Community Medicine (PSM) · Family Planning and Contraceptives

The Pearl Index for a contraceptive method is calculated as:

  • A (Number of pregnancies / Number of women studied) × 100
  • B (Number of pregnancies × 1200) / (Total months of exposure)
  • C (Number of failures / Woman-years of observation) × 100
  • D Probability of pregnancy in one menstrual cycle
Correct answer: B. (Number of pregnancies × 1200) / (Total months of exposure)

Explanation

Pearl Index = (Number of accidental pregnancies × 1200) / Total months of exposure. This standardizes failure rates per 100 woman-years. For example, if 3 pregnancies occur in 200 women over 6 months (1200 months total), Pearl Index = 3 × 1200/1200 = 3 per 100 woman-years. A lower Pearl Index indicates greater contraceptive efficacy. The ideal Pearl Index is 0 (perfect contraception).

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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