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This article briefly capsules some of the thinking about obstacles obstetrics patients encounter on the way to a care facility, which is based on over 200 research studies or articles. The bibliography is available on request and not included in the article. Delay in seeking care is presented in 3 ways. The 1st is in the decision to seek care and discussion is presented in Newsletter 35. The 2nd delay is in reaching a facility after the decision is made, which is the subject of this article. The 3rd delay is in receiving the needed care and will appear in Newsletter 37. Based on interviews of rural Kenyan women, of the 47% intending to deliver in a hospital, only 36% actually did so. Distance and unavailability of public transportation in other studies were expressed as obstacles that prevented women from reaching the hospital. There is not systematic documentation in the literature of these types of delays. Consequently, programs which identify high risk women for hospital delivery and raising community awareness may be ineffective if there is inaccessibility of the facility. Urban areas have better access to health facilities, and there is uneven distribution in rural areas even in developed countries such as Portugal. The example of an equitably distributed health network exists in Cuba. The implications of the shortage of health facilities and health care providers and the uneven distribution are that limited access interferes with usage. The nature of the terrain and the condition of the roads and the actual distances are considerations. Many inhabitants must walk or improvise a means of transportation to reach health care, because there is a scarcity of public transportation. The patients condition may deteriorate on the way which makes treatment more difficult, provided the patient is still alive upon arrival. An example is given of a Tanzanian women bleeding to death waiting for a taxi. A decision to seek care may be timely, but impaired access prevented utilization. An additional complication is a situation where the nearest facility is not equipped to treat the condition or even administer essential first aid. A further delay occurs in transporting the patient to the proper facility. Death enroute data is scarce, and may be included in home deaths, but maternal mortality study data is available.