Simply put, the state of birth in America is dire, and our nation’s mothers deserve better. We need more collaboration across sectors. We need smarter investments in technology to advance access to care. We need better information dissemination to inform the choices of mothers. We need better assessments to adequately measure the quality of care providers. We need commitments from leaders across health care, government, philanthropy, and academia. And we need a national focus on improving the state of birth for all families, in all communities across America.