The COVID-19 pandemic has only exacerbated the challenges faced by minority pregnant young women, with studies documenting increases in psychological stress and psychiatric symptoms during the pandemic among childbearing populations. There is a critical need to understand the implications of SRD and pandemic-related stress on substance use and perinatal outcomes, especially in young, pregnant Black women. In this mixed-methods study, participants will voice how SRD contributed to difficulties before and during pregnancy, including stress and barriers to healthcare. We will ask about obstetric racism (e.g., discrimination during medical encounters while pregnant) and if these experiences impacted their pregnancy and/or birthing experiences during the COVID-19 pandemic. Themes from these interviews and community stakeholder input will be used to add survey items and analyzed in conjunction with data from a survey of every day experiences of discrimination and medical record data.