Preeclampsia is a serious condition during pregnancy characterized by high blood pressure and signs of organ damage, most often the liver and kidneys. Research shows that Black women face a 2 to 3 times higher risk of developing preeclampsia compared to other groups. This disparity cannot be explained by biology or genetics alone. Instead, it stems largely from social determinants of health such as systemic racism, chronic stress, and unequal access to quality prenatal care. The concept of "weathering" plays a key role—this refers to the cumulative physical toll that chronic exposure to social and economic adversity can have on the body over time. For Black women, persistent exposure to racism, discrimination, and bias contributes to baseline vascular strain and higher rates of hypertension even before pregnancy begins. These stressors create an environment where preeclampsia risk increases drastically. Additionally, healthcare disparities impact outcomes. Black women often experience delays in care due to systemic barriers, implicit bias in medical settings, and economic obstacles like affordability of prenatal visits. These gaps in care increase the risk of severe pregnancy complications and reduce early intervention opportunities that could prevent the progression of preeclampsia. Environmental factors, such as higher exposure to pollution and food insecurity, also play a role. Combined with higher rates of chronic conditions like hypertension and obesity among Black women, these factors elevate the chance of developing preeclampsia during pregnancy, childbirth, or postpartum. Addressing this issue requires a multifaceted approach: improving equitable access to quality healthcare, enhancing provider education on implicit bias, and addressing broader social inequities that contribute to chronic stress. Support systems that acknowledge these unique challenges are essential to improving maternal health outcomes for Black women and reducing the incidence of preeclampsia in this community. By raising awareness of these social and systemic contributors, we can work towards better health policies and community support that prioritize Black maternal health and save lives.