Community Medicine (PSM) · Family Planning and Contraceptives

The Pearl Index for a contraceptive method refers to:

  • A Percentage of women who discontinue the method within one year
  • B Failure rate per 100 acts of intercourse
  • C Number of unintended pregnancies per 100 women-years of use
  • D Percentage of women achieving pregnancy within 6 months of discontinuation
Correct answer: C. Number of unintended pregnancies per 100 women-years of use

Explanation

The Pearl Index = (Number of pregnancies / Total months of exposure) × 1200. It expresses contraceptive failure as the number of unintended pregnancies per 100 women-years (1200 women-months) of use. Lower Pearl Index indicates higher contraceptive efficacy. The copper IUCD T-380A has a Pearl Index of < 1, while male condoms have a typical-use Pearl Index of ≈ 15.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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