01/06/2026
We are saddened to hear about the death of Dr. Janell Green Smith from complications during childbirth. Dr. Smith was a midwife and Black maternal health advocate based out of South Carolina. This heartbreaking loss shines a spotlight on the unacceptable disparity Dr. Smith was working to address; Black women and birthing people face higher rates of pregnancy-related death. As we recognize the valuable work of Dr. Smith in the midwifery community, we recommit ourselves to the work necessary to bring equity to healthcare.
The American College of Nurse-Midwives mourns the devastating death of Dr. Janell Green Smith, CNM, who died from complications of childbirth. 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. 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.
We grieve Dr. Smith’s loss and recognize it as a profound failure of the systems meant to protect birthing people. In her honor, ACNM commits not only to reaffirming our values, but to intensifying our actions to dismantle racial inequities in maternal health, strengthen accountability in care systems, and work alongside Black midwives, clinicians, and communities to prevent future tragedies.
We extend our deepest condolences to Dr. Smith’s family, loved ones, and the midwifery community. We carry her legacy forward with urgency, humility, and resolve.