Evidence-based knowledge is irrefutable when analyzing the anatomical and physiological adversities from insufficient healthcare delivery on expectant mothers. Especially those who are minorities. As such, peer-reviewed articles and reference texts yield a plethora of symptoms from disparities, but few detail why disparities related to race are prevalent, or resolutions for them. Findings from early developments of modern-day birthing practices and the increased autonomy of physicians, and healthcare reformers shaped both positive and negative social relations between expectant minority mothers in America and the healthcare system. In this study, some of these negatives (like the aforementioned) are simplified into complex catalysts that reveal obstacles for pregnant women. It must be noted that obstacles created by these disparities increase maternal and fetal exposure to higher mortality risk. As for explaining the disparity between minority and white maternal and infant mortality, some groups have a higher propensity to unique mental and physical strains that can later manifest disease. Further, unsatisfactory healthcare delivery to pregnant women in America is not limited to the physical infrastructure of a medical facility; instead, a lacking more organized social and institutional initiatives continue to harm mothers and infants.