“…A growing body of literature has examined the relationship between structural racism and adverse birth outcomes (Ahern, Pickett, Selvin, & Abrams, 2003;Chambers, Baer, McLemore, & Jelliffe-Pawlowski, 2018;Chambers, Erausquin, Tanner, Nichols, & Brown-Jeffy, 2017;Farley et al, 2006;Huynh et al, 2017;Huynh, Parker, Harper, Pamuk, & Schoendorf, 2005;Kaufman, Dole, Savitz, & Herring, 2003;Krieger et al, 2017;Mendez, Hogan, & Culhane, 2011;Messer, Kaufman, Dole, Savitz, & Laraia, 2006;O'Campo et al, 2008;Woodward, 1995). Structural racism is defined as a systematic approach used to influence laws and process to unequally allocate access to goods, opportunities, and services in society by racial group (Bailey et al, 2017;Gee & Ford, 2011;Jones, 2001;Massey & Denton, 1988;Mehra, Boyd, & Ickovics, 2017;Ncube, Enquobahrie, Albert, Herrick, & Burke, 2016;White & Borrell, 2011).…”