (The answer is both)
08:34 — Why pregnancy feels like a silo now — and how the app rebuilds community
09:07 — Legislating against women and the crisis of not being believed
11:31 — From trauma to tech: how she connected the dots
12:54 — Walk-through: what the app experience actually looks like
14:26 — Privacy in post-Roe Texas — how PAB handles your data
15:20 — Launching an app with "Black" in the name right now
17:29 — The Lion King, the circle of life, and why men need to be in this conversation
18:55 — Why joy is the right word — not dignity, not equity
20:07 — If you could change one thing about ER physician training
21:53 — Why representation inside the medical system literally saves lives
23:05 — The personal cost of building on top of a trauma
24:51 — The 22 Questions Lightning Round
28:43 — Where to find the app and how to support Pregnant and Black