Black midwives have long been the backbone of maternal health in their communities, carrying forward a legacy of care, wisdom, and resilience.
Among them, Margaret Charles Smith, who is undoubtedly a towering figure in history—delivering babies until the age of 90, without ever losing a mother in childbirth.
Smith worked in rural Alabama, where hospitals were often out of reach for Black families due to segregation and poverty.
With nothing but her expertise, intuition, and an unwavering dedication to her patients, she safely brought over 3,500 babies into the world—often in homes with no electricity or running water.
A Legacy Rooted in Ancestral Knowledge
The tradition of Black midwifery dates back centuries, blending medical skill with ancestral practices passed down through generations.
These midwives weren’t just birth attendants—they were healers, educators, and trusted pillars of their communities. Their work was essential to ensuring safe, dignified births, especially in places where healthcare systems failed Black mothers.
In an old interview, Smith described the intense, hands-on nature of her work:
“I lived three times with 500 babies. I was really sad. I have some poor babies at night. Every time I get here, I’ll be ready, and about ready to go to the man and wait till I get through.”
Her words, though fragmented, reflect the deep emotional and physical labor she poured into her calling.
Honoring Black Grand Midwives This Black History Month
As we celebrate Black History Month, we must uplift the legacy of Black grand midwives like Margaret Charles Smith. Their contributions to maternal health have saved generations, yet their stories often go untold. Today, the resurgence of Black midwifery and birthwork aims to reclaim this ancestral knowledge, ensuring Black mothers and babies receive the care they deserve.
The question now is: How are we ensuring this legacy continues?