In this deeply personal commentary, Jarvis Houston reflects on becoming a father under crisis when his son was born prematurely due to preeclampsia while the family was in Colombia. Through the experience of navigating a foreign health system, witnessing the fragility of life in the NICU, and advocating for his partner’s survival, Houston examines the realities of Black fatherhood, the dangers of maternal health inequities facing Black women, and the collective nature of survival, care and love.