In the United States, health care for Black pregnant people is often understood through the lens of crisis. “Establishing Vigilant Care: Data Infrastructures and the Black Birthing Experience,” a report I authored, offers a birth-worker-led analysis of how data collection impacts Black patients. In doing so, birth workers’ vigilant practice of adapting their data collection strategies is offering an effective model for protecting pregnant patients’ reproductive rights. For Black pregnant patients, data collection carries gendered and racialized consequences. “This is also the future that birth workers and other advocates for Black birthing people are tirelessly working to prevent.”Rather than a simple case demonstrating the value of Black physicians treating Black patients, when Black-centered birth workers care for both Black patients’ bodies and their data, all pregnant patients benefit.