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. 2025 Sep 8;39:e090. doi: 10.1590/1807-3107bor-2025.vol39.090

Table 4. Prevalence of prenatal care and vaginal delivery birth of mothers from 2010 to 2020 by states in Brazil.

Federative unit (Abbreviation)/Region Mothers with insufficient prenatal care Vaginal delivery birth
Down % No Down % Down % No Down %
(CI95%) (CI95%) (CI95%) (CI95%)
p-value p-value
North Region
Rondônia (RO) 51.72 39.95 34.48 33.89
(38.14–65.3) (26.64–53.26) (21.56–47.40) (21.02–46.76)
p > 0.05 p > 0.05
Acre (AC) 56.67 58.16 58.33 61.14
(35.96–77.37) (37.54–78.77) (37.73–78.93) (40.77–81.51)
p > 0.05 p > 0.05
Amazonas (AM) 64.04 57.48 55.62 62.02
(52.09–75.99) (45.17–69.79) (43.25–67.99) (49.94–74.10)
p > 0.05 p > 0.05
Roraima (RR) 58.82 57.84 47.06 64.96
(33.91–83.73) (32.85–82.83) (21.80–72.32) (40.82–89.10)
p > 0.05 p > 0.05
Pará (PA) 55.68 55.39 48.35 51.5
(47.57–63.79) (47.27–63.51) (40.19–56.51) (43.34–59.66)
p > 0.05 p > 0.05
Amapá (AP) 64.52 63.8 66.13 65.73
(41.08–87.96) (40.25–87.35) (42.94–89.32) (42.44–88.96)
p > 0.05 p > 0.05
Tocantins (TO) 35.56 39.9 48.89 48.52
(27.60–43.52) (31.76–48.04) (40.58–57.20) (40.19–56.81)
p > 0.05 p > 0.05
Northeast Region
Maranhão (MA) 55.1 60.52 48.98 56.56
(48.48–61.72) (54.02–64.02) (42.33–55.63) (49.60–63.10)
p > 0.05 p > 0.05
Piauí (PI) 46.88 44.2 62.5 46.89
(40.34–53.42) (37.70–50.70) (56.16–68.84) (40.35–53.43)
p > 0.05 p < 0.05
Ceará (CE) 39.78 33.86 40.52 43.54
(32.71–46.85) (27.02–40.70) (33.43–47.61) (36.38–50.70)
p > 0.05 p > 0.05
Rio Grande do Norte (RN) 33.33 38.88 31.48 41.08
(26.18–40.48) (31.49–46.27) (24.44–38.52) (33.55–48.47)
p > 0.05 p > 0.05
Paraíba (PB) 36.84 33.38 43.68 42.82
(30.51–43.17) (27.19–39.57) (37.17–50.19) (36.33–49.31)
p > 0.05 p > 0.05
Pernambuco (PE) 39.85 36.86 41.81 48.42
(32.78–46.92) (29.89–43.83) (34.68–48.94) (41.20–55.64)
p > 0.05 p > 0.05
Alagoas (AL) 48.94 45.9 46.1 45.71
(39.24–58.64) (36.23–55.57) (36.43–55.77) (36.04–55.38)
p > 0.05 p > 0.05
Sergipe (SE) 40.91 45.68 50 57.89
(29.78–52.04) (34.41–56.95) (38.68–61.32) (46.72–69.06)
p > 0.05 p > 0.05
Bahia (BA) 43.32 45.18 47.1 56.7
(8.56–48.08) (40.40–49.96) (42.31–51.89) (51.94–61.46)
p > 0.05 p < 0.05
Southeast Region
Minas Gerais (MG) 22.03 25.18 34.03 42.64
(19.25–24.81) (22.27–28.10) (30.85–37.21) (39.32–45.96)
p > 0.05 p < 0.05
Espírito Santo (ES) 25.91 32.35 30.45 36.8
(16.19–35.63) (21.97–42.73) (20.24–40.66) (26.10–47.50)
p > 0.05 p > 0.05
Rio de Janeiro (RJ) 29.13 31.08 29.92 39.94
(19.85–38.41) (21.62–40.54) (20.56–39.28) (29.93–49.95)
p > 0.05 p > 0.05
São Paulo (SP) 22.66 21.54 30.74 40.17
(19.43–25.89) (18.37–24.71) (27.18–34.30) (36.39–43.95)
p > 0.05 p < 0.05
South Region
Paraná (PR) 19.74 17.58 33.39 38
(15.83–23.65) (13.85–21.31) (28.76–38.02) (33.24–42.76)
p > 0.05 p > 0.05
Santa Catarina (SC) 30.02 26.14 38.21 41.22
(24.79–35.25) (21.13–31.15) (32.67–43.75) (35.60–46.84)
p > 0.05 p > 0.05
Rio Grande do Sul (RS) 25.82 25.02 32.92 38.04
(21.97–29.67) (21.21–28.83) (28.79–37.05) (33.77–42.31)
p > 0.05 p > 0.05
Midwest Region
Mato Grosso do Sul (MS) 30.95 33.54 28.57 39.29
( 20.76 – 41.14 ) ( 23.13 – 43.95 ) ( 18.61 – 38.53 ) ( 28.52 – 50.06 )
p > 0.05 p > 0.05
Mato Grosso (MT) 27.61 31.16 35.82 39.39
( 20.23 – 34.99 ) ( 23.52 – 38.8 ) ( 27.91 – 43.73 ) ( 31.33 – 47.45 )
p > 0.05 p > 0.05
Goiás (GO) 28.32 33.23 27.17 33.71
( 22.69 – 33.95 ) ( 27.34 – 39.12 ) ( 21.61 – 32.73 ) ( 27.80 – 39.62 )
p > 0.05 p > 0.05
Federal District (DF) 24.76 28.66 29.52 45.55
* * * *
* * * *
Brazil 30.64 33.33 36.12 44.31
( 29.43 – 31.85 ) ( 32.09 – 34.57 ) ( 34.86 – 37.38 ) ( 43.01 – 45.61)
p < 0.05 p < 0.05

p < 0.05. Z-test was used for comparison between the Down and No Down groups.

Source: SINASC.