This dissertation introduces a mixed-methods framework integrating midwifery, meteorology, and geography to study Black birthing outcomes. Rejecting deficit-based comparisons, it centers community-specific strengths and environments. Through qualitative studies of Black midwifery and quantitative climate analyses, the work offers a more holistic, justice-oriented approach to environmental health research.

Acetaminophen is widely used in pregnancy despite limited evidence about its risks. This research examines whether acetaminophen affects birth timing and weight, who uses it and why, and how clinicians make recommendations. By mapping lived experiences, medical guidance, and outcomes, the project aims to clarify risks and support informed decision-making for families.