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Related Experiment Video

Updated: Mar 29, 2026

Author Spotlight: Developing a Point-of-Care Hemoglobin Estimation Method for Anemia Management
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Cesarean Section Rates and Mobile Health's Role in Equitable Access to Prenatal Care.

Nicole Person-Rennell1, Patrick Rivers1, James Hollister2

  • 1Department of Family and Community Medicine, University of Arizona, Tucson, AZ 85711, USA.

International Journal of Environmental Research and Public Health
|March 28, 2026
PubMed
Summary

Mobile clinics may improve outcomes for uninsured mothers. This study found cesarean section (CS) rates among uninsured prenatal patients using a mobile health program were comparable to national targets, suggesting improved maternal health equity.

Keywords:
NTSVcesarian sectionsfree and charitable clinicsmobile clinicsmobile healthcareobstetric health indicatorsprenatal care

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Health Services Research

Background:

  • Global Cesarean Section (CS) rates are increasing, posing risks and costs to maternal/neonatal health and healthcare systems.
  • The U.S. Healthy People 2030 initiative targets a national low-risk pregnancy CS (NTSV) rate of 23.9%.
  • Uninsured and medically vulnerable populations often face barriers to adequate prenatal care, potentially impacting obstetric outcomes.

Purpose of the Study:

  • To compare the NTSV CS rate of uninsured patients receiving prenatal care via a mobile clinic to the national target.
  • To compare overall mobile health CS rates with national and state CS rates.
  • To assess the impact of mobile health delivery models on obstetric outcomes for underserved populations.

Main Methods:

  • Retrospective analysis of 5 years of electronic medical records from the University of Arizona Mobile Health Program.
  • Calculation of NTSV CS rates for uninsured prenatal patients.
  • Comparison of mobile health CS rates with national and Arizona state averages.

Main Results:

  • The NTSV CS rate among uninsured mobile health patients was 25.0%, similar to the national target (23.9%) and Arizona state average (23.4%).
  • The overall mobile health CS rate was 26%, lower than the national (32.3%) and Arizona (29.0%) rates.
  • These findings indicate favorable obstetric outcomes within this vulnerable patient group.

Conclusions:

  • Access to free prenatal care through a mobile health model may contribute to positive obstetric outcomes for uninsured individuals.
  • Mobile health delivery models show potential for addressing maternal and neonatal health inequities.
  • Further research is warranted to explore the scalability and impact of mobile health interventions for diverse patient populations.