Forced sterilization could be a factor in why many black women are distrustful of the health care system. In North America, forced sterilization is an old and painful tradition that dates as far back as the 1900s. Many African-American females were coerced to undergo this procedure in order to prevent genetic diseases or limit poverty (ACOG). It is understandable that this dark legacy caused distrust in these communities for medical professionals, no matter the challenges they may face along the way to a successful result.
It is important to understand the dynamics of each situation to determine which application will be most appropriate under certain circumstances. This can ultimately lead to a successful outcome. A lack of awareness about contraception or pre-natal services can also lead to black women avoiding healthcare. This all shows the need for better education of physicians and improved communication with patients, no matter how many obstacles they face.