This report offers a comprehensive examination of the “sexual abuse to maternal mortality pipeline” and its markers. These include factors such as sexual abuse, unaddressed trauma, superimposed social/structural stressors like racism and sexism, retraumatization within OBGYN experiences, distrust and avoidance of health care professionals, obstetrics violence and finally, maternal mortality. Authors offer extensive recommendations for effecting change at the policy, medical, and cultural levels.