Their stories reveal how easily postpartum symptoms are dismissed and how fiercely Black women must trust their intuition to survive.

The Clue Hidden in Anjellica’s Breathing

Shortly after giving birth, Anjellica Davis began noticing changes she could not explain. Walking across a room left her breathless. Climbing stairs felt impossible. Even talking took effort. She was exhausted in a way that rest did not touch, and her chest carried a heaviness she could not shake. Her body felt unfamiliar.

She tried to fold it into the story of new motherhood. New mothers are tired. New mothers swell. New mothers push through. She kept pushing because she did not want to seem dramatic or ungrateful for motherhood. But her body kept insisting that something was wrong.

“I kept telling myself it was normal postpartum exhaustion, but deep down I knew something was off.”

Postpartum cardiomyopathy is often mistaken for the fatigue of new motherhood. It is a form of heart failure that disproportionately affects Black women and can be deadly when overlooked. Anjellica spent weeks questioning herself before someone close to her finally said what she had been afraid to admit. This is not normal, and you need help.

Motherhood in Survival Mode

When doctors told Anjellica that her heart was failing, her world shifted. Medication was not enough, and a transplant was becoming the best option.

She had just become a mother, and suddenly she fought to stay alive. Grief threaded through every part of her life, grief for the postpartum experience she imagined, the body she trusted, and fear of a future she might never reach.

“I did not have the luxury of processing it,” she says. “I was in survival mode. I was trying to be present for my baby while facing the possibility that I might not be here to raise him.”

Her son became her anchor, giving her something to hold onto on the hardest days.

A New Understanding of Maternal Health

Anjellica’s experience reshaped her understanding of maternal health and the inequities Black women face. “Black women are often not heard quickly enough,” she says.

“Symptoms are minimized. Pain is normalized. Exhaustion is dismissed. If I had not pushed and questioned, my outcome could have been very different.”

She now sees maternal health not just as a medical issue but as an equity issue, and she speaks openly about listening to your body, advocating for yourself, and trusting the intuition so many new mothers are taught to ignore. If something feels wrong, it probably is.

Erin’s Mysterious Headache

Erin Adelekun’s story begins with a headache she rated a six or seven out of ten. She blamed it on exhaustion. She had just given birth, was up every two hours feeding her daughter, and was barely sleeping. Her pregnancy had been healthy. She had no high blood pressure and no complications.

A stroke was not even a possibility in her mind.

“I didn’t know a stroke could happen to someone like me.”

When she mentioned the headache at discharge, the doctor told her to take Tylenol. COVID protocols pushed hospitals to send patients home quickly, and staff believed going home posed less risk than staying. She trusted that if something were wrong, someone would say so.

The next day, her arm dropped and her words tangled. Something inside her went still. And then she remembered a stress ball she had been given, the one printed with four letters she barely noticed at the time: F.A.S.T.

Face. Arm. Speech. Time.

She had glanced at it once and moved on. Now those letters snapped into place. They told her exactly what was happening. She was having a stroke.

That moment of recognition is what saved her life.

Relearning Life While Raising a Newborn

Erin’s stroke left her with aphasia, a condition that kept her mind sharp while her words slipped out of reach. She knew exactly what she wanted to say, yet the connection between thought and speech felt broken. So, she learned to communicate in new ways, relying on gestures, communication charts, long pauses, and a patience she never expected to need.

Conversations became slower, heavier, something she had to work her way through rather than speak.

“I was a born communicator who could not communicate,” she says. “It was frustrating and humbling.”

She needed full-time care for two years. The loss of independence cut deep, and even though she had survived something many do not, she still felt like she had failed.

“I went from giving birth to needing full-time care myself.”

Her village carried her through. Her husband, family, and friends cared for her daughter while her therapists helped her relearn how to walk and talk.

Finding Her Voice Again

Aphasia reshaped Erin’s relationship with communication. She learned to speak up in medical settings and to trust her body. She also learned that being quiet can be dangerous.

“I do not minimize my symptoms anymore,” she says.

“If something feels off, I say it clearly. I do not sugarcoat it.”

She now teaches others the signs of stroke. She teaches her children and her community because she knows firsthand that knowledge is survival.

What Survival Looks Like Now

For both women, survival is not a single moment but a daily practice that lives in their bodies, their spirits, and the choices they make to keep going.

Anjellica protects her heart with rest, boundaries, and a long view of her health. “Surviving changed everything,” she says. “Motherhood now includes boundaries, grace, and listening to my body without guilt.”

Erin stays anchored through her appointments, her medication, her movement, and her peace. “Taking care of myself is part of taking care of my daughter,” she says.

Their stories are both warnings and reminders. They show how urgently the world must listen to Black women when they speak about their health, how deeply postpartum care must reach beyond delivery, and how community and medicine together shape survival.

And they show, without question, that when Black women say something feels off, the world must not ignore them.

The post The Body Knows: Two Mothers Who Survived the Unthinkable appeared first on Black Health Matters.

Green Smith, a certified nurse-midwife, disseminated valuable information about gaps in Black maternal health outcomes on social media. She went by the moniker the “Loc’d Midwife.”  

