Question:medium

Out of 100 women offered oral contraceptive pills (OCP) for contraception, 10 women became pregnant when followed for 24 months. What is the Pearl index?

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Pearl index = (pregnancies x 1200) / total woman-months.
Updated On: Jun 24, 2026
  • 10
  • 5
  • 4
  • 2
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The Correct Option is B

Solution and Explanation

Step 1: The Pearl index expresses how often a contraceptive method fails, scaled to 100 women using it for one year (100 woman-years).

Step 2: It is computed as $\dfrac{\text{pregnancies} \times 1200}{\text{woman-months of use}}$, the 1200 coming from 100 women followed for 12 months.

Step 3: With 10 pregnancies over 100 women followed for 24 months, the total exposure is $100 \times 24 = 2400$ woman-months, so \[\frac{10 \times 1200}{2400} = 5.\]
Step 4: The failure rate therefore works out to 5 pregnancies per 100 woman-years. \[\boxed{5}\]
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