Tendência da Carga Global dos agravos relacionados ao ciclo gravídico-puerperal em adolescentes no Brasil no período de 1996-2016

Abstract

Objectives: To analyze mortality rates, disability-adjusted life years (DALY) and years of disability (YLD), due to injuries related to the pregnancy-puerperal cycle in adolescents in Brazil in the years 1996, 2006 and 2016. Methods: based on secondary data from the Global Health Data Exchange-2016. Data from 15- to 19-year-old women affected by maternal hemorrhages, sepsis and other infections, maternal hypertensive disorders (DHEG), prolonged / obstructed labor, and uterine rupture. Time trend calculation was performed using the Poisson Joinpoint regression (Program version 4.4.2). Results: There was a reduction in the mortality rate for all maternal conditions, with the highest proportions between 1996 and 2006 (63.41%). DALYs for all maternal diseases decreased and YLDs increased. DALYs showed a decreasing tendency for DHEG, infections and haemorrhages (AAPC = -1.7, -1.1, -1.7 respectively). The YLDs showed a significant increase for DHEG and Haemorrhages (AAPC = -1.7, -1.1, -1.7 respectively). Conclusions: The global burden of diseases related to the pregnancy-puerperal cycle in Brazilian adolescents in the period studied reveals that mortality and DALYs have been reducing over time. However, more women tend to live longer with disability, which impacts their functionality and quality of life.