She is survived by her husband, newborn, and the many people whose lives she touched by practicing her life’s calling of “catching babies.”  

Dr. Green Smith’s Advocacy 

She worked with the non-profit The Hive Impact Fund to support mothers and mothers-to-be with the resources required to expand and maintain their families.  

Her death was met with an outpour of mourning on social media. The American College of Nurse-Midwives issued a statement expressing their grief, sadness, and outrage at the unexpected news. It appeared across their social channels.  

“Dr. Smith was a respected midwife, scholar, and advocate whose life and work reflected a deep commitment to respectful, evidence-based, and equitable care. That a Black midwife and maternal health expert died after giving birth in the United States is both heartbreaking and unacceptable,” they wrote.  

“Her death underscores the persistent and well-documented reality that Black women-regardless of education, income, or professional expertise-face disproportionate risks during pregnancy and childbirth due to systemic racism and failures in care,” they continued.  

Black Women Are at Increased Risk Despite Education, Income, or Professional Expertise 

Green Smith’s tragic death is a heartbreaking example of the Black maternal health crisis. In 2024, the Centers for Disease Control (CDC) reported that “Black women are three times more likely to die from a pregnancy-related cause than White women.” The International Journal for Equity in Health describes Black maternal mortality in the United States as “one of the most alarming and persistent indicators of racial injustice.” 

“Most maternal deaths are preventable, as the health-care solutions to prevent or manage complications are well known,” according to the World Health Organization. To prevent these tragic occurrences, competent and caring providers must be available.  

The Rise of Maternity Deserts 

 

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Location plays a role in maternal health outcomes. A new report highlights a dwindling supply of obstetricians and gynecologists in non-metropolitan areas. Rural residents are particularly at risk.  

Areas such as Green Smith’s home state of South Carolina are sometimes referred to as “maternity deserts.”  

According to the Journal of Obstetrics & Gynecology, “The shortage of ob-gyns in 10 years is projected to progressively worsen by today’s standard practice patterns.” By 2035, “Only six states (Hawaii, New York, Connecticut, Maryland, Rhode Island, Louisiana) were projected to continue to have an adequate supply.” The U.S. Department of Health and Human Services projects a shortage of obstetricians and gynecologists; its forecasts indicate that there will not be enough physicians in the specialty to meet the nation’s needs by 2037.  

This is Not a Socioeconomic Issue Alone 

Some dismiss the Black maternal health crisis because of poverty and preexisting conditions alone. A 2020 article from the World Journal of Gynecological Women’s Health points out that “Racial disparity exists in maternal mortality despite correcting for commonly cited reasons” and “It is a problem for Black American women and cannot be explained by socioeconomic factors alone.” 

Black maternal health challenges traverse tax brackets and class boundaries. “These outcomes cannot be understood through individual behavior, access, or socioeconomic status alone,” reports the International Journal for Equity in Health.  

Young, beautiful, educated, well-off Black women die in childbirth due to neglect.  

Angelica Lyons, as Green Smith did, works to advocate against the ways medical racism impacts birthing people. Her work took place in the classroom. In 2023, she told the Associated Press that she nearly died from sepsis after her pain was ignored by an Alabama hospital. She reported that the severe pain she was experiencing was dismissed as Braxton Hicks contractions by healthcare professionals who did not take her seriously. Her dilemma showed how racial bias in pain assessment can interfere with providing adequate maternal care.  

How We Can Combat This Issue 

Public figures, including the editor-turned-television personality Elaine Welteroth, have joined the fight to address the crisis. Welteroth’s BirthFund raised money to expand access to midwifery with support from her Founding Family Funders, including Kelly Rowland and Serena Williams. 

Williams’ harrowing birth story was so widely reported that it became a footnote in an episode of Insecure. The tennis star turned venture capitalist experienced a pulmonary embolism following the birth of her daughter, Olympia. Her story of demanding that the doctors take her concerns seriously frightened many.  

Fighting For Reproductive Justice is Critical 

“To address the disparities in Black maternal health, expanding access to midwives and doulas is essential. Midwifery care reduces preterm births and cesarean delivery rates and improves breastfeeding outcomes, particularly among Black mothers. Doulas provide invaluable emotional and physical support during pregnancy and childbirth, mitigating racial biases and fostering trust in the health care system,” according to The National Center for Chronic Disease Prevention and Health Promotion.  

Black Maternal Health Week was founded in 2016 to encourage collective action and community engagement in support of reproductive justice. It amplifies the voices of Black organizations supporting people who give birth and their families.  

They connect the public with individuals who provide life-changing care, such as Green Smith.  

Our thoughts and prayers are with the family of Dr. Janell Green Smith.  

Resources 

The Hive Impact Fund 

International Journal for Equity in Health 

Journal of Obstetrics & Gynecology 

World Health Organization 

South Carolina Daily Gazette 

U.S. Department of Health and Human Services  

World Journal of Gynecological Women’s Health 

Proceedings of the National Academy of Science 

BirthFund 

The National Center for Chronic Disease Prevention and Health Promotion 

The post Beloved Maternal Health Advocate Dr. Janell Green Smith Died in Childbirth    appeared first on Black Health Matters.