In this moving memoir, Shirley Smith, wife of NBA Champion and All-Star J. R. Smith, tells the story of giving birth to one of the youngest premature babies to survive—using her experience to heighten awareness of the crisis of Black maternal and infant health and pay tribute to Black women’s resilience.

Shirley Smith and her husband, NBA champion J. R. Smith, looked forward to the birth of their second child, Dakota, as they celebrated New Year’s Eve with family at home. After dinner, Shirley felt a sharp pain that worsened through the night. Only 21-weeks pregnant, she was in labor. Mama Bear is the story of her 141-day ordeal, from entering a hospital emergency room on New Year’s morning and giving birth to her premature newborn, to taking her daughter home for the first time the following May.

In telling her story, written with Zelda Lockhart, Shirley shines a spotlight on the dangers Black women face during pregnancy. Black mothers are twice as likely as their white counterparts to go into labor prematurely and lose their babies—and almost four times as likely to die giving birth. Neither socioeconomic status nor access to quality healthcare seem to matter. Tennis champion Serena Williams experienced life-threatening complications during childbirth, and Beyoncé suffered toxemia with her premature twins.