The system of reproductive care as it relates to genetic services for
women in rural Oklahoma is addressed. Description of reproductive serv
ices and genetic reproductive services for rural women is described an
d barriers to accessing reproductive genetic care are identified. The
barriers and any progress that has been made in breaking these barrier
s will be described under four general categories: (1) financial barri
ers; (2) system capacity barriers; (3) organizational practices and at
mosphere of services, and (4) cultural, personal and other system barr
iers.