This report emerged from a continuous collaboration between two organizations within Tulane University; The Mary Amelia Douglas-Whited Community Health Education Center (MAC) and Newcomb College Institute (NCI) that share the goal of working in partnership with the New Orleans community to promote women’s equality. As a follow-up to our previous report on the health of women and girls in the Greater New Orleans Area, we delve deeper into select health indicators and reasons behind racial, ethnic and socioeconomic disparities in these indicators. This first follow-up report focuses on reproductive health and the stark racial disparities in adverse birth outcomes among women in not only the New Orleans area but also in the state as a whole. Evidence-based and data-driven programs are the most successful at improving health. It is our hope that providing data will enable us all to change the course of these extreme disparities in health outcomes including adverse birth events.