Community Medicine (PSM) · Family Planning and Contraceptives

The Pearl Index is the standard measure of contraceptive effectiveness. It is defined as the number of contraceptive failures per:

  • A 100 couples per year
  • B 100 woman-years of exposure
  • C 1000 woman-months of use
  • D 1000 cycles of use
Correct answer: B. 100 woman-years of exposure

Explanation

The Pearl Index is defined as the number of unintended pregnancies per 100 woman-years of contraceptive use. It is calculated as: (Number of failures / Total months of exposure) × 1200. A lower Pearl Index indicates higher contraceptive effectiveness. Combined oral contraceptives have a Pearl Index of approximately 0.1–0.3 with perfect use and 7–9 with typical use.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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