Abstract

The objective was to assess the factors associated with cesarean section, low prenatalcoverage and low birth weight in Parana State, Brazil. It was an ecological study of all livebirths from mothers residing in the state in 2007 and recorded in the Live Birth InformationSystem (Sinasc). Cesarean section, low prenatal coverage and low weight were analyzed byPearson’s correlation according to city population size. There was a correlation betweencesarean section and socioeconomic indicators in all three sizes. Positive correlations werefound between low prenatal coverage and indicators of inferior living conditions, andnegative correlation with Family Health Strategy (ESF) coverage for the state. Low weightwas correlated with the aging index, ESF coverage, prematurity and newborn vitality.Analysis by city size can guide health actions by the state and Regional Health Authoritiestowards the specificities of each group of cities. Descriptors: Cesarean Section; Prenatal care; Infant, low birth weight; Ecological studies;Maternal-child nursing.

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