As of 2023, there have been over 30 medically documented cases of brain-dead pregnant women being maintained on life support to allow fetal development. Most occurred in countries like the United States, Germany, Canada, and Ireland. Representative Image: FreePik
MedBound Blog

Georgia Law Keeps Brain-Dead Pregnant Woman on Life Support

A Tragic Case Tied to the State’s Abortion Law

MBT Desk

In Georgia, a tragic medical situation has reopened the debate on abortion legislation. Adriana Smith, a 30-year-old Atlanta nurse, has been on life support for over three months, not because there is any possibility of her recovery, but because her unborn baby should be able to be viable.

The strange and agonizing choice comes as Georgia has enforced strict abortion bans under the Living Infants Fairness and Equality (LIFE) Act, or the "Heartbeat Bill."

What is Georgia's Heartbeat Bill?
Originally enacted in 2019 and implemented in 2022 following the reversal of Roe v. Wade, Georgia's LIFE Act prohibits most abortions after six weeks of pregnancy, after a fetal heartbeat is detected. The law also classifies fetuses and embryos as natural persons, granting them some legal protections, even in instances such as Smith's.

What did Adriana Smith experience?

Smith was nearly nine weeks pregnant in early February when she first started experiencing intense headaches. She went to Northside Hospital, where she was treated and released with medication. Her mother, April Newkirk, said there were no diagnostic tests, such as a CT scan.

They gave her some medication, but they didn't do any tests. No CT scan. If they had done that or kept her overnight, they would have caught it. It could have been prevented.
April Newkirk, Adriana Smith's mother

The following morning, Smith died in her sleep. Her boyfriend dialed 911, and she was taken to Emory University Hospital, where she worked. Physicians attempted to remove pressure from her brain but failed. Smith was pronounced brain dead shortly after. 

Doctors Required to Keep Pregnancy Alive

Despite her diagnosis, Smith is placed on life support since she is now 21 weeks pregnant. The doctors informed the family that they are statutorily required under Georgia law regarding abortion to keep her body alive until 32 weeks for the fetus to develop.

Her family is devastated, not just by her loss but also by the uncertainty about the baby’s health. Doctors say her unborn son could have serious complications, including fluid on the brain, which could lead to blindness, mobility problems, or worse.

"She's pregnant with my grandson. But he may be blind, may not be able to walk, may not survive once he's born. This decision should've been left to us. Now we're left wondering what kind of life he'll have—and we're going to be the ones raising him." Newkirk said
In most Western European countries, fetal viability is considered to begin at 24 weeks. In the U.S., post-Dobbs ruling, viability laws now vary by state; some ban abortion at 6 weeks, others at 15 or 20 weeks. Sweden permits abortions until 18 weeks; later only for special circumstances. Germany allows abortion until 12 weeks, but requires mandatory counseling.

A Family Torn by Politics

The Smith family has come to believe that the case has turned into a political issue as opposed to a medical or personal one. They have discovered no legal means of overturning the continued life support, and any future efforts will most likely need legislative or judicial reform.

Public Reaction and Legal Perspective

The case has reopened the argument about the actual effect of restrictive abortion legislation. Governor Brian Kemp, who signed the Life Act, had previously stated,  "We will not back down. We will always continue to fight for life." By contrast, reproductive rights activists like Kwajelyn Jackson of the Feminist Women's Health Center indicate that the law has resulted in "catastrophic harm."

This ban has wreaked havoc on Georgians' lives, and our patients deserve better. The state of Georgia has chosen to subject our community to those devastating harms once again, even in light of the deadly consequences we have already witnessed.
Kwajelyn Jackson of the Feminist Women's Health Center

Earlier this year, the Georgia Supreme Court upheld a six-week abortion ban, overruling a lower court's decision. Legal challenges could have to be reopened, leaving little hope for an immediate change.

Looking Ahead

The case of Adriana Smith serves as a sobering reminder of the way in which complex and highly individual medical conditions are impacted by state legislation. With the pregnancy ongoing, her loved ones and many more observe in sorrow, torn between loss, legality, and uncertainty regarding the future.

Reference:

1. Newsweek. "Abortion Law Forces Doctors to Keep Pregnant Brain Dead Woman Alive." Newsweek, May 15, 2025. https://www.newsweek.com/abortion-braindead-heartbeat-pregnant-georgia-2072283.

(Input from various sources)

(Rehash/Muhammad Faisal Arshad/MSM)

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