02/28/2026
As Black History Month comes to a close, I have been thinking a lot about the roots of the work I do.
Because before birth moved into hospitals, before obstetrics became a medical specialty, before policies and protocols, there were Black midwives carrying communities.
They attended births in living rooms and bedrooms. They walked miles to reach laboring mothers. They practiced continuity long before it became professional language. They knew the women they served. They cared for entire families, often across generations.
In the American South, Black granny midwives attended the majority of births in their communities well into the 1900s. One of the most well known was Mary Coley, a Georgia midwife who caught thousands of babies and represented a legacy of skilled, community based care.
As birth became medicalized, many Black midwives were pushed out through regulation and systemic discrimination. A lineage of community midwifery was disrupted.
Today, Black mothers in the US are still significantly more likely to experience complications and maternal mortality than white mothers, regardless of income or education. That reality is not separate from history.
My own beginning in birth work is tied to this legacy. For 2 of my pregnancies, I was cared for by Jennie Joseph, a Black midwife whose model centers dignity, access, and relationship. Being her client shaped the way I understand birth. I later became a doula through her training program, and it further grounded me in the importance of continuity, listening, and building systems that actually serve mothers.
When I think about birth, I think about relationships. I think about sitting in a living room for prenatal visits and knowing a family before labor begins. That model isn’t new. It has deep Black roots.
As a white midwife and mother, I know I carry privilege within a system that doesn’t treat all women equally. Naming that matters. It shapes how I listen, how I practice, and how I advocate.
Black History Month may be ending, but honoring this legacy and advocating for safer, more respectful care for Black mothers cannot be limited to one month. ❤️