Sinha G, Sinha A
Department of Obstetrics and Gynaecology, Nalanda Medical College Hospital, Patna.
J Indian Med Assoc. 1993 Oct;91(10):255-6.
In spite of constant efforts by health and social workers, existing family planning measures are not used by a vast majority of eligible couples. This is because of the fear that the method may affect their health and happiness. Billings' ovulation method is based on the scientific observation that by noting the changes in cervical mucus, which is clear, slippery and copious in periovulatory period, it is possible to prevent pregnancy by avoiding intercourse during this period. As this method does not require the use of drugs or devices it was decided to promote this method in the urban areas and slums of Patna, Bihar where couples were not using other methods. This is not a comparative study of the cost-effectiveness of Billings' ovulation method versus other contraceptive measures at all. An analysis of 501 cases (267 in urban and 234 in slums) over a period of 2 1/2 years has been presented and it is gratifying to note that the couples from all religions and strata of the society (nearly 47% were slum dwellers) agreed to continue this method.
尽管卫生和社会工作者不断努力，但绝大多数符合条件的夫妇并未采用现有的计划生育措施。这是因为他们担心这些方法可能会影响他们的健康和幸福。比林斯排卵法基于科学观察，即通过注意到排卵期宫颈黏液清澈、滑润且量多的变化，在此期间避免性交就有可能预防怀孕。由于该方法无需使用药物或器械，因此决定在比哈尔邦巴特那的城市地区和贫民窟推广这种方法，这些地方的夫妇并未采用其他方法。这根本不是对比林斯排卵法与其他避孕措施成本效益的比较研究。本文呈现了对501例病例（城市地区267例，贫民窟234例）长达两年半时间的分析，令人欣慰的是，来自社会各宗教和阶层的夫妇（近47%是贫民窟居民）都同意继续采用这种方法。
