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Keeping brain-dead pregnant women on life support raises ethical issues that go beyond abortion politics

6 39
01.07.2025

Adriana Smith, a 30-year-old woman from Georgia who had been declared brain-dead in February 2025, spent 16 weeks on life support while doctors worked to keep her body functioning well enough to support her developing fetus. On June 13, 2025, her premature baby, named Chance, was born via cesarean section at 25 weeks.

Smith was nine weeks pregnant when she suffered multiple blood clots in her brain. Her story gained public attention when her mother criticized doctors’ decision to keep her on a ventilator without the family’s consent. Smith’s mother has said that doctors told the family the decision was made to align with Georgia’s LIFE Act, which bans abortion after six weeks of pregnancy and bolsters the legal standing of fetal personhood. A statement released by the hospital also cites Georgia’s abortion law.

“I’m not saying we would have chosen to terminate her pregnancy,” Smith’s mother told a local television station. “But I’m saying we should have had a choice.”

The LIFE Act is one of several state laws that have passed across the U.S. since the 2022 Dobbs v. Jackson decision invalidated constitutional protections for abortion. Although Georgia’s attorney general denied that the LIFE Act applied to Smith, there’s little doubt that it invites ethical and legal uncertainty when a woman dies while pregnant.

Smith’s case has swiftly become the focus of a reproductive rights political firestorm characterized by two opposing viewpoints. For some, it reflects demeaning governmental overreach that quashes women’s bodily autonomy. For others it illustrates the righteous sacrifice of motherhood.

In my work as a gender and technology studies scholar, I have cataloged and studied postmortem pregnancies like Smith’s since 2016. In my view, Smith’s story doesn’t fit straightforwardly into abortion politics. Instead, it points to the need for a more nuanced ethical approach that does not frame a mother and........

© The Conversation