What happens when those invested in newborn and maternal health in impoverished urban areas are faced with the reality that more than fifty percent of the world now lives in cities? Massive hurdles occur, especially when trying to translate maternal care from rural methodologies to urban ones, in a scramble to cater to the dramatically increasing migration of mothers into urban areas. The environmental destruction and gender discrimination that are embedded in urbanization are heavily felt by pregnant women and new mothers, whose vulnerability is compounded by climate change.