Access to acceptable health care together with masterly birth group action at delivery and timely referrals to emergency obstetrical care services will greatly cut back maternal deaths and disabilities, however, ladies in the geographical areas still face restricted access to masterly delivery services. This study depends on qualitative knowledge collected from residents of 2 slums in the national capital, Kenya in 2006 to analyze views close barriers to the uptake of formal obstetrical services. knowledge indicates that slum dwellers like formal to informal obstetrical services. However, their efforts to utilize formal emergency obstetrical care services square measure forced by varied factors together with ineffective health deciding at the family level, inadequate transport facilities to formal care facilities and insecurity in the dark, the high value of health services, and inhospitable formal service suppliers and poorly equipped health facilities within the slums. As a result, a majority of slum dwellers take delivery services offered by ancient birth attendants (TBAs) World Health Organization lack essential skills and instrumentation, thereby increasing the chance of death and incapacity. supported these findings, we have a tendency to maintain that urban poor ladies face barriers to access of formal obstetrical services at the family, community, and sanatorium levels, and efforts to scale back maternal morbidity and mortality among the urban poor should tackle the barriers, that operate at these totally different levels to hinder women's access to formal obstetrical care services. we have a tendency to suggest continuous community education on symptoms of complications associated with the physiological condition and timely referral. attention on coaching of health personnel on “public relations” might conjointly restore confidence within the health-care system with these people. Further, we have a tendency to suggest up the health facilities within the slums, up the services provided by TBAs through capability building moreover as involving TBAs in referral processes to form access to services timely. Measures also can be placed in situ to reinforce security within the slums in the dark.